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What Causes Frequent Urination, Acid Reflux And Abdominal Cramps?
Question: For last 2weeks,after urination frequent finger size stool with very light cramp sensation,a lot of gas!(only bowel movement no normal ones)Soft BM,a little mucus,no visible bleeding,no black BM.Never had n had normal colonoscopy 8 mos ago...what is this IBS? Do I need to see a Dr.?
Brief Answer:
Not seemingly IBS; but, it can be due to rectal or anal sphincter disease !
Detailed Answer:
Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.
I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.
It doesn't seem to have typical presentation of IBS. This kind of symptoms are usually seen in rectal disorders where feces is temporarily stored en-route from sigmoid colon (the large intestine).
Chronic cramping abdominal pain that exacerbates at times is a hallmark of IBS. Other manifestations may be:
Yes, your doubt is not illogical as IBS patients have altered bowel habitus but that is not incontinence. There is either diarrhea, constipation, or diarrhea alternating with constipation, or diarrhea/constipation with normal bowel habitus.
You said a lot of gas. Yes, flatulence, bloating and belching is also a feature of IBS. But that is usually associated to early satiety, loss of appetite, gastroesophageal reflux, non-cardiac chest pains and nausea.
Yes, you need to consult a Gastroenterologist for thorough evaluation and management. He will take history, do physical examination and if needed may go for a digital rectal examination. He will run a battery f tests on you to rule out the causes of the symptoms.
May need to go for Anoscopy, rectosigmoidoscopy and will also see the tone of external anal sphincter as this tone is lost in fecal incontinence. Management goes accordingly.
Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
USA
Not seemingly IBS; but, it can be due to rectal or anal sphincter disease !
Detailed Answer:
Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.
I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.
It doesn't seem to have typical presentation of IBS. This kind of symptoms are usually seen in rectal disorders where feces is temporarily stored en-route from sigmoid colon (the large intestine).
Chronic cramping abdominal pain that exacerbates at times is a hallmark of IBS. Other manifestations may be:
Yes, your doubt is not illogical as IBS patients have altered bowel habitus but that is not incontinence. There is either diarrhea, constipation, or diarrhea alternating with constipation, or diarrhea/constipation with normal bowel habitus.
You said a lot of gas. Yes, flatulence, bloating and belching is also a feature of IBS. But that is usually associated to early satiety, loss of appetite, gastroesophageal reflux, non-cardiac chest pains and nausea.
Yes, you need to consult a Gastroenterologist for thorough evaluation and management. He will take history, do physical examination and if needed may go for a digital rectal examination. He will run a battery f tests on you to rule out the causes of the symptoms.
May need to go for Anoscopy, rectosigmoidoscopy and will also see the tone of external anal sphincter as this tone is lost in fecal incontinence. Management goes accordingly.
Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).
Regards!
DR. HANIF
USA
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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