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What Causes Loose Motion?

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Posted on Mon, 3 Nov 2014
Question: Hello....I have been having loose stringy stools for quite some time now, I'd say 2 to 3 months. I try to drink plenty of water, and eat a pretty healthy diet. I do drink 2 to 3 glasses of wine each evening. Would the drinking of wine cause the stool problem? Thanks
doctor
Answered by Dr. Muhammad Ali Rauf (4 hours later)
Brief Answer:
Could be Drug Induced

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query. It is very good thing that you are taking healthy food and water. Water play a major role in keeping you healthy. Wine usually does not cause such symptoms. I can guide you better if you answer following questions:

1. Does the stool problem start after starting wine?
2. Is there associated history of lower abdominal pain?
3. Is there history of alternate constipation and diarrhea? I mean for some days you have constipation and then diarrhea starts.
4. Does loose stringy/ribbon like stool occurs in the morning or any time of the day?
5. Does urge to defecate increases after taking meal?
6. Since when are you on Prozac & synthroid?
7. does such symptoms appear in past as well? If yes then how did they relieve?
8. Is there history of incomplete emptying after you defecate?
9.Does blood appear in stool?
10. Any family history of chronic disease or cancer?

I will be looking forward for the answer to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Muhammad Ali Rauf (1 hour later)
1. I've been drinking wine for several years and this problem started about 3 months ago.

2. Yes, during my period, I sometimes have excruciating pain on the lower right side and goes into my lower right back. But not every month

3. No...It's always very soft stool. Every once and awhile I'll have constipation.

4. Any time in the day, but mostly in the morning

5. Only in the morning

6. Been on prozac for 25 years, and synthroid 5 years

7. No, I don't think so

8. Yes, I do sometimes feel like it is incomplete emptying after defecation

9. No blood

10. There is cancer in family...breast cancer, lung cancer,
doctor
Answered by Dr. Muhammad Ali Rauf (7 hours later)
Brief Answer:
Mostly Irritable Bowel Syndrome

Detailed Answer:
Hello

Thank you for writing back. I have gone through your answers. My provisional diagnosis in your case will be Irritable Bowel Syndrome(IBS) secondary to drug or stress induced. IBS is mostly caused by stress & anxiety. There is absolutely no need to worry. Combine following general & medical advise and you will improve:

1. General:
> Stress is in everyone's life but if it overpowers you then it will start causing problem. So try to remain calm and stress free.
> Go out for a walk in the evening. Take a friend or family member and discuss your thought. It will reduce stress.
> If stress is severe then you can visit a psychologist for "Cognitive behavioral therapy" who will guide you relaxation techniques.

2. Dietary Advise:
> Take high fiber diet (peas, beans, broccoli, etc) including psyllium (ispaghul hask)
> Avoid:
* fatty food & caffeine products
* Spicy food.
* Fruits & salads for the time being.

3. Medical Advise:
> Loperamide 2 mg orally thrice a day
> If stress is severe then i would suggest you to consult your doctor who put you on Prozac for dose adjustment.

Conclusion:
IBS is a condition that occurs due to multiple causes, most common include stress, anxiety, drug or hormone induced. So it will automatically improve as soon as you take care of cause. In your case stress and drugs could be the causative factor. If condition does not improve after taking this management then i would suggest you to visit a Gastroenterologist in your area. He will perform some tests to rule out any pathology.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1312 Questions

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What Causes Loose Motion?

Brief Answer: Could be Drug Induced Detailed Answer: Hello My name is Dr Muhammad Ali Rauf & i will look into your problem. I have gone through your query. It is very good thing that you are taking healthy food and water. Water play a major role in keeping you healthy. Wine usually does not cause such symptoms. I can guide you better if you answer following questions: 1. Does the stool problem start after starting wine? 2. Is there associated history of lower abdominal pain? 3. Is there history of alternate constipation and diarrhea? I mean for some days you have constipation and then diarrhea starts. 4. Does loose stringy/ribbon like stool occurs in the morning or any time of the day? 5. Does urge to defecate increases after taking meal? 6. Since when are you on Prozac & synthroid? 7. does such symptoms appear in past as well? If yes then how did they relieve? 8. Is there history of incomplete emptying after you defecate? 9.Does blood appear in stool? 10. Any family history of chronic disease or cancer? I will be looking forward for the answer to conclude the discussion in the best interest of yours. Thank You