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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stomach Pain Due To Severe Diarrhea

Doc, you ve got to help me. For four, going on five days I have had the worst case of diarrhea I ve ever had in my life. Going 10-15 times a day, even feels like possibly more often sometimes. No other flu like symptoms aside from a small fever last night and general lethargy and aches. Whenever I go, it s very runny and violent. Sounds like pure water being squirted from a bottle. I m 21 and in very good physical health, this has come out of nowhere. Usually I can eat whatever I please and have no issues whatsoever, although I eat a fairly healthy diet. I don t remember eating anything with the potential to have been undercooked or contaminated although I m of course not ruling it out. However the longer this goes on, the more worrisome it becomes that it could be a serious disease. I ve been using an array of suppluments but have stopped since the onset of this godforsaken debilitating diharrea. Could some people be suseptable to symptoms like this from the use of nitric oxide boosters (argenine, citruline, etc), amino acids, or zinc-magnesium-aspartate? Like I said, I haven t used any of those since this started and I as well have cut out all whey protein and caffiene, of which I ve never had any previous problems with either. I ve been limiting my diet to soft foods but tonight I pushed my luck by eating barbecue ribs with my family and my insides are not letting me live it down. I ve been rumbling and gurgling rampantly and running to the bathroom several times every half hour. If this is something that needs to run it s course, how long do you think I could maximally be looking at? Also, what s good to help sooth my anus besides preparation H? At this point the diharrea is relieving my unforgiving stomach pains but my rectum is taking a brutal beating and I don t know how much more of this we can take. Seriously, it hurts so bad. My deepest gratitude for any help and advice you can offer, thank you in advance.
Mon, 16 Feb 2015
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query in HCM. I am Dr.Aliem, and I am pleased to answer your query.

Such a long query. But I understand the extent to which this has made you worry about yourself.

Acute onset of diarrhea, as in your case (5 days duration) is usually of infectious cause. Source of infection is usually unhygienic food or water. Nitric oxide boosters can cause diarrhea, but this is rare and usually occurs on initiation of its intake. Here are my suggestions for you:

1. Take plenty of water/Tender coconut.
2. Get Oral Rehydration Salts Sachet (One litre pack) from your nearby pharmacy. Mix it with one litre of clean drinking water and drink it @ 200 ml for every bowel movement.
3. Consult your physician at the earliest. You may need to undergo some tests, including motion test for ova/cysts. If your dehydration is severe, you may need admission in hospital and i.v fluids. You'll become fine with a course of antibiotics/ some antidiarrheals and probiotics. It may take 24-48 hours for your diarrhea to get arrested, but do complete the course of antibiotics, as suggested by your physician.
4. It's a good job that you have withheld nitric oxide boosters. You can resume them later on.
5. If your diarrhea persists despite a course of drugs or if it recurs frequently, you may need additional tests to find out the cause.
6. Take only bland diet with plenty of fluids until this episode is over.
7. Always avoid taking foods that are improperly handled/stored or undercooked.
8. Preparation H is effective for pain associated with haemorrhoids. Your anal pain is associated with diarrhea. It goes off when diarrhea stops. But if it comforts you, there is no harm in using it.

This problem is something that needs urgent treatment, because rapid loss of water and electrolytes through diarrheic stools can have deleterious consequences.

But once treated, most probably this will not have any complication or sequelae.

Hope this helps. Feel free to post further queries if any. If you have no further queries, do give your feedback.

Take care.
Dr.Aliem MD.,
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Suggest Treatment For Stomach Pain Due To Severe Diarrhea

Hi there, Thanks for your query in HCM. I am Dr.Aliem, and I am pleased to answer your query. Such a long query. But I understand the extent to which this has made you worry about yourself. Acute onset of diarrhea, as in your case (5 days duration) is usually of infectious cause. Source of infection is usually unhygienic food or water. Nitric oxide boosters can cause diarrhea, but this is rare and usually occurs on initiation of its intake. Here are my suggestions for you: 1. Take plenty of water/Tender coconut. 2. Get Oral Rehydration Salts Sachet (One litre pack) from your nearby pharmacy. Mix it with one litre of clean drinking water and drink it @ 200 ml for every bowel movement. 3. Consult your physician at the earliest. You may need to undergo some tests, including motion test for ova/cysts. If your dehydration is severe, you may need admission in hospital and i.v fluids. You ll become fine with a course of antibiotics/ some antidiarrheals and probiotics. It may take 24-48 hours for your diarrhea to get arrested, but do complete the course of antibiotics, as suggested by your physician. 4. It s a good job that you have withheld nitric oxide boosters. You can resume them later on. 5. If your diarrhea persists despite a course of drugs or if it recurs frequently, you may need additional tests to find out the cause. 6. Take only bland diet with plenty of fluids until this episode is over. 7. Always avoid taking foods that are improperly handled/stored or undercooked. 8. Preparation H is effective for pain associated with haemorrhoids. Your anal pain is associated with diarrhea. It goes off when diarrhea stops. But if it comforts you, there is no harm in using it. This problem is something that needs urgent treatment, because rapid loss of water and electrolytes through diarrheic stools can have deleterious consequences. But once treated, most probably this will not have any complication or sequelae. Hope this helps. Feel free to post further queries if any. If you have no further queries, do give your feedback. Take care. Dr.Aliem MD.,