Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
Hi Doctor, I have Diarrhea associated with a lot of gas for the past 12 years, I had Colonoscopy twice, upper GI endoscopy once, blood, stool, urine testS X-ray you name it. everything was normal. now for the past year or so, I have been getting a tension head ache especially after a meal and burping so much. Do you have any suggestions? Thank You.
Thu, 15 Feb 2018
Internal Medicine Specialist, Dr. Malik's Response
Hello
Welcome to HealthcareMagic!
Diarrhea associated with gas and burps with normal gastrointestinal (GI) tests is suggestive of Diarrhea-predominant irritable bowel syndrome (IBS-D). It is a functional disorder of the GI tract without any specific pathology. There is no test to identify IBS-D. Only complete history, physical exam and exclusion of other diseases help to diagnose IBS-D. Tension headache that you experience might be associated with IBS-D. Recent research has shown an association of IBS with migraine-tension type headache.
Management of IBS-D is primarily life style and dietary changes. You may try following life style changes to ease the symptoms of IBS-D such as exercising regularly, getting enough sleep, taking fiber supplements, eating food in small portions and avoiding food that cause bloating (carbonated and alcoholic beverages, caffeine, raw fruit, cabbage, broccoli, cauliflower etc). You my use OTC Loperamide to controlled diarrhea. In addition, based on your symptoms your doctor may prescribe antidepressants (eg, Paroxetine, Imipramine, Nortriptillin), pain medications (eg, Pregabalin), Anticholinergics ( Dicyclomine, Hyoscyamine).
I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know.
Thank you,
Malik Amonov MD
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What Causes Diarrhea, Acidity And Excess Burping?
Hello Welcome to HealthcareMagic! Diarrhea associated with gas and burps with normal gastrointestinal (GI) tests is suggestive of Diarrhea-predominant irritable bowel syndrome (IBS-D). It is a functional disorder of the GI tract without any specific pathology. There is no test to identify IBS-D. Only complete history, physical exam and exclusion of other diseases help to diagnose IBS-D. Tension headache that you experience might be associated with IBS-D. Recent research has shown an association of IBS with migraine-tension type headache. Management of IBS-D is primarily life style and dietary changes. You may try following life style changes to ease the symptoms of IBS-D such as exercising regularly, getting enough sleep, taking fiber supplements, eating food in small portions and avoiding food that cause bloating (carbonated and alcoholic beverages, caffeine, raw fruit, cabbage, broccoli, cauliflower etc). You my use OTC Loperamide to controlled diarrhea. In addition, based on your symptoms your doctor may prescribe antidepressants (eg, Paroxetine, Imipramine, Nortriptillin), pain medications (eg, Pregabalin), Anticholinergics ( Dicyclomine, Hyoscyamine). I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you, Malik Amonov MD