Hi,
Noted the history about a 51 year old male having diarrhea off and on,
nausea, weird feeling of peanut butter running into veins,
high blood pressure and
cholesterol.
The recurrent diarrhea should be well investigated for as following:
Stool tests for 3 consecutive days.
Tests of blood for CBC, thyroid functions, liver and kidney functions and any other tests as would be advised by a Gastroenterologist.
Colonoscopy and upper GI Endoscopy as he is suffering from nausea also.
CT scan of abdomen.
If all these things are normal then this may be IBS also a cause of
hypertension and so on.
Also to know whether any particular foods or beverages is instigating or enhancing his problems.
Cardiac check up and to keep blood pressure in normal range.
Reduce the common salt in food.
Consult a Psychiatrist if required for counselling and medications as the feeling of peanut butter running though the veins is typically psychological problem.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon