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#1 whyworryac

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Posted 11 November 2015 - 12:32 PM

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Saw my GP today after having gastro issues for about 2 months straight now. I go from being constipated, to having a lot of abdominal pain, to severe gas, and then to diarrhea. I'm in a diarrhea stage today following horrible, horrible smelling gas the last day and a half. I brought it up to him despite having a GI specialist. GP thinks I do have IBS-A and he seemed sympathetic - he basically stated there's no cure. You just have to figure out how best to manage your symptoms. GI doc has never diagnosed me with IBS - but I also was mainly only experiencing constipation in months before when I'd see him. I've had colonoscopy done (in Jan. 2014) and CT scans of my abdomen in the past - most of the time, besides being backed up with stool, nothing was ever truly the matter.

 

I see my GI in a month from now. For the last 2 days I've had narrower, soft stools that I guess come out more like chunks I guess? Or longer bits? Does that make sense? I always think of them as piles when it gets to be like the diarrhea type thing. It's such a vicious cycle and I'm exhausted of it. Doc told me to keep a food diary (which I've been doing) to see what may be triggering. I'm getting a celiac blood test Saturday and am trying to avoid dairy for right now the best I can. 

 

I'm 27 / F, 5'4" and 160 lbs. Actively trying to lose weight. Was in the hospital about 3 weeks ago for abdominal pain - and they couldn't pinpoint the cause. They didn't do a CT bc I just had one in March. I suspect it honestly may have been major gas pains. I felt good and normal last week. And now we're back to today. If anyone has advice on how best to talk to my GI next time I see him about stuff, that'd be great. He tends to brush off food intolerances - and he also thought I only had chronic idiopathic constipation. He brought up Linzess before but I'm afraid to take it.



#2 Nanobug

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Posted 11 November 2015 - 01:09 PM

My advice is to have your gastroenterologist do a colonoscopy with biopsy (even if no polyps are present as this is necessary to rule out microscopic colitis.) Otherwise it's just guessing.



#3 whyworryac

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Posted 11 November 2015 - 03:54 PM

Had a colonoscopy done in January of 2014 and he did do biopsy - nothing was found there.



#4 Nanobug

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Posted 11 November 2015 - 04:57 PM

A few questions:

 

1) Have you ever done hydrogen/methane breath test? This is necessary to diagnose SIBO. Alternatively, have you tried Xifaxan together with neomycin?

 

2) Do you smoke?

 

3) What color are your stools?



#5 whyworryac

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Posted 11 November 2015 - 08:45 PM

1. Never done a breath test but I'm bringing up SIBO at my next GI appointment. Never used Xifaxan or Neomycin - don't even know what they are.

2. No smoking.

3. Color of stools are a normal brown, basically... 



#6 Nanobug

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Posted 11 November 2015 - 08:56 PM

1. Never done a breath test but I'm bringing up SIBO at my next GI appointment. Never used Xifaxan or Neomycin - don't even know what they are.

2. No smoking.

3. Color of stools are a normal brown, basically... 

 

Testing for SIBO would be a good start. Make sure the breath test measures both hydrogen and methane otherwise you won't get the complete picture. Xifaxan and Neomycin are the antibiotics used to treat SIBO.







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