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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29168
Experience:  MD
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My Elderly Mother *80yrs has had bouts of diarrhea on a daily

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My Elderly Mother *80yrs has had bouts of diarrhea on a daily basis for more than 3 weeks. Here GP advised her blood tests where normal and did not need to refer to hospital. She has to take regularly Imodium instants to control, however only works until the next bout. She is scared to eat for obvious reasons, she is however taking dioralite and other beverages (not tea or coffee) she is aware hydration is very important. These episodes are daily and it is stressful for all concerned. We do need guidance as we feel her GP is not particulary interested? Thank you
Submitted: 4 years ago.
Category: Medical
Expert:  Dr Basu replied 4 years ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hello,

Mysticdoc :

Thanks for your question.

Mysticdoc :

Persistent diarrhea can be caused by several possibilities.

Mysticdoc :

Diarrhea can be caused by the viral infection commonly.

However, bacterial and parasitic infection can cause similar symptoms as well.

Course of antibiotics will be helpful after the stool tests.

Small intestinal bacterial overgrowth can cause chronic diarrhea.
This often responds well to the antibiotics.
Rifaximin is commonly used as it is absorbed poorly avoiding systemic side effects.
Another possibility can be the eosinophilic gastroenteritis due to the eosinophilic infiltration of the lining.
This is a challenging diagnosis --often requires full thickness small intestinal biopsy.
The treatment requires elimination diet principle.
Your diet needs to be free of lactose, gluten etc.
Inflammatory bowel disease like Crohn's disease is another possibility.
Sometimes, colon or intestinal polyps can cause secretory diarrhea.
Please consult with a gastroenterologist for further evaluation.

Mysticdoc :

Best wishes,

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