Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.
no family history.
no consistent symptoms.
Even with persistently abnormal bowel habits?
correct still this is most likely IBS
Also food sensitivity can cause this.
There are other benign causes as wlel.
Malabsorption syndrome is another strong possibility.Malabsorption syndrome includes the follow possibilities:1. Excess bacterial overgrowth in the small intestine known as SIBO syndrome.This is not usually diagnosed by the colonoscopy.Small intestinal aspirate can be sent for bacterial count.But, the treatment is much easier.A 14 day course of Rifaximine improves the symptoms dramatically/2. Lactose intolerance--- regular milk, dairy products. 3.gluten senisitivity or celiac disease--- Wheat based products. 4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.
I have recently had some blood work done, my crp and ear were normal. If I had bowel cancer would my inflammation marker be raised?
yes of course
I had an gastroscopy a week ago which was normal but they sent biopsies for coeliac disease too?
ok that is good.
and celiac is a possibility.
sorry meant esr not ear
yes i got that :)
could my stress be exacerbating symptoms
yes that is related
and IBS is common with stress and anxiety
If i had a normal sigmoidoscopy 4 years ago is it likely that there would be any change now?
Can i ask why?
you would have developed chronic constipation instead of diarrhea.
tumor or polyp will obstruct the bowel movement.
diarrhea is not a symptom.
When I checked the NHS website it stated diarrhoea as a symptom. Is there any investigation I should ask my GP to refer me for for my symptoms? Its usually trigged by eating, sometimes within 10 mins of eating a meal I have an urgency to go to the tiolet
no diarrhea only is very unlikely to be a cancer symptoms since you had negative tests and no family history.
no weight loss, anemia also .
yes you can request for stool tests to rule out any infection first.
Them stool can be checked for fat which will suggest pancreas problem.
Carbohydrate breath test will check for bacterial overgrowth.
Meanwhile i will suggest you a good diet to prevent your symptoms.
Please go to this link:
Ok, no my Hb is 148. Can bacteria overgrowth be a long standing problem as in over years? My diet is terrible, I'm a midwife who works mostly nights, I eat at ridiculous times and always on the go. Its usually one or two big meals a day
Thanks for the link I'll check it out
Yes it can be a long standing problem.
Periodic Rifaximin course will help .
I'm not familiar with that, is it prescription only?
yes it is prescription only.
ok, i'll ask my GP. What type of drug is it?
This is a type of antibiotic.
Ok thank you, ***** ***** any panic less. Is there any particular type of bowel movement I should be concerned about?
yes dark stool or blood mixed with stool, constipation with thin caliber of stool lasting longer than a week.
I have had the occasional thin caliber stool. Would red pepper show up in stool
yes it can
occasional does not count.
has to be persistent daily occurrence
can ibs cause occasional thin caliber
in fact more common.
Oh ok. Would blood show up as flecks in the stool? When my haemorrhoid bled its was on the stool and mucousy. Also is mucous in stool common with ibs?
mucus in stool very common with ibs.
hemorrhoid bleeding is not concerning.
flecks of blood not concerning.
OK thank you very much for your time. Do i need to see my GP or wait for my coeliac biopsies and see what happens from there
Yes that will be fine
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