How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Basu Your Own Question

Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28701
Experience:  MD
23744323
Type Your Medical Question Here...
Dr Basu is online now

I think i may be suffering with anxiety problems which

Resolved Question:

Hi I think i may be suffering with anxiety problems which seen to manifest itself in me having to have a bowel movement each time i go on a journey in car,train, bus plane. i seem to be okay. when going to work but the rest of the time is awful. its really upsetting me so much so i dont want to go out much.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Hi there,
This is Dr Basu, Experienced Specialist.
I am here to address your concerns and provide great service.
Yes you are likely suffering from IBS or irritable bowel syndrome.
Anxiety makes the intestines more active causing bowel movements.
This can be addressed with a special diet to reduce the frequency.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.
Please go to this link for detailed information:
http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf
Please consider taking a probiotic containing Saccharomyces Boulardii.
This is a friendly yeast helping to prevent loose bowel movements.
You can use over the counter Loperamide tablets 4 mg as needed.
Prescription medication Amitriptyline 25 mg at bedtime daily will help long term.
Please consider seeing a psychotherapist for cognitive behavioral therapy ( CBT).
CBT helps a lot with these symptoms over time.
Best wishes,
It was my pleasure to help you today.
If I have answered all your questions, Please click on Excellent service so that the website allows me to assist you further :)
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28701
Experience: MD
Dr Basu and other Medical Specialists are ready to help you
Expert:  Dr. Kaushik replied 2 years ago.
Greetings.
Welcome to the site.
Well, i will like to offer a different opinion on your problem.
I believe that you are suffering from Situation specific Anxiety Disorder where in the situation such as travelling either in car, train or plane tends to trigger an anxiety reaction which may manifest in the form of a panic attack coupled with increased bowel movements ( and perhaps increased urgency to pass urine also ) thereby causing urge to go to the loo. So here in your case as per me, you are having an underlying Situation specific Anxiety disorder, where situation is travelling.
As far as management of this condition is concerned, as you would have known by now that it is quite stubborn and tends to develop a vicious cycle with the same series of events happening over and over again whenever the anxiety trigger is faced ( travel ), so in order to take care of this condition you got to discuss with your doctor about getting started on a combination of 1 anti depressant drug which also doubles up as a good anti anxiety agent such as escitalopram at dose of 10-20 mg/ day or sertraline at dose of 25-100 mg/ day + 1 benzodiazepine anti anxiety drug for short term usage only ( 4-6 weeks only) such as clonazepam at dose of 0.25- 2 mg / day in 2 divided doses. This drug regime shall prove to be quite effective in alleviating your anxiety symptoms and make the travelling experience much less taxing and unnerving which eventually will completely undergo remission in due course of time. You may expect to notice improvement in your symptoms within 2-3 weeks of starting this regime, however for complete relief you got to take the drug regime for at least 3-4 months.
In addition to this, you may want to consider seeking CBT therapy/ counseling from a clinical psychologist so as to learn coping mechanisms / skills in making yourself more resilient towards stressful situations / events.
I hope this helps.
Wish you all the best.
Please kindly leave a Positive rating if you are satisfied with the answer.
Regards

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions