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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29088
Experience:  MD
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My wife has suffered from diarrhoea three years,

Customer Question

my wife has suffered from diarrhoea for about three years, she Is 48 and has now she has started her menopause . She is eating less two slices of six of a ten inch pizza! She has had a barium meal and a camera up her rectum. This only found evidence of two pockets ! Her doctor thinks this is the reason for her problems but we don't agree. Have a meeting with him on Monday what other options should we explore
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.
Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.These symptoms can also be due to the gallbladder problem.Excess bile acid will cause intestinal irritation.When the gallbladder is not functioning well, the bile flow to the intestine may increase causing these symptoms.This will result in bloating, belching and also diarrhea especially after meals.These symptoms can be treated with a medication called Cholestyramine 4 gram twice daily will meals.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.Carbohydrate breath test ( D xylose) is a simple test to diagnose this condition.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.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.pdfPlease also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.Culturelle 30 Counts twice daily should be fine.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/