[21F] With chronic diarrhea, facial rash, and numbness

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Diarrhea and Abdominal Pain

1. Irritable Bowel Syndrome (IBS): Given that your diarrhea is triggered by eating and has been ongoing for a year, IBS is a possibility. IBS often involves chronic abdominal pain and changes in bowel habits.
2. Infectious Gastroenteritis: Your recent travel to the Philippines and exposure to untreated water or undercooked food could have led to an infection, such as a parasitic or bacterial infection.
3. Food Intolerances or Allergies: Sometimes, chronic diarrhea can be due to food intolerances, such as lactose intolerance or gluten sensitivity.

Facial Rash and Flaking

1. Seborrheic Dermatitis: This condition often causes flaky, red skin, particularly in areas like the cheeks and between the brows. It is related to dandruff, which you mentioned having.
2. Rosacea: This chronic skin condition can cause redness and sometimes pimples on the face. It often affects the cheeks and forehead.

Numbness in Hands and Toes

1. Peripheral Neuropathy: This condition can cause tingling and numbness in the extremities. It can be related to various factors, including nutritional deficiencies, diabetes, or autoimmune conditions.
2. Anxiety: Given your history of depression, anxiety could also contribute to physical symptoms like tingling and numbness.

What you can do

Diarrhea and Abdominal Pain

• See a Doctor: It's important to consult a healthcare provider to rule out infections, IBS, or other gastrointestinal conditions. They may recommend stool tests, blood tests, or other diagnostic procedures.
• Dietary Changes: Consider keeping a food diary to identify any potential triggers. A low-FODMAP diet is often recommended for IBS.
• Hydration: Ensure you stay hydrated, especially with chronic diarrhea. Oral rehydration solutions can help maintain electrolyte balance.

Facial Rash and Flaking

• Skincare Routine: Use gentle, non-irritating skincare products. Look for products designed for sensitive skin or those with conditions like seborrheic dermatitis or rosacea.
• Consult a Dermatologist: A dermatologist can provide specific treatments, such as topical antifungals or anti-inflammatory medications.

Numbness in Hands and Toes

• Medical Evaluation: A healthcare provider can perform tests to determine the cause of your numbness. This may include blood tests to check for nutritional deficiencies or nerve conduction studies.
• Manage Anxiety: If anxiety is contributing to your symptoms, consider speaking with a mental health professional. Techniques like cognitive-behavioral therapy (CBT) can be helpful.

General Tips

• Healthy Diet: Aim for a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Avoid excessive quantities of unhealthy foods.
• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care to get a comprehensive evaluation. Reasons to seek care more urgently include:

• Severe or Worsening Symptoms: If your diarrhea becomes more frequent, severe, or is accompanied by blood, seek immediate medical attention.
• Signs of Dehydration: Such as dizziness, dry mouth, or reduced urine output.
• Severe Abdominal Pain: If the pain near your belly button becomes more intense or spreads.
• New or Worsening Numbness: If the numbness in your hands and toes worsens or spreads to other areas.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.