[38M] With intense cramping pain and diarrhea

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

1. Irritable Bowel Syndrome (IBS)

• Rationale: IBS is a common condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea. Your family history of IBS and the chronic nature of your symptoms make this a likely possibility.
• Typical Treatments: Management often includes dietary changes (like a low-FODMAP diet), stress management, and medications to manage symptoms such as antispasmodics or laxatives.

2. Crohn's Disease

• Rationale: Crohn's disease is an inflammatory bowel disease that can cause severe cramping, diarrhea, and other gastrointestinal symptoms. Your family history of Crohn's disease and the presence of an ulcer found during diagnostic tests suggest this could be a possibility.
• Typical Treatments: Treatment usually involves anti-inflammatory drugs, immune system suppressors, antibiotics, and sometimes surgery. Dietary changes and nutritional supplements may also be recommended.

Unifying Diagnoses

• C. difficile Infection: Given your history of multiple bouts of C. diff, it's possible that a recurrent or chronic infection could be contributing to your symptoms. C. diff can cause severe diarrhea and abdominal pain.
• Lactose Intolerance: Your symptoms being triggered by milk suggest lactose intolerance, which can cause cramping and diarrhea when consuming dairy products.

What you can do

Intense Cramping Pain and Diarrhea

1. See a Doctor: Given the chronic nature and severity of your symptoms, it's important to consult a healthcare provider for a thorough evaluation. They may recommend further diagnostic tests like a colonoscopy, stool tests, or imaging studies.
2. Dietary Changes:
   • Avoid Dairy: Since milk seems to trigger your symptoms, continue to avoid dairy products and consider lactose-free alternatives.
   • Low-FODMAP Diet: This diet can help manage IBS symptoms by reducing certain types of carbohydrates that can cause gas and bloating.
3. Hydration: Ensure you stay well-hydrated, especially with the frequent diarrhea. Oral rehydration solutions can help maintain electrolyte balance.
4. Symptom Journal: Use MDandMe to journal your symptoms, track progress, and get insights. This can be very helpful for your healthcare provider to understand your condition better.

Nausea

• Ginger: Ginger tea or ginger supplements can help alleviate nausea.
• Small, Frequent Meals: Eating smaller, more frequent meals can help manage nausea and prevent it from worsening.

What you should look out for

Given the chronic and potentially serious nature of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Abdominal Pain: If the pain becomes unbearable or is accompanied by fever, vomiting, or signs of dehydration.
• Blood in Stool: Any appearance of blood in your stool should be evaluated immediately.
• Weight Loss: Unintentional weight loss can be a sign of a more serious underlying condition.

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.