[39M] With chronic gastrointestinal symptoms and bowel control issues

What might be happening

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

• Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine. It can cause symptoms like gas, bloating, diarrhea, and constipation. The feeling of incomplete evacuation and alternating between diarrhea and constipation are typical of IBS.

  • Treatment: Management of IBS often includes dietary changes, stress management, and sometimes medications to manage symptoms. A healthcare provider might recommend a low-FODMAP diet, which can help reduce gas and bloating.

• Fecal Incontinence: This condition involves the inability to control bowel movements, leading to leakage. It can be caused by various factors, including muscle or nerve damage, chronic constipation, or diarrhea.

  • Treatment: Treatment may involve dietary changes, pelvic floor exercises, medications, or in some cases, surgery. A healthcare provider can help determine the best course of action.

• Chronic Constipation: Chronic constipation can lead to a buildup of stool in the rectum, which can cause leakage of liquid stool around the impacted stool.

  • Treatment: Increasing fiber intake, staying hydrated, and using over-the-counter laxatives can help. In some cases, prescription medications or other treatments may be necessary.

• Vitamin B12 Deficiency: While not directly causing your symptoms, B12 deficiency can contribute to gastrointestinal issues and should be managed appropriately.

  • Treatment: Continue taking your B12 supplements as prescribed.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

1. Dietary Changes: Consider trying a low-FODMAP diet to see if it helps reduce your gas and bloating. This diet involves avoiding certain types of carbohydrates that can be difficult to digest.
2. Hydration: Drink plenty of water to help keep your stool soft and easier to pass.
3. Fiber Intake: Gradually increase your fiber intake with foods like fruits, vegetables, and whole grains. Be cautious, as too much fiber too quickly can worsen gas and bloating.
4. Pelvic Floor Exercises: These exercises can help strengthen the muscles that control bowel movements. A physical therapist can guide you on how to perform these exercises correctly.
5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This information can be very helpful for your healthcare provider.
6. Over-the-Counter Medications: Consider using over-the-counter medications like anti-diarrheal agents or stool softeners, but consult with a healthcare provider before starting any new medication.

What you should look out for

It's important to seek medical attention if you experience any of the following:

• Severe Abdominal Pain: If you develop severe or worsening abdominal pain, seek medical attention promptly.
• Blood in Stool: While you mentioned a little blood, if you notice a significant amount of blood in your stool or if it persists, consult a healthcare provider.
• Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills, it could indicate an infection or other serious condition.
• Unexplained Weight Loss: If you start losing weight without trying, it could be a sign of an underlying condition that needs to be addressed.
• Worsening Symptoms: If your symptoms worsen or do not improve with the above measures, seek medical advice.

Remember, while this information can help guide you, it's important to consult with a healthcare provider for a formal diagnosis and personalized treatment plan.