[43M] With chronic diarrhea and associated symptoms

Patient Description

A 43-year-old male has been experiencing chronic diarrhea for several weeks, characterized by loose or watery stools occurring six times a day. The patient has noted the presence of mucus, which appears as a separate layer from the stools. There has been no relief with the use of Loperamide, but high doses of calcium citrate seem to help. The patient also reports cramping, fatigue, and some unintentional weight loss, but no severe abdominal pain or blood in the stools. There is a slight joint pain but nothing alarming, and occasional shortness of breath. The patient has a history of diabetes. No recent travel, fever, chills, or specific food triggers have been identified. There is no mention of the duration of diabetes or other chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. The presence of mucus in your stool could be indicative of IBS.

    • Treatment for IBS is usually focused on relieving symptoms. A variety of dietary and lifestyle changes can help, such as avoiding foods that trigger symptoms, getting regular exercise, and managing stress.
  • Inflammatory Bowel Disease (IBD): This is a term for two conditions (Crohn's disease and ulcerative colitis) that are characterized by chronic inflammation of the gastrointestinal (GI) tract. Symptoms can include diarrhea, abdominal pain and cramping, blood in your stool, reduced appetite and weight loss.

    • Treatment for IBD usually involves drug therapy or, in certain cases, surgery.
  • Malabsorption syndromes: These are a type of digestive problem where the small intestine can't absorb enough of certain nutrients and fluids. Symptoms can include diarrhea, weight loss, bloating, abdominal discomfort, and fatigue.

    • Treatment usually involves replacing the nutrients you're not absorbing.
  • Chronic pancreatitis: This is a long-standing inflammation of the pancreas that alters its normal structure and functions. It can lead to diabetes and is often associated with consumption of alcohol. Symptoms include upper abdominal pain, diarrhea, and weight loss.

    • Treatment usually involves managing pain and complications, and avoiding alcohol.

Please note that this is not an exhaustive list and there could be other reasons for your symptoms.

What you can do

  1. Keep a symptom diary: Note down what you eat and drink, your symptoms, and your bowel movements. This can help identify patterns and triggers.

  2. Stay hydrated: Diarrhea can cause dehydration, so it's important to drink plenty of fluids. Water is the best choice.

  3. Eat small, frequent meals: This can help your digestive system process food better.

  4. Try over-the-counter remedies: These can help with symptoms. For example, loperamide can help with diarrhea and a product containing simethicone can help with gas.

  5. Consult a healthcare professional: They can provide a formal diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if you:

  • See blood in your stool
  • Have severe abdominal pain
  • Have a high fever
  • Are vomiting and can't keep fluids down
  • Have symptoms of dehydration, such as dry mouth, sunken eyes, and severe weakness, dizziness or lightheadedness
  • Notice a sudden change in your symptoms or they become significantly worse

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What could be causing chronic diarrhea with mucus in stools?

Chronic diarrhea with mucus in stools can be caused by conditions such as Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), malabsorption syndromes, or chronic pancreatitis. It's important to consult a healthcare provider for a proper diagnosis.


How can I manage fatigue associated with chronic diarrhea?

Managing fatigue associated with chronic diarrhea involves staying hydrated, eating small and frequent meals, and ensuring adequate nutrient intake. It's also important to get enough rest and manage stress. Consulting a healthcare provider for personalized advice is recommended.


What dietary changes can help alleviate symptoms of IBS or IBD?

For IBS or IBD, dietary changes such as avoiding trigger foods, increasing fiber intake, and eating smaller, more frequent meals can help. Keeping a food diary to identify and avoid specific triggers is also beneficial. Consulting a dietitian or healthcare provider for tailored advice is advisable.


When should I seek immediate medical attention for diarrhea symptoms?

Immediate medical attention should be sought if you experience blood in your stool, severe abdominal pain, high fever, vomiting that prevents fluid intake, symptoms of dehydration, or a sudden worsening of symptoms.


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