[50F] With chronic abdominal pain, diarrhea, and blood in stool

What might be happening

It sounds like you are experiencing a range of symptoms that could be related to multiple underlying issues. Here are some possibilities:

Abdominal Pain, Diarrhea, and Blood in Stool

• Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause chronic abdominal pain, frequent diarrhea, and blood in the stool. These conditions involve inflammation of the gastrointestinal tract and can lead to severe symptoms.
• Irritable Bowel Syndrome (IBS): While IBS typically doesn't cause blood in the stool, it can cause abdominal pain, diarrhea, and bowel urgency. Stress and diet can often exacerbate symptoms.
• Diverticulitis: This condition involves inflammation or infection of small pouches in the digestive tract and can cause abdominal pain, changes in bowel habits, and blood in the stool.

Muscle Aches and Fatigue

• Fibromyalgia: This condition can cause widespread muscle pain and fatigue. It often coexists with other chronic conditions and can be triggered by stress or physical activity.
• Electrolyte Imbalance: Given your diabetes and frequent diarrhea, an imbalance in electrolytes like potassium or magnesium could cause muscle cramps and fatigue.

Feeling of Organs Being Twisted or Smashed

• Hernia: A hernia can cause a sensation of something being twisted or compressed, especially when moving or lifting. This could be an abdominal or hiatal hernia.
• Adhesions: Scar tissue from previous surgeries or infections can cause organs to stick together, leading to pain and a sensation of twisting.

Night Sweats and Feeling Hot

• Menopause: As you mentioned, these symptoms could be related to menopause. Hormonal changes can cause night sweats and a feeling of being hot.
• Infection or Inflammation: Chronic infections or inflammatory conditions can also cause night sweats and a feeling of being hot.

Diabetes Management

• High Blood Sugar Levels: Poorly controlled diabetes can contribute to fatigue, frequent urination, and possibly even gastrointestinal symptoms.

What you can do

Abdominal Pain, Diarrhea, and Blood in Stool

• See a Doctor: Given the severity and duration of your symptoms, it's crucial to consult a healthcare provider. They may recommend tests like blood work, stool tests, or imaging studies to diagnose the underlying cause.
• Dietary Changes: Consider a low-residue diet to reduce bowel movements and ease symptoms. Avoid high-fiber foods, dairy, and spicy foods.
• Hydration: Ensure you stay hydrated, especially with frequent diarrhea. Oral rehydration solutions can help maintain electrolyte balance.

Muscle Aches and Fatigue

• Consult a Healthcare Provider: A doctor can help determine if your muscle aches are related to an underlying condition like fibromyalgia or an electrolyte imbalance.
• Gentle Exercise: Engage in low-impact exercises like walking or swimming to help alleviate muscle pain.
• Warm Baths and Stretching: Continue using warm baths and gentle stretching to relieve muscle cramps and aches.

Feeling of Organs Being Twisted or Smashed

• Medical Evaluation: This sensation could be due to a hernia or adhesions. A healthcare provider can perform a physical exam and possibly imaging studies to diagnose the issue.
• Avoid Strain: Try to avoid heavy lifting or movements that exacerbate the sensation.

Night Sweats and Feeling Hot

• Track Symptoms: Keep a journal of your night sweats and hot flashes to discuss with your healthcare provider. This can help determine if they are related to menopause or another condition.
• Cool Environment: Ensure your sleeping environment is cool and well-ventilated. Use lightweight bedding and wear breathable clothing.

Diabetes Management

• Monitor Blood Sugar: Regularly check your blood sugar levels and work with your healthcare provider to adjust your medications as needed.
• Diet and Exercise: Follow a balanced diet and engage in regular physical activity to help manage your blood sugar levels.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Here are some specific signs that warrant immediate attention:

• Severe Abdominal Pain: If your abdominal pain becomes unbearable or is accompanied by fever, vomiting, or a rigid abdomen, seek emergency care.
• Significant Blood in Stool: If you notice a large amount of blood in your stool or if it is black and tarry, seek immediate medical attention.
• Severe Muscle Cramps: If your muscle cramps become debilitating and do not improve with rest or stretching, consult a healthcare provider.
• Uncontrolled Blood Sugar: If your blood sugar levels remain consistently high despite medication adjustments, seek medical advice.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.