CONSTIPATION--problem with so many of our drugs
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nope sas.
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Sas, thanks! Good to know this info!
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Have I told you I am a simple person with a simple mind? And sometimes I have problems focusing. Pissed at you Ms. Sas? I don't get mad easily- not like I used to. A few people whom I have worked with have mentioned that they hardly see me get upset. We deal with people with all sorts of personalities. I have learned over the years to step back and put myself in their shoes (not always easy) and try not to take the things they say personally. I was a bit bruised (I am sensitive), but not angry at you at all. How could I be pissed when your passion is to help? Both you and Judi have spent so much time and effort to try to figure out what's wrong with my digestive system. For that, I am so grateful and humbled. I have to say I am not used to that much attention. I actually get a bit overwhelmed and might have missed answering yours and Judi's questions.
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Phone was getting sluggish. Had to submit the above post before it disappears into lala land. Any way, to answer your question Ms. Sas about the yellow watery sour smelling stool.....no, it's not constant. It's only when my stress is really high. I have to correct that I get it every few months not weeks. Same with the explosive stools. Who made the IBS dx? My PCP did after the stool tests, abdominal CT, and no resolution of symptoms after the removal of my gallbladder.
Judi, do you mean to say H. Pylori? I tested positive for it and was treated. This was a few years prior to the Nepal trip. I forgot to mention that I have also been to Mexico, Thailand, Indonesia, Malaysia, and grew up in Vietnam.
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Loverly, yes, my passion can cause me to not filter well. Plus, if I have some wine, Lordy. So, very happy you aren't pissed at me and sosososososososorry for the bruising. Ah-hah didn't know the GB was removed That is a real avenue to look at.
BBL Donnie bellowing like an old bull to go to dinner.
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Ha, ha Sas. I think we are both "aggressive" due to our professional job we did for sooooo many years. We were so used to telling people what to do that we tend to forget our filters. Thank God Lover knows that we only want to help her so she can get over this problem she is experiencing. Yes, Lover there is also H. Pylori!
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No worries. I think I know you by now and knew you meant well. I can be a slug. That can be irritating. Ha! This is an opportunity for me to bring this up. My turn to be honest. Be careful with the alcohol. I have seen it destroys relationships. We work hard to nurture them. What is life without relationships? I do very much appreciate you being upfront with me. If I have a booger hanging out of one of my nostrils, I would want you to whisper to me "Hey, you have booger in your nose." , rather than letting me walking around with it. One thing (maybe the only thing) I learned from my English teacher is word choice is very important-it can build or destroy relationships. Nobody is perfect. Still love you.
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What is S. Pylori, Judi?
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Loverly, Starting to lean towards a post gallbladder removal syndrome with triggers versus infectious disease or chronic infectious disease. But still seriously wanting to have someone of consequence like a GI doc or ID doc make a definitive dx. What we are doing here is putting the puzzle pieces together to get the puzzle closer to completion. The doc put's in the final puzzle piece and declares it's a picture, but they can't do that when pieces are missing.
One test I would like to see is for C-dif as a rule out. That was the bug I said I was holding out on. C-diff is most commonly noted these days b/c it is usually contracted in the hospital/ nursing home setting. Or it associated with antibiotics. It's become a superbug
Clostridium Difficile i.e c-diff is a bacteria that is present in our normal flora of the colon. It's kept in check when the flora is healthy. Your intestines in Nepal were under assault that upset the normal flora. That could have allowed for and overgrowth of c-dif. C-dif has to be tested differently that Ova and Parasite. Today's standard is a stool culture and a blood test. Previously, it was just a stool culture. It would seem an O&P would cover it, but it doesn't. Your PCP doc may balk, but nosocomial/antibiotic induced c-dif can lay dormant for weeks and months, then rear out the rear (pun, lol, just made that rear out the rear joke, I'm so funny with rear end jokes). The point is it is an important rule out. Generally, the association of c-dif is that it is highly contagious. That is so with the superbug. What is less known these days is it's communicability in a non-superbug scenario of the unbalanced colon after an assault. The rest of the family b/c their immune systems are stronger may not be affected. A C-Dif test is a reasonable rule out.
You've ruled out O&P, H-pylori treated and released after therapy, Giardia negative. C-diff should be ruled out too.
The importance of an Infectious disease doc is....they could look at the total history, tests done, current history till now and they would say......HMMMM we need to do this. Lot's of bugs out there. Their whole job is to know bugs.. Not just local bugs, the world bugs
One gal on BCO that contacted me for help on a wound, was in the process of an ID referral. That doc sent off a specimin for mycobacterium growth. Took weeks to show a growth. None of the other docs thought of this He nailed it. Just like Judi's Super Doc. He was thinking outside the usual box.
Now if you ever get to an ID doc, they may want to repeat all the tests. This wouldn't be unusual. Many of these bugs can lay dormant or think to be terminated, and then they reoccur. What the ID doc in ordering a repeat of these tests would be doing is a cookbook approach to establishing that all the relevant bugs are ruled out at the same time at the beginning of their evaluation.. A Best Practice approach.
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Going to find the latest on post gallbladder removal syndrome. BBL When was the GB removed pre or post Nepal?
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Once as a young one traveling through farm country by car, I asked my Dad about a corn stock growing in the middle of lower plants. Dad identified the lower plants(forget the name he said) and said the corn stock was a weed. I respond with how can a corn stock be a weed. He said " In planting a field with seed, anything that is not the seed planted is a weed and that's why farmers use certified seed". That was a good lesson. Anything out of place or abnormal to a situation is not normal even though it may seem normal.
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Loverly, this list may seem overwhelming, but it is what GI docs are trained to know. PCP's knowledge is superficial regarding it all. The way the list presents on the Medscape page doesn't allow me to reduce it . But it does support why a GI doc should be involved in solving your puzzle. http://emedicine.medscape.com/article/192761-overview#a5
Table 1. Etiologies of Postcholecystectomy Syndrome by Anatomic Location (Open Table in a new window)
Anatomy Etiology Gallbladder remnant and cystic duct Residual or reformed gallbladder
Stump cholelithiasis
NeuromaLiver Fatty infiltration of liver
Hepatitis
Hydrohepatosis
Cirrhosis
Chronic idiopathic jaundice
Gilbert disease
Dubin-Johnson syndrome
Hepatolithiasis
Sclerosing cholangitis
CystBiliary tract Cholangitis
Adhesions
Strictures
Trauma
Cyst
Malignancy and cholangiocarcinoma
Obstruction
Choledocholithiasis
Dilation without obstruction
Hypertension or nonspecific dilation
Dyskinesia
FistulaPeriampullary Sphincter of Oddi dyskinesia, spasm, or hypertrophy
Sphincter of Oddi stricture
Papilloma
CancerPancreas Pancreatitis
Pancreatic stone
Pancreatic cancer
Pancreatic cysts
Benign tumorsEsophagus Aerophagia
Diaphragmatic hernia
Hiatal hernia
AchalasiaStomach Bile gastritis
Peptic ulcer disease
Gastric cancerDuodenum Adhesions
Duodenal diverticula
Irritable bowel diseaseSmall bowel Adhesions
Incisional hernia
Irritable bowel diseaseColon[4] Constipation
Diarrhea
Incisional hernia
Irritable bowel diseaseVascular Intestinal angina
Coronary anginaNerve Neuroma
Intercostal neuralgia
Spinal nerve lesions
Sympathetic imbalance
Neurosis
Psychic tension or anxietyBone Arthritis Other Adrenal cancer
Thyrotoxicosis
20% organ other than hepatobiliary or pancreatic
Foreign bodies, including gallstones and surgical clips0 -
Sweetie, we could go on surmising for a long time. Talk lot's of stuff. But all it will do is cause you harm by worry. A in the box Gi doc can take care of the normal rule outs that should be done. Love you sweet one
Plus, the stuff I suggested
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Gosh, I never thought about C. Diff....something as simple as this bug. I always assume diarrhea related to this bug is consistent and much more severe. I was treated for H. Pylori with Biaxin, Amoxicillin, and Prilosec for 10 days. That could have created a perfect environment for C. Diff.. GB was removed after Nepal. I'm thinking it's possible that when I am stressed, my immune system is not able to handle or fight the C Diff. or whatever bugs take residence in my GI to multiply, hence the diarrhea. Anyway, I forgot to say thank you to you both for pushing me to see a specialist and not letting me settle with the dx of IBS. In other words, thank you for being a pain in the arse (pun intended). Ha! Made appointment to see Pcp next week for a referral.
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Oh goodie
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Care and feeding of the biome
Care band feeding0 -
Loverly, It's a rule out. Don't flip to worry. Worry is an enemy. Get the tests done. Then if positive work the problem. See what worries me is by not seeing the ID doc you may be passing up an easy answer or even a tough answer. ID doc's are mostly special. Judi's scenario proves otherwise until she met the special doc.
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there is also the possibility of amoebic dysentery, does not always produce regular diarrhoea and can mimic IBS
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Hey, LIly
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They're must a thousand variations on this. Who said it? I missed something..............
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OK Sas, I must be hungry cause when I saw the rock photo, I thought they were Cadbury mini-eggs for a minute...LOL
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Funny April. I looked again & you may be right. Haven't thought of those eggs in years.
As I well know, as long as I eat a big salad every day I don't get constipated. (lettuce, tomato, cucumber, cauliflower, radish, avocado, maybe shoestring beets, black olives, mushrooms - what ever else is available). Trading prunes for a salad some days just doesn't cut it, but I get out of the salad mood sometimes. The other thing that is reliable for me is green chili - as salsa or w/enchiladas.
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Well now, I thought it wonderful that you all had come to Warm & Fuzzies. I thought I posted all these there this morning, as happy wake up pics. I now remember my thinking was to post the coffee and it's results thing here and then go back to W&F's..........Well, Happy Good Morning
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MT, so happy it's all working for you. Nothing like a good outcome to a plan.
April used to love those Cadbury eggs. Do you have an opinion about Loverly's scenario.
Lily, glad to have your opinion, my sweet:)
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Thank you , Lily! I thought about amoeba too, now that the ladies got me going. It is interesting how it can cause liver abscess. Wondered about the fatty liver now.
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Unfortunately Sas, I don't have an opinion on her scenario other than to say I hope it resolves Lover! I have not been through anything like that so don't know what to say. I have only had the hard stool and constipation issue which has resolved itself it seems. I am happy happy happy about that cause that was misery. It must be miserable to have the opposite as well, maybe even worse! Hugs to all!
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Sorry, I don't have any thoughts either. I've always been on the constipated side except during chemo when I lost 60 lbs to the Big D. Everything came out immediately and I was never w/o a panty liner (with extra in my purse) for much of a year. The cause was clear, but the cure was the cause.
Lover - glad you're going to pursue new docs & new tests.
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