Thank you for sharing your expertise. Have had diarrhea issues for several years. But now it’s everyday for 2 months. Nothing is absorbing. Losing weight. Tried primarily care doctors. Told to take Imodium (which doesn’t work any more). Went to Gastro Doctor. All he recommended was colonoscopy. Completely clear. Parting words, it’s something you’re eating. See you in 10 years. Went to nutritionist. Did food diary. Food sensitivity blood test. He put me on pancreatic enzymes, colostrum and probiotics. Seemed to get worse so I discontinued all but enzymes. Went to urgent care. X-rays and fecal analysis all clear. I’m beside myself!!! I’m a senior athlete with world records in power lifting. I work at being healthy! No prescriptions and very careful diet. Have an appointment with a different gastrointestinal practice in 2 weeks. (Had to wait almost 2 months). Is there anything else I can do???
I'm sorry to hear about what you've been experiencing. Unfortunately, I can't give specific, individualized medical advice on here. Regarding the appropriate work-up for patients, the table @14:40 in the video is intended to be a summary of everything remotely common. Luckily, a normal colonoscopy helps to rule some things out (e.g. IBD) for most people. A food diary can be helpful, particularly if paired with a trial of removing certain foods from your diet and reintroducing them (e.g. 6 week food diary with 2 weeks eating dairy products, followed by 2 weeks strictly dairy-free, and then 2 weeks eating diary again - or whatever other food you think might be a trigger). A diagnostic fast is usually not necessary to make a diagnosis, but can also be useful in particularly challenging cases. As you indicated, getting a second opinion from another GI doc is a good idea too. Good luck!
@@1xxcolt I feel for you! This has been such a nightmare! After visiting my second GI practice, realized I’ll have to solve this myself. And it did seem like I was getting close until a couple days ago. Complete setback. Not sure what caused it but I’ve got suspicions and will experiment. If anything works I’ll update you so maybe you can be helped too.
Omg I feel a little relief just by watching this video and seeing comments section because I’ve feeling so alone with this problem 🙈. I’ve been having chronic diarrhoea for about 3 years now, it comes and goes but it’s consistent. Now by watching this video I identified it as Malabsorptive (I have all points and iron deficiency as well). Can you give me any recommendations how to make my pancreas work better? Food/supplements? I don’t want to take pancreatic drugs but that’s what doctors would recommend
I’ve had this diarrhea for 5 months OMG . Five months of pure anxiety and waking up smelling like sulfur . And dehydration and my hair if falling in chunks now. Someone help I don’t want to sleep or eat anything because it drains out of me. This experience is very old
Ok....This sounds ridiculous, but it's worth a shot...I was pretty much unable to leave the house for six months or so... My issue cleared up soon after my brother started inviting me over every Sunday for steak dinner. Not a fan of meat, or beef - but it's my brother offering dinner, so I felt obliged to go. Anyway, it seems that the slow digestion of beef did 'something' beneficial for this condition in me. I'm still not a big meat eater - maybe a burger or two a month, but this problem is definitely gone now. I tried all types of things - even began to accept the false idea that my system was changed forever. No doctor or anybody suggested this - but circumstances lead me there. Today, this problem is a memory.
It's not as ridiculous as you think. Carnivore diets have helped many people solve many different issues, like "leaky gut," inflammation, autoimmune disorders, and more.
what about for those who cant tolerate fatty meat? i used to tolerate fatty meat quite well. but recently ive had diarrhea everytime i eat fatty stuff. im fine with lean meat for as long as the fat content isnt too high. stuff like pork belly, avocadoes or stuff cooked in coconut oil would give me diarrhea. i want to be able to eat fatty meat again..
@@benr.3518 Help Me How I Can Eat Healthy Foods Without Diarrhea Or Shitting Myself please Help Me I Want To Be okay Now I’m Not Okay Because I Was Shitting Myself In The Bathroom All The Time and everyday and Then Got a Diarrhea everyday You Need To Help Me Man PLEASE!
Best dissertation of chronic diarrhea. I think my problem at age 83 is lactose intolerance is worsening. Went form lactose free whole milk to skim milk for awhile. Seemed to help but now not so much. I use the pills then you guessed it; the opposite.
I am vegan whole family vegan,some are firness trainers and dance teachers one is body builder,we do not need dairy profucts at all they are bad for us.Milk from cows is For cows, milk from goats is for goats dog milk is for dogs etc..
I am 86 now! I still take 1/2 pill every morning to stave off my 'problem'. Took me at least 2 years to discover that I was lactose intolerant. (after complaining to the MD during all that time.) Seems I have reached balance between the two problems.
since being exposed to black mould for 8 months, my toilet habits have not been the same. loose stools with urgency every day. it has an effect on my ears (ringing, tinnitus), severe anxiety and moderate depression. i am on a whole food diet - no processed foods, no dairy, no sugar, no wheat, lots of vegetables and red meat once or twice a week - it seems to be making things worse. i have read somewhere the mycotoxins from mould can really damage your digestive system - is this true?
Oh and make sure you are not consuming sweeteners that have laxative effects. They can cause serious problems for IBS sufferers. Look up online which sweeteners have laxative effects. I know Xylatol is one of them.
You only touched on the connection between diarrhea and fecal incontinence. I think you said that diarrhea can unmask or worsen a pre-existing problem with incontinence. But it seems to me that fecal incontinence can cause diarrhea since fecal incontinence can be associated with rapid transit time, which does not allow enough time for water reabsorption in the colon, causing loose stools. Is there a condition of idiopathic rapid transit time that causes fecal incontinence, in which stools are loose, which looks like diarrhea? (Edit: I do see that you mentioned hypermotility.)
Unfortunately the only way I can think of is to look and see the consistency and you'll probably have to look for several days. If it is consistently normal firmer consistency then it's incontinence, if it's consistently loose then it's diarrhea.
Most primary care physicians should be able to initiate an appropriate work-up for chronic diarrhea, but if yours is not, or the cause is not clear after the initial tests, or the particular etiology is challenging to manage (e.g. IBD), then I would recommend a referral to a gastroenterologist.
I never knew to consider response of diarrhoea to fasting (my episodic diarrhoea gets better with fasting) i think i do have osmotic or mal-absorptive diarrhoea. I never knew metformin can cause diarrhoea. Thank you!
I have dirreah daily whenever i eat something.i been using the Imodium it helps but it makes me constipated an bloated an famotdine too.they both belp alot but they cause bloating an constipation.im tired of what can ne causing my dirreah.i just wanna be normal again.ive had this issue 6 years an doctors don't know anything.im gonna be having another colonoscopy an upper endoscopy procedure done here soon.any remarks or concerns message me on here any help???help me 😥
How is the stress and anxiety in your life? If you been probed and checked out etc before, it could be a mind-body issue. The medical profession, or most of it, don't want to talk about how dysregulated nervous system can cause so many chronic symptoms. But it can
THank you for another incredibly helpful video. May I ask- would colorectal cancer not be a very NB consideration in the differential for chronic diarrhoea?
Not sure what "NB" stands for, but colon cancer is not a common cause of chronic diarrhea. One situation in which it might occur is with something called overflow diarrhea or paradoxical diarrhea, in which an intraluminal obstruction in the colon is bad enough that hyperstimulation of the gut starts to push liquid stool around the obstruction. When this happens, it is usually from severe constipation and something called a "stool ball" (which is exactly what you are probably imagining), but it could also potentially happen from colon cancer. In addition, neuroendocrine tumors that cause chronic diarrhea via secretion of hormones could potentially occur in the colon, but I wouldn't label that occurrence as "colorectal cancer", which to most physicians specifically implies adenocarcinoma (a specific cancer subtype) rather than a neuroendocrine tumor.
hi. i don't know how to explain this. but my mother is not doing well since 5-6 years. she sometimes experiences gas problem which is very severe. like stomach ache most importantly. Last year she experienced some gas problem in the evening and then when she woke up in the morning she passed stools 6-7 times in an hour or something and it didn’t stop even after taking any medicine we had to rush to the hospital and there also her loose motions were not stopping and she got discharged after 6 days in the hospital . i am really worried because she experiences such things very often and i am really afraid that i dont want to see her in that condition again. she also has gallstones. Please tell me what to do and where should we consult ?
I'm so sorry about what your mother has been experiencing. Unfortunately, I can't give specific, individualized medical advice on here. This video covers all of the diseases that I would initially be considering in a patient with episodic, severe diarrhea (including that associated with abdominal pain). I recommend she sees a gastroenterologist.
Wait, why is Microscopic Colitis under non-inflammatory? I mean, it’s an itis which means that there’s inflammation, so wouldn’t it make more sense to be under inflammatory?
I know it seems contradictory to include it as a "non-inflammatory" cause of diarrhea when there's inflammation by definition. However, the disease clinically resembles a non-inflammatory diarrhea - which is what is most important for organizing a diagnostic framework (unless you're a pathologist of course!). For example, unlike a disease like ulcerative colitis, the diarrhea of microscopic colitis is watery and non-bloody; and patients do not have systemic signs of inflammation (e.g. elevated ESR, elevated WBC, fever). Also, colonoscopy in microscopic colitis is usually either normal or "near normal"; the diagnosis is only evidence on histology (i.e. with biopsy) An analogy is how osteoarthritis is not considered to be an "inflammatory arthritis" like rheumatoid arthritis or psoriatic arthritis.
I wish I could give an estimate on this, but unfortunately, I just can't. First, I need to find good ECG examples for each topic, which becomes incrementally harder as I go through the series and get to the more rare conditions. And then I need to remaster the ECGs into a format that looks good when reproduced in the video, which is time consuming and painful. (Some of these tracing are given to me by colleagues as faded black and white photocopies that look like garbage if I import them into the video as is.) I'm hoping to have enough done for a couple more ECG videos this summer...we'll see.
Ive had diarrhea for 28 days now. When it first started it had mucus but it was clear. I dont feel anything wrong or pain it just happens. I can hold it now its not an emergency everytime now. It sucks because i want it to go away by the time school starts again.
Yung Wavy honestly im not sure. I just started eating mostly whole grain plant based and ate little animal prosucts here n there. Just tried to eat a balanced diet and it went away slowly.
So I go to the bathroom once and day and most of the time I can't hold it and it's like diarrhoea. I don't know why it is like that and how I can treat it
What a shitty topic, but an important one. I was wondering if my problem, which comes and goes, could be caused by any of the pills such as blood thinners I've been taking for my heart. But eating fresh fruits, especially bananas, is sure to send me to the toilet.
Is it possible to have more than one? My doctors always want to throw antibiotics at me and that just makes everything worse. Fasting stops it, but not eating is not sustainable…
More than one cause of chronic diarrhea at the same time? Sure, but it would be unlikely, unless one of the causes is something particularly common like lactose intolerance. I can't give specific, individualized medical advice here, but as a general rule, chronic diarrhea in immunocompetent patients (i.e. people with normal immune systems) in the developed world is only rarely caused by a chronic infection. I honestly can't think of a situation in which I would personally treat a patient with chronic diarrhea (i.e. duration longer than 3 weeks) with antibiotics without confirming the specific pathogen first. Diarrhea is the most common side effect of antibiotics. Once again, this should not be interpreted as personalized medical advice for you, and I would discuss your concerns with your own physicians.
Unfortunately, I can't offer specific, individualized medical advice here, and I recommend speaking with your own medical provider. However, I can say that there is a lot of overlap between carbs and gluten-containing foods, the later of which is responsible for celiac disease, which is a relatively common cause of chronic diarrhea.
That's a great question! It's because the distinction between inflammatory and non-inflammatory diarrhea is a clinical one. Blood and/or mucus in the stool +/- fever and/or leukocytosis = inflammatory diarrhea. With microscopic colitis, even though the underlying mechanism is inflammatory, it doesn't usually cause those inflammatory features.
I never have gas I never have bloating. I never have abdominal pain. It appears like my colon just does not remove the water or liquid from the fecal matter. And it just all comes out. I rarely have a formed poop. I know what triggers me and I try to stay away from it.
I broke 2 vertebrae and a disc burst backwards severing my never to my bladder and bowels I go 20 times a day it’s pulling me down so much I’m like a volcano eruption no warning
Hello I have diarrhea last 4 month no whight loss no vomiting last 4 month i eat antibiotic only 3 days and diarrhea start every day 3 time diarrhea I drink water milk and sweets and to much diarrhea start Me what problem plz reply
I'm sorry, but I cannot give specific, individualized medical advice here. I recommend speaking with a healthcare professional face-to-face regarding any personal medical concerns.
That’s pretty funny. You refer to chronic diarrhea or loose spells as I have, in weeks. Try years over 20 years. I don’t understand why I can’t. Just have a regular formed bowel movement. Yes, some foods do trigger. But I’ve had accidents in public before and it is very embarrassing.
I'm sorry to hear about your situation. The reason for that particular time course is simply to categorize the causes of diarrhea into acute vs. chronic. The list of things which can cause diarrhea lasting >3-4 weeks and that which causes diarrhea for 20 years is more-or-less the same. Unfortunately, this doesn't always mean a diagnosis will be identified.
Im scared now ,contant diarria all summer long, its acute ill be good for if im lucky 3 days than wow the toilet is my best friend now,😢 iv had my blood done everything looks fine ,im going for colonoscapy, theres so many names im dizzy listening to all of the reasons why ?? Im so frustrated. But this is my last resort. i can't wait for the test results i need closer ,i dont have blood in my stool, just water not normal!! I dont trust our foods anymore i cant eat Hamburger, or pork, which i used to love i won't touch it now ,that is taboo to me
Hello, my daughter is born with primary immune immunoglobulin every month, for more than two years now, diarrhea does not stop, secretory diarrhea, she does not eat food. Please reply if you read my message and help
I'm very sorry to hear about your daughter. Unfortunately, I am not able to give specific, individualized medical advice here. This also sounds like a problem that is far outside my area of clinical expertise as an adult hospitalist, so I wouldn't be able to help anyway.
I can't offer specific, individualized medical advice here. I recommend speaking with a physician about your symptoms; you could even use some of the information in this video to better inform the discussion (i.e. if your specific form of diarrhea sounds particularly like 1-2 of the diagnoses discussed, you could ask the doctor about the specific diagnostic tests for those diagnoses).
Wow, Heavy smoking and alcohol can also be the cause of diarrhea ? For me all is a bit difficult to understand, english is not my native language. In having problems for 3 years or longer but all tests are normal. No blood, no nothing.
Despite some mentions on the internet, the existence of "Habba Syndrome" is not recognized by most gastroenterologists, and the only scientific publications on it are a small handful by Dr. Habba himself.
⚠️HELP ME!⚠️ *swear word warning* I don’t know what the fuck is happening. I’m 13 years old lactose intolerant I have diarrhea, mild to severe stomach pain and abdominal discomfort, ALMOST EVERY DAY I’d say 2 out of 7 days this happens I eat ONE ice cream sandwich with dairy And then I have diarrhea as if I drank 2 full fucking cups of milk My lactose intolerance was never this bad and tbh I’m not even sure if lactose intolerance is to blame anymore lmfao But seriously please help it’s so fucking uncomfortable and annoying and I hate it so much
@@DynamicDork777 i’m sorry you’re going through that :( i did get my situation sorted out though, turns out it was just really bad lactose intolerance. stayed away from the lactose and no more stomach troubles :) you should go see a doctor so you can get help. good luck
Maybe you are intolerant to casein (milk protein) too. So you can't take anything with milk, because the lactase enzyme only works for lactose (milk sugar). Prefer coconut milk.
It took me years to realize I was also casing intolerant from milk products. So if you're having loose bowels because of lactose no doubt you're also having a problem with the casein in the milk and lactose pills don't help that. When I do any milk products I also get very mucousy in my lungs down my throat sinus infections. Just stop the milk
This channel is a goldmine for medical professionals.
Thank you for sharing your expertise. Have had diarrhea issues for several years. But now it’s everyday for 2 months. Nothing is absorbing. Losing weight. Tried primarily care doctors. Told to take Imodium (which doesn’t work any more). Went to Gastro Doctor. All he recommended was colonoscopy. Completely clear. Parting words, it’s something you’re eating. See you in 10 years. Went to nutritionist. Did food diary. Food sensitivity blood test. He put me on pancreatic enzymes, colostrum and probiotics. Seemed to get worse so I discontinued all but enzymes. Went to urgent care. X-rays and fecal analysis all clear. I’m beside myself!!! I’m a senior athlete with world records in power lifting. I work at being healthy! No prescriptions and very careful diet. Have an appointment with a different gastrointestinal practice in 2 weeks. (Had to wait almost 2 months). Is there anything else I can do???
I'm sorry to hear about what you've been experiencing. Unfortunately, I can't give specific, individualized medical advice on here. Regarding the appropriate work-up for patients, the table @14:40 in the video is intended to be a summary of everything remotely common. Luckily, a normal colonoscopy helps to rule some things out (e.g. IBD) for most people. A food diary can be helpful, particularly if paired with a trial of removing certain foods from your diet and reintroducing them (e.g. 6 week food diary with 2 weeks eating dairy products, followed by 2 weeks strictly dairy-free, and then 2 weeks eating diary again - or whatever other food you think might be a trigger). A diagnostic fast is usually not necessary to make a diagnosis, but can also be useful in particularly challenging cases. As you indicated, getting a second opinion from another GI doc is a good idea too. Good luck!
@@StrongMed Thank you! I wish you lived closer and I could come to you.
Any updates man? I’ve been dealing with the same issues. Mine comes and goes but is very consistent
@@1xxcolt I feel for you! This has been such a nightmare!
After visiting my second GI practice, realized I’ll have to solve this myself. And it did seem like I was getting close until a couple days ago. Complete setback. Not sure what caused it but I’ve got suspicions and will experiment. If anything works I’ll update you so maybe you can be helped too.
@@vivacepianostudio thank you, wishing you a full recovery!
I just want a normal solid stool. 😭😩
Me 2
Hey me 3 😂😂
How r u guys
Suffering badly
@@AK-zw3yzGAPS diet can help…might want to check it out.
Omg I feel a little relief just by watching this video and seeing comments section because I’ve feeling so alone with this problem 🙈. I’ve been having chronic diarrhoea for about 3 years now, it comes and goes but it’s consistent. Now by watching this video I identified it as Malabsorptive (I have all points and iron deficiency as well). Can you give me any recommendations how to make my pancreas work better? Food/supplements?
I don’t want to take pancreatic drugs but that’s what doctors would recommend
I´m from Brazil and you help me a lot, TY 🥰🥰
Thank you so much Dr Strong !
thanks for this! it has helped me understand my issues
Thank you Dr Strong. It is a good review ,practical and essential.
I’ve had this diarrhea for 5 months OMG . Five months of pure anxiety and waking up smelling like sulfur . And dehydration and my hair if falling in chunks now. Someone help I don’t want to sleep or eat anything because it drains out of me. This experience is very old
Are u ok🥺🥺
@@user-cd1it5kf4f yes God healed me with His Spirit.
@@Brian-xc8th amen💕✝️🥺🙏🏽
I'm sorry. All prayers sent
@@Brian-xc8th that’s not how that works.
Ok....This sounds ridiculous, but it's worth a shot...I was pretty much unable to leave the house for six months or so...
My issue cleared up soon after my brother started inviting me over every Sunday for steak dinner. Not a fan of meat, or beef - but it's my brother offering dinner, so I felt obliged to go.
Anyway, it seems that the slow digestion of beef did 'something' beneficial for this condition in me. I'm still not a big meat eater - maybe a burger or two a month, but this problem is definitely gone now.
I tried all types of things - even began to accept the false idea that my system was changed forever.
No doctor or anybody suggested this - but circumstances lead me there. Today, this problem is a memory.
Sounds like yours might have been malabsorption. Maybe you had iron deficiency / anemia?
It's not as ridiculous as you think. Carnivore diets have helped many people solve many different issues, like "leaky gut," inflammation, autoimmune disorders, and more.
what about for those who cant tolerate fatty meat? i used to tolerate fatty meat quite well. but recently ive had diarrhea everytime i eat fatty stuff. im fine with lean meat for as long as the fat content isnt too high. stuff like pork belly, avocadoes or stuff cooked in coconut oil would give me diarrhea. i want to be able to eat fatty meat again..
I would bet ten to one that you have blood type O. Check it out. "Eat Right 4 Your Type" is an excellent resource.
@@benr.3518 Help Me How I Can Eat Healthy Foods Without Diarrhea Or Shitting Myself please Help Me I Want To Be okay Now I’m Not Okay Because I Was Shitting Myself In The Bathroom All The Time and everyday and Then Got a Diarrhea everyday You Need To Help Me Man PLEASE!
Thank u.. Nicely explained.. We need more videos like these.. 🙂🙂
Very powerful and impactful... Many thanks in a million Sir
Best dissertation of chronic diarrhea. I think my problem at age 83 is lactose intolerance is worsening. Went form lactose free whole milk to skim milk for awhile. Seemed to help but now not so much. I use the pills then you guessed it; the opposite.
I am vegan whole family vegan,some are firness trainers and dance teachers one is body builder,we do not need dairy profucts at all they are bad for us.Milk from cows is For cows, milk from goats is for goats dog milk is for dogs etc..
Skim milk has more lactose in it than whole milk. Make you are allergic to the protein in dairy?
@@privatename2426 I buy lactose free skim milk. I drink very little of that too!
@@sunlite9759 if it's lactose free milk then that is good. Naturally skim milk has a lot of lactose in it though :)
I am 86 now! I still take 1/2 pill every morning to stave off my 'problem'. Took me at least 2 years to discover that I was lactose intolerant. (after complaining to the MD during all that time.) Seems I have reached balance between the two problems.
since being exposed to black mould for 8 months, my toilet habits have not been the same. loose stools with urgency every day. it has an effect on my ears (ringing, tinnitus), severe anxiety and moderate depression. i am on a whole food diet - no processed foods, no dairy, no sugar, no wheat, lots of vegetables and red meat once or twice a week - it seems to be making things worse. i have read somewhere the mycotoxins from mould can really damage your digestive system - is this true?
Thanks for this very informative Lecture
Please help I cant stop going to the bathroom, every five minutes ot feels like my guts are falling out
Oh and make sure you are not consuming sweeteners that have laxative effects. They can cause serious problems for IBS sufferers. Look up online which sweeteners have laxative effects. I know Xylatol is one of them.
@@otk1418 dammmn thank you
Same :(
i feel you im in so much pain i feel like imma faint
I bet you are just sick with a diarrhea bug or giardea
Thank you Dr Strong!
You only touched on the connection between diarrhea and fecal incontinence. I think you said that diarrhea can unmask or worsen a pre-existing problem with incontinence. But it seems to me that fecal incontinence can cause diarrhea since fecal incontinence can be associated with rapid transit time, which does not allow enough time for water reabsorption in the colon, causing loose stools. Is there a condition of idiopathic rapid transit time that causes fecal incontinence, in which stools are loose, which looks like diarrhea? (Edit: I do see that you mentioned hypermotility.)
Thank you sir. I have a question? How can one tell Diarrhea from Incontinence ?
bruh, same
In incontinence you can‘t hold your stool
@@macgina8412 no shit....you can't hold with diarrhea too
Unfortunately the only way I can think of is to look and see the consistency and you'll probably have to look for several days. If it is consistently normal firmer consistency then it's incontinence, if it's consistently loose then it's diarrhea.
So, what kind of physician do I see to get a proper diagnosis and treatment plan?
Most primary care physicians should be able to initiate an appropriate work-up for chronic diarrhea, but if yours is not, or the cause is not clear after the initial tests, or the particular etiology is challenging to manage (e.g. IBD), then I would recommend a referral to a gastroenterologist.
thank you isur. I done great work .
I never knew to consider response of diarrhoea to fasting (my episodic diarrhoea gets better with fasting) i think i do have osmotic or mal-absorptive diarrhoea. I never knew metformin can cause diarrhoea. Thank you!
thank you doctor Strong, very helpful
You're awesome!
Thank you ! Great information
I have dirreah daily whenever i eat something.i been using the Imodium it helps but it makes me constipated an bloated an famotdine too.they both belp alot but they cause bloating an constipation.im tired of what can ne causing my dirreah.i just wanna be normal again.ive had this issue 6 years an doctors don't know anything.im gonna be having another colonoscopy an upper endoscopy procedure done here soon.any remarks or concerns message me on here any help???help me 😥
How are you now.i am suffering too
Hello, did you figure out what the issue was?
How is the stress and anxiety in your life? If you been probed and checked out etc before, it could be a mind-body issue. The medical profession, or most of it, don't want to talk about how dysregulated nervous system can cause so many chronic symptoms. But it can
THank you for another incredibly helpful video. May I ask- would colorectal cancer not be a very NB consideration in the differential for chronic diarrhoea?
Not sure what "NB" stands for, but colon cancer is not a common cause of chronic diarrhea. One situation in which it might occur is with something called overflow diarrhea or paradoxical diarrhea, in which an intraluminal obstruction in the colon is bad enough that hyperstimulation of the gut starts to push liquid stool around the obstruction. When this happens, it is usually from severe constipation and something called a "stool ball" (which is exactly what you are probably imagining), but it could also potentially happen from colon cancer.
In addition, neuroendocrine tumors that cause chronic diarrhea via secretion of hormones could potentially occur in the colon, but I wouldn't label that occurrence as "colorectal cancer", which to most physicians specifically implies adenocarcinoma (a specific cancer subtype) rather than a neuroendocrine tumor.
@@StrongMed thank you Dr Strong for your response, this helps. I am very grateful for your channel as a medical student studying in South Africa
hi. i don't know how to explain this. but my mother is not doing well since 5-6 years. she sometimes experiences gas problem which is very severe. like stomach ache most importantly. Last year she experienced some gas problem in the evening and then when she woke up in the morning she passed stools 6-7 times in an hour or something and it didn’t stop even after taking any medicine we had to rush to the hospital and there also her loose motions were not stopping and she got discharged after 6 days in the hospital . i am really worried because she experiences such things very often and i am really afraid that i dont want to see her in that condition again. she also has gallstones. Please tell me what to do and where should we consult ?
I'm so sorry about what your mother has been experiencing. Unfortunately, I can't give specific, individualized medical advice on here. This video covers all of the diseases that I would initially be considering in a patient with episodic, severe diarrhea (including that associated with abdominal pain). I recommend she sees a gastroenterologist.
Wait, why is Microscopic Colitis under non-inflammatory? I mean, it’s an itis which means that there’s inflammation, so wouldn’t it make more sense to be under inflammatory?
I know it seems contradictory to include it as a "non-inflammatory" cause of diarrhea when there's inflammation by definition. However, the disease clinically resembles a non-inflammatory diarrhea - which is what is most important for organizing a diagnostic framework (unless you're a pathologist of course!). For example, unlike a disease like ulcerative colitis, the diarrhea of microscopic colitis is watery and non-bloody; and patients do not have systemic signs of inflammation (e.g. elevated ESR, elevated WBC, fever). Also, colonoscopy in microscopic colitis is usually either normal or "near normal"; the diagnosis is only evidence on histology (i.e. with biopsy)
An analogy is how osteoarthritis is not considered to be an "inflammatory arthritis" like rheumatoid arthritis or psoriatic arthritis.
That was a perfect lesson
Excellent presentation
when the ecg video series will be complete?
I wish I could give an estimate on this, but unfortunately, I just can't. First, I need to find good ECG examples for each topic, which becomes incrementally harder as I go through the series and get to the more rare conditions. And then I need to remaster the ECGs into a format that looks good when reproduced in the video, which is time consuming and painful. (Some of these tracing are given to me by colleagues as faded black and white photocopies that look like garbage if I import them into the video as is.) I'm hoping to have enough done for a couple more ECG videos this summer...we'll see.
@@StrongMed Thanks for you your effort dear eric
Thanks for your video.
You should mention Hypokalimea it will cause diarrhea too, as well as low magnesium.
Diarrhea causes hypokalemia, not the other way around.
love you sooo need this vedio
I'm gonna try Fasting starting right now to see if that helps at all.
No luck there !
I did it but doesn't work
@@noorehaq892 been 10 months hyd? ( talking abt diarrhea)
Ive had diarrhea for 28 days now. When it first started it had mucus but it was clear. I dont feel anything wrong or pain it just happens. I can hold it now its not an emergency everytime now. It sucks because i want it to go away by the time school starts again.
Same issue did your problem ressolves
How did y’all get rid of it
Yung Wavy honestly im not sure. I just started eating mostly whole grain plant based and ate little animal prosucts here n there. Just tried to eat a balanced diet and it went away slowly.
OG 516 same story✋🏻
I'm on day 25 now. I'm so drained
Please, can you make a video on ACUTE Diarrhea?
So I go to the bathroom once and day and most of the time I can't hold it and it's like diarrhoea. I don't know why it is like that and how I can treat it
You may have celiac disease
Great job👌
Pls do video on IBS
I'm sitting on the toilet for 25 days now. Been to 2 doctors and no relief in sight. Help!?!
thank you doc , you are great,,,I suggest to start a series of emergency medicine with detailed medications and doses
What a shitty topic, but an important one. I was wondering if my problem, which comes and goes, could be caused by any of the pills such as blood thinners I've been taking for my heart. But eating fresh fruits, especially bananas, is sure to send me to the toilet.
you are great
thank you very much it was really helpful
Is it possible to have more than one? My doctors always want to throw antibiotics at me and that just makes everything worse. Fasting stops it, but not eating is not sustainable…
More than one cause of chronic diarrhea at the same time? Sure, but it would be unlikely, unless one of the causes is something particularly common like lactose intolerance. I can't give specific, individualized medical advice here, but as a general rule, chronic diarrhea in immunocompetent patients (i.e. people with normal immune systems) in the developed world is only rarely caused by a chronic infection. I honestly can't think of a situation in which I would personally treat a patient with chronic diarrhea (i.e. duration longer than 3 weeks) with antibiotics without confirming the specific pathogen first. Diarrhea is the most common side effect of antibiotics.
Once again, this should not be interpreted as personalized medical advice for you, and I would discuss your concerns with your own physicians.
Hey, I have diarrhea everyday and once I cut carbs out, I get no diarrhea. Could I be allergic to carbs>? Any help is appreciated.
Unfortunately, I can't offer specific, individualized medical advice here, and I recommend speaking with your own medical provider. However, I can say that there is a lot of overlap between carbs and gluten-containing foods, the later of which is responsible for celiac disease, which is a relatively common cause of chronic diarrhea.
@@StrongMed Thank you so much for the prompt reply.
Why is microscopic coliltis included in the non-inflammatory category if it has an inflammatory basis?
That's a great question! It's because the distinction between inflammatory and non-inflammatory diarrhea is a clinical one. Blood and/or mucus in the stool +/- fever and/or leukocytosis = inflammatory diarrhea.
With microscopic colitis, even though the underlying mechanism is inflammatory, it doesn't usually cause those inflammatory features.
I never have gas I never have bloating. I never have abdominal pain. It appears like my colon just does not remove the water or liquid from the fecal matter. And it just all comes out. I rarely have a formed poop. I know what triggers me and I try to stay away from it.
I broke 2 vertebrae and a disc burst backwards severing my never to my bladder and bowels I go 20 times a day it’s pulling me down so much I’m like a volcano eruption no warning
So sorry to anyone with chronic diarrhea
Hello
I have diarrhea last 4 month no whight loss no vomiting last 4 month i eat antibiotic only 3 days and diarrhea start every day 3 time diarrhea
I drink water milk and sweets and to much diarrhea start
Me what problem plz reply
I'm sorry, but I cannot give specific, individualized medical advice here. I recommend speaking with a healthcare professional face-to-face regarding any personal medical concerns.
Sounds like your lactose intolerant. Anytime I drink milk or something with a lot of cheese my stomach gets upset
That’s pretty funny. You refer to chronic diarrhea or loose spells as I have, in weeks. Try years over 20 years. I don’t understand why I can’t. Just have a regular formed bowel movement. Yes, some foods do trigger. But I’ve had accidents in public before and it is very embarrassing.
I'm sorry to hear about your situation. The reason for that particular time course is simply to categorize the causes of diarrhea into acute vs. chronic. The list of things which can cause diarrhea lasting >3-4 weeks and that which causes diarrhea for 20 years is more-or-less the same. Unfortunately, this doesn't always mean a diagnosis will be identified.
In my case is that I can't eat dairy products mangoes and other heavy food can somebody help me, I want my old stomach again
Eat fig empty stomach
THANKS
Kindly suggest treatment.
Treatment all depends on the cause. Every single cause that is in the summary chart could get its own video.
Im scared now ,contant diarria all summer long, its acute ill be good for if im lucky 3 days than wow the toilet is my best friend now,😢 iv had my blood done everything looks fine ,im going for colonoscapy, theres so many names im dizzy listening to all of the reasons why ?? Im so frustrated. But this is my last resort. i can't wait for the test results i need closer ,i dont have blood in my stool, just water not normal!! I dont trust our foods anymore i cant eat Hamburger, or pork, which i used to love i won't touch it now ,that is taboo to me
Thanks a lot
An important cause of diarrhea under category of malabsorption is short bowel syndrome.
Hello, my daughter is born with primary immune immunoglobulin every month, for more than two years now, diarrhea does not stop, secretory diarrhea, she does not eat food. Please reply if you read my message and help
I'm very sorry to hear about your daughter. Unfortunately, I am not able to give specific, individualized medical advice here. This also sounds like a problem that is far outside my area of clinical expertise as an adult hospitalist, so I wouldn't be able to help anyway.
Mines been happening for years, what do I do?
I can't offer specific, individualized medical advice here. I recommend speaking with a physician about your symptoms; you could even use some of the information in this video to better inform the discussion (i.e. if your specific form of diarrhea sounds particularly like 1-2 of the diagnoses discussed, you could ask the doctor about the specific diagnostic tests for those diagnoses).
Chronic diarrhea is a shitty condition to have...
What have you all took to stop diarrhea
How did I get here?
Sorry, I haven't yet had a chance to make videos on the reproductive system.
@@StrongMed😂😂😂😂
Thx doc
Thanks
Its not even painful its just super annoying
please can i have this pdf
I'm sorry, I don't think I have a pdf for this video.
it always happens every two to three weeks
it hurts so much
How to know, I'm not gonna crap on my self when I try to fart.
thank u sir
Bruh i almost pooped in my pants😭
bruh my colon is sticking out of by butt please help
Ding Doomg
super
Stay safe
I get diarrhea once every 2 weeks help
Wow,
Heavy smoking and alcohol can also be the cause of diarrhea ?
For me all is a bit difficult to understand, english is not my native language.
In having problems for 3 years or longer but all tests are normal.
No blood, no nothing.
I bet Terrance shown this to Phillip
HABBA SYNDROME HABBA SYNDROME HABBA SYNDROME HABBA SYNDROME
Despite some mentions on the internet, the existence of "Habba Syndrome" is not recognized by most gastroenterologists, and the only scientific publications on it are a small handful by Dr. Habba himself.
I have everyday for a week
What about bloody diarah
Quit all alcohol
Ten years it’s annoying
⚠️HELP ME!⚠️ *swear word warning*
I don’t know what the fuck is happening.
I’m 13 years old lactose intolerant
I have diarrhea, mild to severe stomach pain and abdominal discomfort, ALMOST EVERY DAY
I’d say 2 out of 7 days this happens
I eat ONE ice cream sandwich with dairy
And then I have diarrhea as if I drank 2 full fucking cups of milk
My lactose intolerance was never this bad and tbh I’m not even sure if lactose intolerance is to blame anymore lmfao
But seriously please help it’s so fucking uncomfortable and annoying and I hate it so much
@@DynamicDork777 i’m sorry you’re going through that :( i did get my situation sorted out though, turns out it was just really bad lactose intolerance. stayed away from the lactose and no more stomach troubles :) you should go see a doctor so you can get help. good luck
Maybe you are intolerant to casein (milk protein) too. So you can't take anything with milk, because the lactase enzyme only works for lactose (milk sugar). Prefer coconut milk.
It took me years to realize I was also casing intolerant from milk products. So if you're having loose bowels because of lactose no doubt you're also having a problem with the casein in the milk and lactose pills don't help that.
When I do any milk products I also get very mucousy in my lungs down my throat sinus infections. Just stop the milk
this dint help me, in the lactose fandom
Fun fact: you searched for this video
How are you now
my poop is just liquid for almost 1month now pls help
How are you now?
Y E S
I have been getting diarrhea atleast once a week for a few weeks, I'm dying
@David what's your water source?
@David nice! Best wishes!
@David me too. I'm crying like a child this morning. How old are you.
@David what do you eat during that time of diarrhea. I'm having a mental breakdown right now.
I didnt had real diarrhea for a like a year lmao
こんにちわ。私は下痢気味あります。^_^
Drink Davidoff coffee without milk.
I've had good results with a wine cork and super glue.
So, now you've stopped talking 💩but what will you do to stop yourself, from writting💩?💀😹
poop