An Approach to Chronic Diarrhea

A discussion of the definition, etiologies, and evaluation of chronic diarrhea.

[vivacepianostudio]

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???

[msrj]

This channel is a goldmine for medical professionals.

[Brian-xcth]

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

[allnoyz]

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.

[gemmapolvani]

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?

[fiorellagambetta]

thanks for this! it has helped me understand my issues

[matheusaraujo]

I´m from Brazil and you help me a lot, TY 🥰🥰

[sunving]

Thank you Dr Strong. It is a good review, practical and essential.

[betapikin]

Very powerful and impactful... Many thanks in a million Sir

[emet]

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.)

[Shahedul]

Thank u.. Nicely explained.. We need more videos like these.. 🙂🙂

[rainsfall]

Please help I cant stop going to the bathroom, every five minutes ot feels like my guts are falling out

[sunlite]

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.

[vlw]

So, what kind of physician do I see to get a proper diagnosis and treatment plan?

[MohammedMuthanaa]

Thanks for this very informative Lecture

[shwanibrahim]

Thank you sir. I have a question? How can one tell Diarrhea from Incontinence ?

[iqraaaliya]

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!

[MAMMAD]

thank you doctor Strong, very helpful

[aditiim]

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 ?

[caterscarrots]

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?