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Chronic loose stools
I am having frequent loose strols from last 3 months sometimes just loose and sometimes very loose also I have a pain in my lower left side of abdomen. Stool microscopy and fecal calprotectin was normal. Haemoglobin 12.5 iron panel was also normal, ultrasound shows fatty liver grade 1/2 and pcom can anyone please tell me why my loose stools are not going away
Answers (25)
IBS, hyperthyroidism , inflammation colon disease or malabsorption syndrome like conditions could cause problem line chronic loose motions. We need your complete history for proper evaluation of your condition. Please consult us personally through practo or website for further information and details
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Hi due to fatty liver your loose stool and Vomitting is increasing
Next Steps
Consult me for same
Health Tips
Avoid spicy oily food take probiotics and start medication for loose stools
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From the presentation, it looks like IBS-D( irritable bowel syndrome- diarrhoea predominant) Normal fecal calprotectin and normal Hb/iron studies make significant inflammatory bowel disease or chronic bleeding less likely. Fatty liver and PCOM are probably incidental and not the cause of loose stools.
Next Steps
Since symptoms are persisting for 3 months, evaluation by a gastroenterologist is advisable. Useful next tests may include:
* CBC, CRP/ESR
* TSH
* Celiac serology (tTG-IgA with total IgA)
* Stool culture if not already done
* Colonoscopy if red-flag symptoms are present or symptoms persist
Health Tips
* Avoid dairy, oily/spicy foods, artificial sweeteners
* Try a low-FODMAP style diet briefly
* Maintain hydration
* Probiotics and soluble fiber (ispaghula) may help in IBS-D cases
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Your reports are reassuring👍
Since the loose stools are persisting for 3 months, a proper detailed evaluation is important to identify the exact cause and treat it correctly. Most such cases improve very well with the right approach 😊
You can book a consultation, I’ll guide you step by step.
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The fact that your fecal calprotectin and stool microscopy are normal is very encouraging, as it effectively rules out active inflammatory bowel disease (IBD) or a parasitic infection. Given that your symptoms have persisted for 3 months along with left-sided abdominal pain, your condition likely falls under Irritable Bowel Syndrome (IBS-D) or a functional gastrointestinal disorder. The presence of PCOM (Polycystic Ovarian Morphology) and Fatty Liver Grade 1/2 also suggests a metabolic component; hormonal imbalances from PCOM can sometimes alter gut motility, leading to chronic loose stools."
Next Steps
The Low-FODMAP Approach: "Try a 'Low-FODMAP' diet for 2 weeks. This involves temporarily avoiding certain carbohydrates (like wheat, onions, and certain fruits) that often trigger fermentation and loose stools in sensitive individuals."
Probiotic Trial: "A high-quality multi-strain probiotic can help restore the balance of your gut microbiome, which may have been disrupted over the last 3 months."
Stress Management: "Chronic gut issues are often linked to stress. Mindful breathing or light yoga can help calm the 'gut-brain axis' and reduce abdominal pain."
Caution: "Do NOT self-medicate with long-term antibiotics for the loose stools, as this can worsen the underlying microbiome imbalance and potentially increase fatty liver stress."
Red Flags: "If you notice sudden weight loss, blood in your stool, or if the abdominal pain becomes sharp and localized, seek a physical examination immediately."
Health Tips
When basic tests are normal, the answer usually lies in functional triggers or the gut microbiome. Please book a full session so we can dive deeper into your diet and metabolic history
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Your reports are reassuring and make serious infection or inflammatory bowel disease less likely. Chronic loose stools with left-sided abdominal pain can commonly be due to IBS, food intolerance, stress, or dietary triggers. Avoid spicy/oily foods, excess dairy, caffeine, and processed foods. Stay well hydrated and consider a probiotic such as Saccharomyces boulardii for 2–4 weeks. For abdominal cramps, Mebeverine may help, and Loperamide can be taken only if stools are very frequent. If symptoms persist, further evaluation like thyroid profile, celiac screening, or consultation may be needed.
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-Since stool tests and fecal calprotectin are normal, serious intestinal inflammation is less likely
-Chronic loose stools with left-sided abdominal pain can commonly occur due to Inflammatory bowel syndrome, food intolerance, gut sensitivity, or malabsorption-related conditions
-Fatty liver grade 1/2 and PCOM are usually not the direct cause of loose stools
Next Steps
-Consult a gastroenterologist for further evaluation
-Tests like thyroid profile, celiac screening, colonoscopy, or additional stool studies may be considered if symptoms persist
-Try probiotics, high-fiber diet adjustment, and avoid trigger foods like excess dairy, oily/spicy foods, caffeine, and packaged foods
Health Tips
-Maintain hydration and keep a food-symptom diary to identify triggers
-Manage stress and sleep properly, as IBS symptoms often worsen with stress
-Seek urgent review if blood in stool, weight loss, fever, or severe pain develops
-Contact me anytime on Practo for further consultation
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