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Loose stool
For more than 6 months, I have been passing liquid stools almost every day. At night, while sitting on a chair, I often feel as if stool is leaking out like water droplets, followed by a burning sensation.
About 2 weeks ago, I had an online consultation and was prescribed Sporlac DS and Roko 2 mg for 3 days. My stools became firmer for a few days, but the symptoms returned. I was advised to repeat the medicines for another 3 days, which again helped temporarily.
Even now, if I eat roti, luchi, chowmein, pasta, chicken, or even mildly spiced vegetables, I develop completely watery stools the next day. Only boiled rice and puffed rice keep my stomach normal. I also continue to have the nighttime leakage sensation. A few seconds before passing loose stool, I suddenly hear a loud gurgling sound in the upper left side of my abdomen.
Answers (6)
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Six months of daily liquid stools with nighttime leakage and burning is not simple IBS â this pattern requires thorough investigation. Two important patterns stand out: (1) You tolerate boiled rice and puffed rice but react to roti, chowmein, pasta â all wheat/maida products. This strongly suggests Gluten Sensitivity or Celiac Disease, where the small intestine reacts to gluten (a protein in wheat). (2) Nighttime leakage/urgency is a feature of inflammatory bowel disease (IBD like Ulcerative Colitis or Crohn's), not typically IBS. Loperamide (Roko) and probiotics only mask symptoms temporarily and are not a solution. Please get: (a) Anti-tTG IgA antibody + total IgA â for Celiac disease, (b) Stool routine + Giardia antigen â to rule out parasitic infection, (c) Fecal calprotectin â to distinguish IBD from IBS, (d) CRP, ESR, CBC, LFT. In the meantime, strictly eliminate all wheat/maida/roti from your diet and observe if there is improvement.
Next Steps
See a gastroenterologist urgently â 6 months of this warrants a colonoscopy and endoscopy to identify the cause. Start a strict gluten-free diet as a trial immediately. Please consult me directly on Practo for a detailed evaluation.
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Bland diet helps
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Your symptoms indicate towards irritable bowel syndrome or IBS. Not fully manageable but its controllable by good dietary habits and lifestyle modifications.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.