Chronic Diarrhea and Irritable Bowel Syndrome

Q:  I am bothered with chronic diarrhea, but do not want to discuss it with my doctor. What are the symptoms of colitis and how is it diagnosed?

After many tests and numerous visits to medical professionals, I have been diagnosed with Irritable Bowel Syndrome or IBS. My family doctor told me that I had to "live with it." I've been asked by my specialist to keep a food diary and avoid those items that trigger symptoms. I've been doing this for over five years now and despite careful eating, Metamucil and minimizing stress, I still have chronic diarrhea, bloating and abnormal bowel movements. My life is completely disrupted. Is there anything I can do?

A:  Diarrhea is thought by most to be an occasional inconvenience, but far from a life-threatening disease. This perception may lead to insensitivity and may generate the embarrassment noted by the first questioner. I suspect that there are many who plan their entire day around the availability of a bathroom, due to the unpredictability of an episode.

Irritable Bowel Syndrome is a diagnosis made based on the symptoms described in the second question. Colitis is a general term used to describe an inflamed colon. Abdominal cramps, loose stools, gas and bloating are associated with both. The presence of blood can be seen as well, and this is a more ominous finding that should prompt attention.

Testing should begin with stool samples being checked for abnormal bacteria, blood and evidence of incomplete digestion. Most patients should also have a test done that allows a doctor to look at the lining of the intestines called a flexible sigmoidoscopy or colonoscopy.

Treatment includes a diet high in fiber and a general avoidance of caffeine and alcohol. Medications can be quite helpful in controlling the symptoms but can cause dry mouth or blurred vision. The ability to tolerate the medications varies from person to person. In general, they are quite safe. For some, acidophilus is quite helpful. This is a bacterium similar to those used in the manufacture of yogurt.

Regardless, finding a physician you can trust is the key -- and one who will at least sympathize with your dilemma.

"Your Health" provides easy-to-understand information about common health conditions.