Question 1

I'm dealing with some bowel issues for about a year now. Sometimes things seem to get better, but then it starts acting up again after a few days. My colon just doesnt seem to empty properly. Sometimes the bowel is really hard, and other times there's a mucus-like thing, which causes gas and acidity. No matter what type of bowel movement it is, I struggle to pass stools and have to apply a lot of pressure, which sometimes leads to rectal pain. Even then, my colon still doesnt feel empty. I'm wondering if there might be some kind of obstruction or if it could be irritable bowel syndrome. It's really affecting my daily life, and the discomfort is too much to handle. Can you help clarify what's going on?

Accepted Answer

While Irritable Bowel Syndrome (IBS) is a likely cause of your symptoms, its important to consider other possible conditions, such as intestinal obstruction, IBD, or pelvic floor dysfunction. Given the persistence and discomfort of your symptoms, I highly recommend consulting a gastroenterologist to undergo a thorough evaluation, including tests like a colonoscopy or imaging, to rule out other potential causes and get a proper diagnosis. Treatment may involve a combination of dietary changes, medications, and possibly physical therapy for pelvic floor issues.

Question 2

I'm really struggling with IBS, and it's been about five years now. I had a colonoscopy three years ago, but it didn't show anything. I've tried Colospa and some other medications, but nothing seems to be helping. I have diarrhea and then normal stool, but it's happening like five to six times a day. Lately, I've been experiencing a burning sensation after using the bathroom, and it lasts for an hour or two. It's really concerning, and I'm not sure what to do. Any advice?

Accepted Answer

Given your symptoms:_

1. _Episodic vertigo_: Your vertigo episodes last 3-4 seconds, triggered by changes in movement.
2. _Morning exacerbation_: Vertigo worsens in the morning, making it difficult to stand properly.

_Consider the following:_

1. _Benign Paroxysmal Positional Vertigo (BPPV)_: Your symptoms suggest BPPV, a common inner ear disorder.
2. _Inner ear problems_: Despite a normal CT scan, inner ear issues like labyrinthitis or vestibular neuritis might be contributing to your vertigo.
3. _Vitamin deficiencies_: Deficiencies in vitamins like B12 or vitamin D might exacerbate vertigo symptoms.

_Current treatment:_

1. _Vitcofol, Neurobian Forte, Stmetile, Verin 16_: These medications are often used to treat vertigo, but their effectiveness varies.

_Recommended next steps:_

1. _Consult an ENT specialist or a neurologist_: Seek a specialist's opinion to determine the underlying cause of your vertigo.
2. _Vestibular rehabilitation therapy (VRT)_: VRT can help improve balance and reduce vertigo symptoms.
3. _Consider canalith repositioning procedure (CRP)_: If diagnosed with BPPV, CRP can help alleviate symptoms.

Question 3

I've been struggling with high bilirubin levels for a couple of years now, and I'm feeling quite worried. The doctors checked for gallstones with an ultrasound and didn't find any. They said I need to follow a good diet, but my bilirubin levels went from 1.8 to 2.2 and haven't improved. What could be causing this, and what kind of treatment should I consider? Could it be something other than diet? I have my lab reports if that helps.

Accepted Answer

High bilirubin levels can be concerning, especially if they have been persisting for 2 years despite following a good diet and ruling out gallstones in the bladder. One possible treatment option to help lower bilirubin levels is to use Ursodeoxycholic acid (UDCA). UDCA can help improve bile flow and reduce the amount of bilirubin in the blood. It is important to follow up with your doctor regularly to monitor the effectiveness of the treatment and make any necessary adjustments.

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