What Is Causing My Chronic Diarrhea Gas And Bloating
A dear friend of mine has been suffering with abdominal discomfort for over a decade. She has undergone every study and procedure known to gastroenterology including tests for infectious disease, autoimmune disorders, and allergies. She has had unremarkable colonoscopies, followed restrictive diets, and felt perpetual embarrassment regarding her ill-behaved intestines.
Although she still has no definitive diagnosis, the answer may be irritable bowel syndrome . An estimated 25-45 million people in the United States have IBS though many cases go undiagnosed. For those who are diagnosed it may take up to 6 or 7 years for a clinician to figure it out. The reason why its hard to diagnose is that its course is so unpredictable , and because embarrassment may cause people not to seek help.
But wait, it gets worse.
The truth is that doctors dont yet know what causes IBS for certain, and there is no reliable cure for it either. In fact, IBS is a general term for what might be several different underlying diseases, yet to be clarified by science and research.
Finally, encouraging healthy bacterial colonies to develop may be as simple as taking probiotic tablets or drinking live culture fermented beverages . Yogurt may be a good idea, though the fact that dairy is forbidden on the IBS diet may give you pause. For some people, avoiding dairy may be more helpful than getting probiotics through yogurt.
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Can Tomatoes Trigger Ibs
Inside: How can tomatoes affect IBS symptoms. Can tomatoes be the IBS trigger for some people and how tomatoes can cause diarrhea and bloating symptoms for some people with IBS.
Irritable bowel syndrome aka IBS is a very common disorder worldwide and millions of people suffer from daily symptoms.
IBS affects the quality of life and most of the people keep thinking about why they suddenly developed this disorder and dont know how to manage this condition.
The most common symptoms of IBS are constipation, diarrhea, bloating, abdominal pain. People often feel worse after eating food but are not able to pinpoint exactly which food might be the problem.
Multiple times people have commented that they feel tomatoes are their enemies and that they make their IBS symptoms worse specially diarrhea and bloating.
So I decided to look into this in detail and see why tomatoes could worsen IBS symptoms.
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Swallowing Too Much Air
This is called aerophagia. You may not be aware of it but you may be swallowing air frequently or in large amounts. This often happens in people who are under stress. It can be aggravated by chewing gum and smoking. Usually, air swallowed in this way passes into the gullet and down into the stomach.
However, sometimes air is sucked into the back of the throat and is burped out before it reaches the oesophagus. This is known as supragastric belching.
Some people swallow air deliberately to cause belching, as they find this helps to relieve symptoms of indigestion.
Ibs And Other Functional Gi Disorders
Functional gastrointestinal disorders such as irritable bowel syndrome , functional abdominal bloating and distention, functional constipation, and functional dyspepsia may cause problems with gas symptoms.
Functional GI disorders are related to problems with how your brain and your gut work together. These problems can cause you to feel more bloating or abdominal pain or can affect how gas moves through your intestines.
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When Should I Call My Doctor
- Blood in your diarrhea or black, tarry stools
- A fever that is high or that lasts more than 24 hours
- Diarrhea lasting longer than 2 days
- Nausea or throwing up that prevents you from drinking liquids to replace lost fluids
- Severe pain in your belly or rear end
- Diarrhea after coming back from a foreign country
Also, call your doctor right away if you have diarrhea and any of these signs of dehydration:
What Are The Symptoms
- An immediate feeling that you have to have a defecation
- Thin or loose stools
More major symptoms consist of:
- Blood, mucus, or undigested food in the stool
- Weight reduction
If you have watery stools more than three times a day and you dont consume sufficient fluids, you could end up being dehydrated. That can be harmful if its not treated.
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How To Treat Diarrhea
In many cases, treatment will involve managing your symptoms while you wait for the diarrhea to pass. The primary treatment for severe diarrhea is to replace fluids and electrolytes. Electrolytes are the minerals in your body fluid that conduct the electricity your body needs to function.
Drink more fluids, like water, and juice, or broths. Oral hydration solutions, such as Pedialyte, are formulated specifically for infants and children, and contain important electrolytes. These solutions are also available for adults. Find a great selection here.
You can use over-the-counter anti-diarrheal medications if your stool isnt black or bloody, and you dont have a fever. These symptoms indicate you may have a bacterial infection or parasites, which can be made worse by antidiarrheal medications.
OTC medications should not be given to children under the age of two unless approved by a doctor. If your infection is bacterial, your doctor may prescribe antibiotics.
When To Contact A Doctor
Its highly advisable to contact your doctor or seek medical attention if you start to experience any of the following:
- Diarrhea persists for more than three weeks on-and-off, or constantly happens for three days.
- Diarrhea is accompanied by a fever, especially one higher than 102 degrees Fahrenheit.
- Diarrhea is accompanied by severe abdominal or rectal pain.
- Diarrhea is bloody, black, or gray.
- You begin to show signs of dehydration .
Additionally, special care needs to be taken when monitoring an infant who suffers from diarrhea. Infants are more susceptible to dehydration from diarrhea and medical attention should be sought if they start to show the following:
- The infant hasnt wet their diaper in over three hours.
- The baby cries without tears.
- The infant has a sunken appearance around the eyes, cheeks, or abdomen.
- The skin is not immediately smooth after a brief pinch.
- The infant is unusually drowsy, sleepy, irritable, fussy, or is unresponsive.
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What Prescription Or Otc Drugs Trigger Ibs
Some can trigger IBS symptoms resulting in colonic spasms, constipation and/or diarrhea. Such drugs include antibiotics , tricyclic antidepressants, for example, , , and , and medicines containing . Consequently, patients with the condition should check the ingredients, both active and inactive, for the presence of sorbitol as sorbitol is often listed as an inactive ingredient.
Causes Of Diarrhea After Eating Salad
Nearly every person likes to eat fruits and vegetables, and everyone needs them for plenty of reasons that ultimately come down to maintaining your health. Apart from eating them raw, people usually eat vegetables in the form of salads. The dressings and coatings used in salads contribute to the taste, and salads are usually quite delicious. Even though salads are both tasty and healthy, some people still suffer from diarrhea after eating salads. There are a couple of causes behind diarrhea after eating a salad.
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What Happens If You Eat Bad Salad
Stay up to date on what healthy means now. The main side effects, and most worrisome, involve diarrhea, crippling stomach cramps, and chronic vomiting. If you were unfortunate enough to eat contaminated romaine, you would start to notice these symptoms between two and eight days after eating the meal.
When Should I See My Doctor
Most of the time, diarrhea after drinking alcohol will resolve over a few days of home care.
However, diarrhea can become a serious condition when its severe and persistent because it can lead to dehydration.
Untreated dehydration can be life-threatening. Dehydration symptoms include:
- excessive thirst
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Is Type 2 Diabetes Associated With Gas
They discovered that lower gastrointestinal symptoms constipation, diarrhea, stomach pain, bloating, intestinal gas, and floating stools were significantly more prevalent in those with diabetes, particularly diarrhea and constipation, which were twice as likely.Metformin has an effect on bowel motions.When metformin medication is initiated, gastrointestinal adverse symptoms such as stomach pain, nausea, dyspepsia, anorexia, and diarrhea are common and largely recognized. Diarrhea that persists after the dosage titration phase is a significantly less well-known symptom.
Constipationdefining Normal Is Not So Easy
When it comes to treating patients with constipation , Dr. Deutsch first asks a lot of questions.
I tell people that their normal may not be my normal or the next persons normal. We are all very different when it comes to bowel habits, she says. I need to know what the stool looks like, from the color to the length, and how long it takes you to go. If someone is only going once or twice a week and the stools are looking like little rabbit pellets, I need to tease that out.
To help explain, Dr. Deutsch often shows patients a bell-shaped curve from a study published in Gastroenterology. On the national average, people poop anywhere from three times a week to three times a day, she says. That is a huge range. I stress that if you dont feel good, we need to make you feel good. If you are worried that you are sitting on the toilet for an hour and passing small, hard pellets, we should see if you are getting enough fiber or physical movement every day. Or maybe we need an over-the-counter or even prescription-strength laxative.
Dr. Deutsch also doesnt shy away from sharing her own experiences. It can be TMI, but I let people know that we all deal with these problems once in a while, she says. If I dont go to the gym and I dont eat any fruits and vegetables for a week, my poop looks like something my cat would produce.
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What Is Irritable Bowel Syndrome
Irritable bowel syndrome is a common intestinal disorder that affects the colon . It can cause cramps, gas, bloating, diarrhea, and constipation. It’s sometimes called a “nervous stomach” or “spastic colon.”
Many people have IBS. While it can be uncomfortable and embarrassing, IBS doesn’t cause serious health problems.
Doctors can help teens manage IBS symptoms with changes in diet and lifestyle. Sometimes they prescribe medicines to help relieve symptoms.
Bloody Bowel Movements Or Blood On Toilet Paper
There is nothing scarier than going to the bathroom and seeing blood in the toilet or on the toilet paper. Bloody bowel movements or blood on toilet paper can be caused by several things, including anal fissures , hemorrhoids , and other GI conditions, including IBD. If you are experiencing blood with bowel movements, you should schedule a visit to a gastroenterologist.
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Explosive Or Severe Diarrhea: Prevention Tips
Of course, its better to avoid severe diarrhea altogether. While you cant completely prevent it, you can take some steps to protect your health and the health of your family. Wash your hands with soap and warm water before handling food and eating, after using the toilet, and after changing a diaper. When traveling to developing regions, drink bottled water and use it for brushing your teeth. Peel raw fruit and vegetables before eating them as well.
If you end up with explosive diarrhea, keep drinking fluids to stay hydrated. Avoid sugar-loaded juices, caffeinated and carbonated drinks, dairy, as well greasy, sweet, and fiber-rich foods. Stick to a bland diet based on starchy foods and soups. Eat some yogurt to help repopulate your intestine with good bacteria. With proper care and patience, you can safely recover from explosive diarrhea within a day or two.
Tips On Controlling Ibs
Eat a varied healthy diet and avoid foods high in fat.
Drink plenty of water.
Try eating six small meals a day rather than three larger ones.
Learn new and better ways to cope with stress.
Avoid using laxatives. They may weaken your intestines and cause you to be dependent on them.
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Why Does Tomatoes Give Me Diarrhea
Most people can consume tomatoes without any issues.
If you have a bad reaction to tomatoes such as bloating, gas, or diarrhea its typically caused for the following reasons.
Some people have food intolerances, and if tomatoes give you diarrhea you may be allergic to them.
Tomatoes are also quite high in vitamin C.
If you consume a diet that is high in vitamin C, the additional vitamin C in tomatoes can give you diarrhea.
Foods that are high in vitamin C are citrus fruits such as oranges, kiwifruits, bell peppers, and guavas.
Heres a list provided by MyFoodData of the 10 foods with the most vitamin C.
If you get diarrhea a lot you should look at the vitamin C content of the other foods you usually consume.
As its likely youre going over the recommended daily intake of vitamin C.
Because this is the main nutrient that tomatoes are high in.
All the other nutrients are in fairly low amounts that its virtually impossible for diarrhea you get from eating tomatoes to be caused by that.
The other reason is if you have an intolerance to tomatoes which is genetic.
Most people dont have this but people definitely do have it.
This can be proven by the fact that tomatoes are one of the most consumed vegetables in the USA, according to data compiled by the USDA.
If its not excess vitamin C, then its likely youre allergic or have an intolerance and you should avoid eating them.
I explained what causes this and if its an issue in this article about undigestedtomatoes in stool.
Small Bowel Water Content
A group of researchers found that, compared to healthy control subjects, IBS-D patients have lower amounts of water in the small intestine and it passes through quicker to the large intestine, which may contribute to postprandial diarrhea.
This research returns back to FODMAPs theory for IBS, as foods with high osmotic value are particularly troublesome for people with IBS. If true, the development of medications that would slow transit time and thus better regulate the flow of liquid into the large intestine may be helpful.
Clearly, research into the factors behind postprandial diarrhea in IBS is quite limited, and therefore no definitive conclusions can be drawn. In addition, despite the variety of theories explaining the problem, data regarding treatments for this condition don’t exist, so it’s unclear which treatments will help patients, and which do not.
Hopefully, further research will shed more light on the subject and offer some effective treatment options. In the meantime, if you tend to experience urgent diarrhea episodes after eating, discuss the subject with your doctor to see if any particular treatments would be a safe option for you.
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What Are The Symptoms Of Ibs
Bloating and gas
Diarrhea, especially after eating or first thing in the morning
Feeling a strong urge to have a bowel movement
Feeling like you still need to have a bowel movement after you’ve already had one
Stomach pain and cramping that may go away after having a bowel movement
The symptoms may get worse when you’re under stress, such as when you travel, attend social events, or change your daily routine. Your symptoms may also get worse if you don’t eat enough healthy foods or after you’ve eaten a big meal. Some people are bothered by certain foods. Women who have IBS may notice more frequent symptoms during their periods.
Abdominal Pain And Stomach Cramps
It is normal to have abdominal pain from time-to-time, caused by gas, stomach bugs, or even food poisoning. However, if you or a loved one is experiencing abdominal pain that you would describe as intense, crampy, and the pain doesnt go away in a day or two, or has been present on and off for weeks or longer, its time to see a healthcare provider to find out whats wrong.
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Diseases Causing Increased Gas
Most people with gas-related symptoms have increased sensitivity to gas or have one of the causes of increased gas production mentioned above. However, occasionally these symptoms can be caused by diseases of the bowel. Sometimes, the illness can be short-lived. For example, acute gastroenteritis , often caused by infection with a virus, can result in a short-term condition associated with increased gas.
Occasionally, gas-related symptoms can be features of long-term diseases. All of them can cause at least one gas-related symptom .
Coeliac diseaseCoeliac disease is caused by intolerance to a protein called gluten which is found in certain foods containing wheat, barley and rye. It principally affects the part of the gut called the small intestine. It can occur at any age. Symptoms are relieved by avoiding gluten-containing foods. See the separate leaflet called Coeliac Disease.
DiverticulitisDiverticulitis occurs when small pouches in the wall of the large bowel become infected. See the separate leaflet called Diverticula .
Short bowel syndromeShort bowel syndrome can be a complication of bowel surgery. If more than half the small bowel is removed during surgery this can cause difficulties in food absorption.
GiardiasisThis is caused by infection with a germ called giardia. One of the symptoms is belching up foul-smelling gas.