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Digestive Issues Questions

Experiencing Steatorrhea for Several Weeks (31M)

A couple of years back, my physician diagnosed me with Irritable Bowel Syndrome (IBS) at the age of 31. I suspect it’s the constipation-predominant type, given that I often experience constipation and gas. Two years ago, I underwent a colonoscopy, which yielded no abnormalities; my doctor advised a follow-up in 5 to 10 years, although I might push for an earlier appointment due to my current concerns. Recently, I have encountered loose stools along with steatorrhea over the past few weeks. I recall having such episodes previously but they typically resolved more quickly. To address my issues, I’m trialing a gluten-free diet, but considering I’ve consumed gluten all my life without problems, I’m uncertain about its effect. I’ve also resumed taking psyllium, which helps to normalize my bowel movements. However, the benefit tends to fade after a while, leading me back to looser stools that exhibit an oily residue in the toilet. The stool color is generally a standard brown, yet in the early phase of this issue, it appeared more yellow-brown. I’m aware that steatorrhea may be associated with pancreatic or gallbladder issues, and I have been referred to a gastroenterologist. Unfortunately, the earliest available appointment is in a month, and it’s a telehealth session. I assume they will be able to organize any necessary tests afterward that could be conducted sooner. I’m curious as to whether steatorrhea is considered a symptom of IBS. I’ve come across differing views on this matter; some articles affirm it while others deny it. Has anyone faced a similar situation? Currently, I experience no pain, nausea, fatigue, bleeding, or any other symptoms apart from steatorrhea, and I do have normal stools intermittently when I’m using psyllium. Any insights or assistance would be greatly appreciated. I'm trying my best to remain calm during this process.

IBSIndigestionConstipation
Male25-34
1 hour ago

Should I Self-Diagnose or Consult a Physician?

A 20-year-old male, standing at 5’5" and weighing 130 pounds, recounts his health journey. Back in his mid-teens, specifically at the age of 15, he experienced recurring stomach cramps, significant constipation, painful oral ulcers, and joint discomfort. After concerns about Crohn’s disease arose, he underwent a colonoscopy, the results of which were clear, including the biopsy findings. Fortunately, after approximately one to one and a half years, his symptoms subsided. Although these issues weren't severely debilitating, they caused enough concern for his doctor. Fast forward to now: for the past three weeks, he has encountered gastrointestinal distress without any fever or recent illness, leading him to question if it might be a viral infection. As he digs into the details, he shares that his bowel habits have drastically changed; he now experiences 2-3 bowel movements daily, accompanied by moderate cramping, particularly in the lower left abdomen, which is notably tender. There is an urgent sensation to defecate, leading to very easy passage of stool that is often mushy or fluffy in texture, occasionally disintegrating upon contact with water. On occasion, he has noticed some whitish mucus in formed stools and has seen streaks of blood in his feces, although there are no traces on toilet paper or in the water. To address these troubling symptoms, he first eliminated dairy from his diet, suspecting that perhaps he hadn’t been strictly managing his lactose intolerance. However, after a week without dairy, he has seen little improvement. He ensures he consumes sufficient fiber, typically more than 20-25 grams daily, and has also cut back on caffeine. Now he faces a dilemma: should he wait to see if the symptoms resolve themselves while identifying potential dietary triggers, or should he seek medical advice? While he thinks it may be irritable bowel syndrome, he remains cautious about potentially overlooking a more serious underlying issue.

IBSIndigestionConstipation
Male25-34
1 hour ago

Concerns After Antibiotic Treatment

I am a 32-year-old male, weighing 180 pounds and standing at 5'9". My medical history includes schizoaffective disorder of the bipolar type, stage 3b kidney disease, and issues with herniated discs and sciatica. Currently, my medications consist of Geodon, Vraylar, Wellbutrin, Prazosin, Klonopin, and Neurontin. Recently, I completed a 7-day regimen of Clindamycin to address a gum infection. Since finishing the antibiotic yesterday, I have been experiencing severe liquid diarrhea and occasional vomiting throughout the week. Unfortunately, my symptoms have worsened rather than improved, and I've been unable to function normally; anything I attempt to eat simply passes through without digesting. I consulted two different physicians—one advised me to discontinue the medication, while the other emphasized the importance of completing the course. I have an upcoming appointment with my primary care physician, but I'm eager to know what to anticipate regarding my recovery from these gastrointestinal issues. I could use any suggestions for getting out of this curled-up position and reducing my urgent trips to the restroom. My main concern is the potential effects of dehydration on my kidneys. I've been experiencing discomfort beneath my ribs, alongside similar pain in my back. I've been trying to stay hydrated with Liquid IV, although I've been advised against taking medications like Imodium. Any tips or recommendations to navigate through this challenging situation would be greatly appreciated! It has been truly distressing.

DiarrheaVomitingIndigestion
Male25-34
2 hours ago

Migraine or Serotonin Syndrome?

I am a 23-year-old female, standing at 5 feet 4 inches and weighing 117 pounds. I have received diagnoses for Major Depressive Disorder, Generalized Anxiety Disorder, Borderline Personality Disorder, Autism Spectrum Disorder, Disordered Eating, and suffer from chronic migraines. Currently, I am prescribed Paxil at 10 mg (which I just started taking on the night of September 11, 2025), Junel FE (the dosage of which I'm uncertain about, as it's for birth control), Xanax in doses of 0.5 mg, consumed one to two times daily as needed, and Butalbital-Aspirin-Caffeine (again, I'm unsure of the specific dosage). Until recently, I was on Pristiq at a 25 mg dose but ceased that medication as directed by my doctor last Thursday due to experiencing auditory and visual hallucinations. I also vape nicotine (though I'm actively attempting to quit), smoke marijuana nightly, and drink alcohol occasionally, about once or twice per week. Last night while at work, I began to feel unwell, sensing an impending migraine. I was without my migraine medication, so I left early, anticipating that my condition would worsen. By 1 AM, I started vomiting, followed by another episode around 2:30 AM. I felt too nauseated to take any medication, fearing that it would just come back up, so I attempted to rest instead. I finally woke around 8 AM with an intense throbbing headache, significant nausea, shakiness, a sensation of almost fainting, and extreme sweating akin to a fever. In an attempt to find some relief, I tried relaxing in the shower but soon began to feel disoriented and ended up vomiting twice more. Moreover, I had a hard stool, which is a common issue for me given my history of chronic constipation related to my disordered eating. I cautiously sipped water, but it seemed like everything I ingested, including water, would quickly come back up. Eventually, I managed to keep down my medication, which I took about 45 minutes ago. I’ve experienced many migraines before, but this one feels distinctly different. Unfortunately, I lack a thermometer at home to check if I have a fever. Given my doctor’s regular medication adjustments over the last five months due to my lack of satisfactory results, I’ve been concerned about the possibility of serotonin syndrome. I'm uncertain whether this episode is a significant concern, if it’s just a migraine manifesting in an unusual way, or if my symptoms might be withdrawal effects from discontinuing Pristiq. (Please excuse any formatting issues; I am using a mobile device.)

NauseaVomitingIndigestion
Male25-34
7 hours ago

Desperate for Answers: My Ongoing Struggles with Food and Pain

I'm a 24-year-old male, weighing 52kg and standing at 167cm, and I'm feeling utterly hopeless. I have not received a concrete diagnosis despite my ongoing health issues. For the past three months, I've been on bupropion at a dosage of 150mg. My health complications began at the age of 12, presumably starting with acid reflux. By avoiding certain foods like chips and sugary drinks, my symptoms seemed manageable. However, everything changed at 16 when I began experiencing severe abdominal pain and diarrhea whenever I consumed fatty foods. The discomfort would typically escalate at night, with lying down worsening the situation. At 17, my throat began to hurt significantly, causing me difficulty in breathing accompanied by a low-grade fever that subsided after a week. Since that moment, every meal I consume leads to burning sensations in my throat, nausea, fatigue, and abdominal pain. I've noticed that when I eat minimally, I feel considerably better and more energetic. My diet has become extremely restricted; I can no longer tolerate spicy, fatty, salty, or sour foods, nor most fruits and vegetables or dairy products. My weight has plummeted from 62kg to 40kg within just six months. Consuming any problematic foods triggers fever, nasal congestion, weakness, and dizziness. I frequently experience ear pain, with a persistent ringing sound that continues to intensify. Additionally, I sometimes endure sharp pains in my back and chest, especially during deep breaths. To cope, I've resorted to a bland diet that consists mainly of simple homemade dishes seasoned only with salt—no spices whatsoever. The tolerability of certain foods fluctuates; for instance, I used to handle oatmeal well, but now I find it difficult to eat chicken, and vice versa. Currently, my meals primarily consist of potatoes, lean meat, butter, and white bread. Water is my only beverage, though it can also cause discomfort at times. Strangely, I occasionally sense a plastic and bitter taste and smell, which seems to occur in cold environments or when consuming hot or cold drinks. Smoking exacerbates my pain; even proximity to cigarette smoke irritates my throat. Although it may not be directly related, I've noticed my skin and eyes are incredibly dry, and I often suffer from hiccups. Joint pain is another recurring issue, accompanied by cracking sounds. Despite undergoing both endoscopic and colonoscopic examinations, the findings were inconclusive. Tests for celiac disease were negative, as well as screenings for H. pylori through stool, blood, and breath tests; even an echocardiogram turned up nothing. I've had numerous blood tests that yielded no relevant information, though I no longer have access to the records. For years, I was prescribed omeprazole, but it failed to provide any relief, prompting me to discontinue its use. Medical professionals have suggested the possibility of bulimia, despite my lack of purging behaviors. Others have offered dismissive advice, suggesting I simply find a tree to hug, attributing my issues to psychological causes. I feel completely lost and am at a loss for what to do next.

IndigestionNutritionConstipation
Male25-34
9 hours ago