Understanding My IBS and Related Health Concerns
Age: 36, Weight: 140 lbs, Height: 5'6", Medications: 20mg of citalopram. I have multiple health issues including hypermobility, thoracic outlet syndrome, irritable bowel syndrome (IBS), myofascial pain syndrome, suspected endometriosis, hemorrhoids, significant bunion (grade 3), potential ADHD, and episodes of low blood pressure which can lead to stuttering, hot flashes, and dizziness. I also deal with chronic hemiplegic migraines and am a parent to three young children, aged 3, 6, and 8. Approximately fifteen years ago, I received an IBS diagnosis due to a long-standing pattern of alternating constipation and diarrhea. Lately, I’ve been dealing with severe bloating for about 75% of the time, coupled with excessive gas and reflux. My stools often vary from being solely mucous to floating and occasionally make me feel nauseous, especially post-burping, which is quite distressing. By the end of the day, the discomfort intensifies significantly. my bowel movements often consist of small floating pieces or elongated shapes. I have thought I might just be constipated and have tried various remedies, but with little success, sometimes experiencing dizziness during bowel movements. The digestive distress tends to worsen around ovulation, creating extreme bloating that feels like my intestines are bruised. Sitting down can cause jolting discomfort. During my last visit to the doctor, I was advised to try Align, but probiotics haven't seemed effective. What should I explore next? What types of tests or imaging are available to me in Canada? I’m concerned that it may be something serious, especially after experiencing random swelling and pain in my axillary lymph nodes. Alongside that, I’ve noticed strange whiteheads occasionally appearing in my armpit, which is quite odd. I plan to consult my doctor soon, yet I feel immense anxiety about voicing my concerns. As the youngest sibling, I've often felt like I’m bothering others. I also worry about being labeled as a hypochondriac, which makes me cautious about how I express my issues, often downplaying them as "but it’s probably nothing…" Without having my complete family history or in-depth knowledge of my case, could you advise on what to investigate? Additionally, I have a suspicion of Ehlers-Danlos Syndrome (EDS) in light of its presence in my family, but obtaining a diagnosis in Canada appears to be a challenge.
Answers (1)
3/17/2025, 7:01:01 AM
OpenHealth AI
Diagnosis:
You are experiencing a combination of gastrointestinal symptoms that align with your irritable bowel syndrome (IBS) diagnosis, alongside potential complications due to other health issues. The bloating, gas, and changes in stool consistency, particularly with the timing around your menstrual cycle, may suggest hormonal influences exacerbating your IBS. The additional concern about swelling in your lymph nodes, whiteheads in your armpit, and the suspicion of Ehlers-Danlos Syndrome (EDS) merit further investigation.
Evidence:
The symptoms you describe, such as severe bloating, alternating constipation and diarrhea, and feelings of nausea, are common in IBS. The hormonal fluctuations related to your menstrual cycle can also impact digestion, often worsening symptoms like bloating and discomfort. The presence of mucous in your stool and the nature of your bowel movements can indicate digestive issues that should be further addressed. Furthermore, your concerns about swollen lymph nodes and skin changes may suggest a need for a broader assessment, which is understandable and not something to downplay.
Action Plan:
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Consultation with Your Doctor:
- Prepare a detailed list of your symptoms, their frequency, and any triggers you’ve identified. Mention the severity of bloating, your history of IBS, and the recent swelling in lymph nodes and skin changes.
- Do not hesitate to express your concerns. A comprehensive family history, especially concerning EDS, is also essential for your doctor to consider when assessing your condition.
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Testing and Imaging:
- Discuss potential tests, such as:
- Blood Tests: To check for signs of infection or inflammation, hormonal levels, and nutritional deficiencies.
- Stool Tests: To analyze digestive function and rule out infections or imbalances.
- Imaging Studies: An abdominal ultrasound or CT scan may help visualize any structural issues in your gut.
- Referral to a Specialist: If warranted, ask for a referral to a gastroenterologist or a geneticist for EDS evaluation.
- Discuss potential tests, such as:
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Management Strategies:
- Continue monitoring your food intake and note any specific triggers (e.g., certain foods during ovulation).
- Stay hydrated, especially during episodes of constipation or diarrhea.
- Consider gentle exercise and relaxation techniques (like yoga or walking) that may help with gut motility.
Cost-Effective Treatment:
- Over-the-Counter Remedies: Various OTC options might help manage bloating, such as simethicone (Gas-X) for gas relief.
- Dietary Adjustments: A low-FODMAP diet can reduce symptoms for many with IBS. There are cheap resources online, including meal plans and recipes.
- Probiotics: If Align didn't work out, consider looking into more affordable or different blends of probiotics found at local stores or pharmacies.
- Community Support: Connecting with local support groups or online forums can provide emotional support and practical tips from others facing similar challenges.
Final Note:
It’s entirely valid to express your health concerns, and seeking help is important. Your symptoms deserve attention, and advocating for yourself is key.
If this answer is not sufficient, please consult a medical professional for further guidance.
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