Experiencing Bright Green Diarrhoea?
For the past few weeks, I’ve been struggling with an ongoing issue of bright green, watery diarrhoea which comes with intense pain in my lower abdomen. The stool appears almost neon on the toilet paper and feels like nothing but a clear fluid. I am a 21-year-old female weighing 56 kg, and I have a condition known as intestinal failure resulting from villous atrophy, which makes it difficult for me to find relief from these symptoms. Occasionally, I take prucalopride to help with severe constipation. Additionally, I receive total parenteral nutrition (TPN) six nights a week via a line, although I still manage to eat some solid food. Moreover, I have been diagnosed with common variable immunodeficiency (CVID) and I administer subcutaneous immunotherapy once a week to help manage my condition.
Answers (1)
4/2/2025, 11:50:39 AM
OpenHealth AI
It sounds like you're experiencing significant and uncomfortable symptoms with your bright green, watery diarrhea and abdominal pain. Given your underlying conditions of intestinal failure and common variable immunodeficiency (CVID), there are a few important factors to consider.
Main Points:
- Bright green diarrhea can result from several factors, including diet changes, certain medications, or underlying conditions affecting absorption.
- Persistent diarrhea with lower abdominal pain, especially considering your medical history, needs careful monitoring.
Explanation:
Bright green diarrhea can happen for various reasons. Often, it's related to food intake such as green leafy vegetables or artificial coloring, but in your case, it may also be linked to absorption issues due to villous atrophy or the nature of your TPN and diet. The presence of clear fluid suggests that your body might be failing to properly absorb nutrients or fluids, leading to rapid stool passage.
Given your condition of intestinal failure, changes in your stool color and consistency can indicate malabsorption or a potential infection, especially if accompanied by severe pain or dehydration.
Next Steps:
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Hydration: Focus on staying hydrated. Dehydration can occur quickly with diarrhea, so consider electrolyte solutions (like oral rehydration solutions) to replenish lost fluids and minerals.
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Monitor Symptoms: Keep a close watch on additional symptoms. If you experience fever, blood in your stool, or worsening abdominal pain, these are signs you should take seriously.
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Review Diet Choices: Reflect on any recent changes in your diet. Note any new foods, especially those high in green color or that might be difficult to digest.
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Adjust Medications if Needed: Given your use of prucalopride, discuss with your care team whether adjustments are necessary based on your current symptoms.
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Document Everything: Maintain a diary of your symptoms, food intake, and any changes. This information can be invaluable for any healthcare provider you might consult later.
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Regular Check-ins: Given your medical history, it's important to have regular check-ins with your healthcare provider to monitor for any changes or worsening symptoms, even if you don’t have immediate concerns.
If symptoms persist or worsen, it will be crucial to seek professional medical guidance to rule out any serious complications related to your conditions. Your health is important, and you deserve to feel better!
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