Posts

Chronic Diarrhea: What You Should Know

Chronic diarrhea can be caused by a variety of things, including infections, GI disorders, food intolerance, and a reaction to medication. Let’s take a closer look at the condition.

Causes and Risk Factors

Diarrhea is chronic when it occurs three or more times per day for more than two weeks. It has several potential causes. Infection is one main cause. This infection can be parasitic, and from parasites like Giardia or Cyclospora. Infection can also be bacterial, from bacteria like Salmonella and E. coli. Some viral infections cause chronic diarrhea too, like some rhinoviruses and rotoviruses.

Outside of infections, there are several other potential causes. Pancreatic disorders like pancreatitis and cystic fibrosis can be a cause. GI diseases like Chrohn’s and IBS can cause diarrhea as well. Intolerance to foods can be at play too- lactose intolerance and fructose malabsorption are two examples. Additionally, some medications like laxatives and antibiotics can cause chronic diarrhea.

Symptoms of Chronic Diarrhea

As previously mentioned, diarrhea becomes chronic if it occurs three or more times per day for two or more weeks. Diarrhea is characterized by loose, watery stools that occur often more frequently than usual. Other symptoms include abdominal pain, abdominal cramps, bloating, nausea, blood or mucus in stool, and a fever. It also dehydrates you over time. If left untreated, this can be very dangerous. You should always see a doctor for chronic diarrhea.

Diagnosis

Chronic diarrhea itself is simple to diagnose, based on the definition outlined above. When you see a doctor for chronic diarrhea, they will work to diagnose the underlying cause. Depending on your symptoms, medical history, medications, the results of a physical exam, and other factors, they will select the appropriate testing measures. Stool samples can be tested to help identify if parasites, bacteria, or viruses are a cause. Your doctor may also want to do a blood test. If initial testing does not reveal a cause, your doctor may order an x-ray or endoscopy.

Chronic Diarrhea Treatment and Prevention

The cause of the condition dictates its treatment. With any case of diarrhea, fluid replacement is key. You should consume fluids and salts to replace those lost through diarrhea, unless otherwise ordered by your doctor. Some fruit juices and soup can be good options here. If liquids are upsetting your stomach, your doctor may recommend an IV to help rehydrate you.

Diarrhea caused by infection can often be treated with antibiotics or other medications. Your doctor will prescribe the proper medication for you depending on your case. If infection isn’t the cause, it will likely take more time to determine the underlying cause and therefore appropriate treatment. Conditions like IBS, Chrohn’s, fructose malabsorption, and Ulcerative Colitis all have their own treatment approaches. Your doctor will work with you to determine the best treatment options depending on the underlying cause.

Preventing chronic diarrhea involves mitigating risk factors for its various causes. To avoid infections that cause diarrhea, always drink safe, clean, properly-treated water. You should also use good food handling techniques, and practice good hand hygiene after using the bathroom and around food. If some foods trigger diarrhea for you, narrow down what they are and avoid them if possible.

Our experienced team at GHP has years of experience treating GI conditions like chronic diarrhea. We can help establish the best plan of care for your situation. Contact any of our office locations to learn about the options we offer and schedule an appointment today.

Dr. Sunana Sohi on Following Her Gut

Dr. Sunana Sohi was recently featured in an MD-Update Magazine article highlighting her passion for helping others.

Dr. Sohi has been practicing at Louisville Gastroenterology Associates since 2010 where she treats conditions ranging from IBS and heartburn, to incontinence, hemorrhoids, liver issues and inflammatory bowel disease.

Although Dr. Sohi once studied to become a psychiatrist, she ultimately fell in love with internal medicine. “Gastroenterology is fascinating. It affects people on a quality of life level in a way you wouldn’t necessarily think of,” says Dr. Sohi. 

While Dr. Sohi treats patients of all ages (18 years old to 90 plus) she has noticed a bigger percentage of female patients. This is because, while diet and stress commonly affect the gastroinestinal tracts, hormones in the female body can as well. For example, studies show primarily women are affected with IBS and it is normal for a change in the bowel during premenstrual and menstrual periods. “There’s also a whole slew of GI issues that can come up during pregnancy.” says Dr. Sohi.

Solutions for Everyone

Of all the complaints Dr. Sohi hears, bloating is a reoccurring one. However, according to Dr. Sohi, bloating can be attributed to any number of causes. Often she must explore further to find the root cause and appropriate treatment.

Through diagnostic testing and evaluation, Dr. Sunana Sohi works to find a multitude of solutions for a multitude of patients. Whether the solution lies in adjustments to one’s diet or lifestyle, a probiotic or laxative, or via yoga and meditation, Sohi is a firm believer that there is a solution for everyone. “I try to work with the individual where they are at and what they want to get themselves feeling better.”

If you are experiencing a life impacting GI condition, contact Dr. Sohi or one of the many other Gastroenterology Health Partners today.

Read the full article here:

 

Dr. Emori Carrara On Solving Gastroenterology Enigmas

Dr. Emori Carrara was recently featured in an MD-Update Magazine article where she is credited with treating her patients with both compassion and insight.

Dr. Carrara has been practicing gastroenterology and hepatology at Gastroenterology of Southern Indiana since 2010. As the Kentuckiana area is “one of the nation’s hot spots for obesity related epidemics such as colon cancer and non alcoholic liver disease,” Carrara treats a wide variety of patients and offers endoscopic diagnostic and therapeutic procedures.

Common patient complaints include:

  • Acid Reflux
  • Irritable Bowel Syndrome
  • Constipation and Diarrhea
  • Celiac Disease
  • Crohn’s/Ulcerative Colitis
  • Hepatitis C
  • Alcoholic Liver Disease
  • Fatty Liver Disease
  • Pancreatic Disease

Dr. Emori Carrara Specializes in Treating Susceptible Female Patients

As most women prefer a female doctor when it comes to these rather sensitive topics, Carrara’s patient base is mostly female. According to MD-Update, “Functional gastrointestinal diseases or conditions in which doctors can’t pinpoint a root cause, even after a thorough evaluation, are more common among women.” For example, a woman’s hormone levels have been known to complicate GI symptoms, and can even cause bowel movement issues. Carrara specifically treats the needs of pregnant women and has seen problems like gallstones and liver issues arise during pregnancy.

GI & The Psyche

When it comes to GI disorders, Carrara believes in taking note of one’s behavioral patterns and considering lifestyle changes before treatment. “Anxiety can contribute to nearly every gastrointestinal symptom and heighten each one,” says Carrara. IBS for example often stems from anxiety or depression. This is why Carrara recommends “stress reduction through exercise or engaging in hobbies as well as a healthy, balanced diet” in addition to medication.

Colon Cancer

In addition to participating in clinical trials and supporting the latest in preventive care, Carrara sees preventing colon cancer as one of the most important things she does as a gastroenterologist. “Colon cancer can be prevented with a colonsocopy as we are able to remove polyps before they can develop into colon cancer,” says Carrara.

To talk to your doctor about screening, contact us today.

Read the full article here:

Irritable Bowel Syndrome – Signs and Symptoms

Irritable Bowel Syndrome (IBS) is a gut disorder affecting the large intestine. Though the exact cause is not known, this chronic condition is thought to be the result of hormonal or bacterial changes in the gut, as well as the disruption in communication between one’s gut and brain; as together they are tasked with controlling digestion.

While the syndrome afflicts mostly those under the age of 50, women are twice as likely than men to suffer from IBS. The following are the most common signs and symptoms of IBS, most of which can be relieved with the passing of a bowel movement.

Signs & Symptoms

  • Cramping & Abdominal Pain
  • Bloating & Gas
  • Diarrhea and or Constipation

Pain is usually felt as the muscles in the lower abdomen contract and excessive gas from bacteria can leave the stomach feeling full and protruding.

The three main types of IBS are:

  • Diarrhea-Predominant (D-IBS)
  • Constipation-Predominate (C-IBS)
  • Alternating Constipation and Diarrhea (A-IBS)

Both diarrhea and constipation are key symptoms of IBS. This is because the condition causes the muscles to contract in an abnormal way. As a result, they either speed up or slow down one’s bowel movements. Blood or mucus in the stool is another sign for concern as well.

While there is no cure for IBS, one’s diet, lifestyle and stress levels can play an important role in managing the symptoms.

Diet

Removing specific carbohydrates form one’s diet may help prevent flare ups. Food allergies, a lactose intolerance and celiac disease for example tend to cause inflammation and irritation in the gut.

Lifestyle

Exercise and proper sleep have been effective in stimulating normal contractions in the intestines. Additionally, proper hydration, high fiber foods and natural or probiotic supplements can help regulate bowel movements.

Stress

As the nervous system controls the gut, IBS is also thought to be linked to one’s mental health. Effectively treating anxiety, depression and stress therefore could help reduce psychological events that may be triggering IBS.

As one’s sensitivity varies from person to person, a gastroenterologist can help best identify IBS triggers. A gastroenterologist can also and discuss options for managing symptoms with or without medication. More serious signs of IBS including weight loss, pain that isn’t relieved by gas or a bowel movement, fever, vomiting, and iron deficiency. These symptoms might be indicative of colon cancer. Those with a family history of IBS and or mental health issues are at more of a risk for suffering from the condition. In order to get an accurate diagnosis and treatment regiment, it is recommended that you see a specialist in digestive diseases

If you are experiencing some of the signs and symptoms of IBS contact Gastroenterology Health Partners today. Our clinical team of 21 fellowship-trained Gastroenterologists and 13 advanced practice clinicians have been providing care to patients suffering from disorders of the digestive system since 2013. Each of our five locations in the Louisville, Lexington and Southern Indiana area offer expert specialization in gastrointestinal care. Just visit our website to schedule an appointment at the location most convenient to you.