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Travellers Diarrhoea Stomach bug - small stools, gas, bloating

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Hi,

about 4 weeks ago I felt 100% in the morning then suddenly felt very hot, like i was overheating just like a wave had come over me - a hot flush type feeling. I was sweating and urgently felt the need to have a BM. I had really really watery diarrhea, stomach cramps, felt like I wanted to vomit too. After this I had 1 more episode about 30 mins later. For the rest of the day I had no appetite, felt very lethargic, tired, generally unwell.

For the next week I had small stools that were very hard to eliminate, some diarrhoea in between this, maybe once every other day. I was also occasionally vomiting, felt nauseous and would feel like i was overheating doing simple tasks. I felt light headed once too. I went to the Drs and she said I had a bladder infection and gave me a course of antibiotics. This helped a bit but didnt relieve all symptoms - still felt sick though no vomit, still had some diarrhoea and mainly just small, difficult to eliminate stools and never feeling like my bowel was empty. Still felt bloated and like trapped gas or just general flatulence.

I returned to the Dr and they said I did not have a bladder infection as the sample sent off grew nothing. She said that I probably had travellers diarrhoea or a stomach bug - without the travel. I have been working recently in an animal shelter so it is most likely the cause.

I have been taking the new antibiotics for 3 days /6 and i feel lots better. no diarrhoea but still small, pebble like stools. my stomach still sometimes feel gaseous and I have felt nauseous once. The Dr said most people feel fine by day 3, if not keep taking til day 6. So this is what im doing. Im also avoiding dairy and high fibre. I thought the nausea could be a side effect of the drugs?

Just wanted to know whether these abnormal stools (For me) will clear up or whether they should be gone by now? Ive had them for 4 weeks now. After messing around with wrong diagnosis' Im very keen to be taking the right medication and be on the road to recovery as Im travelling overseas in 2 weeks and really dont want to still be ill.

Thanks for your help in advance.
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replied January 22nd, 2012
Hello and welcome to e health forum.

It is likely that you have had a episode of food poisoning, related diarrheal episode. Such a condition can cause inflammation and injury of the intestines, resulting in secondary lactase deficiency.

This results in Lactose intolerance, with the inability to digest and metabolize lactose, a sugar found in milk. It is caused by a lack of lactase, (the enzyme required to break down lactose) in the duodenum, and results in symptoms including abdominal pain, bloating, flatulence, diarrhea, nausea and acid reflux.

A few tests including a stool test, Intestinal biopsy may be needed to confirm the diagnosis.

Usually with time, the condition as well as your symptoms will subside and you will feel better. The best way to reduce the symptoms include avoidance of dietary lactose , proper alternative nutrition (lactose free products) and use of enzyme substitutes like lactacid.

The excess gas and discomfort can be helped by medications like Gas X and activated charcoal tablets. ‎In addition use of probiotic supplements and food enzymes like beano, might help to improve ‎your digestion and reduce your symptoms.‎

You might consult with your treating doctors for continued treatment and advice.


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