H-E-L-P! For almost 2 years now I have had liquid poop, intestinal gurgling & sulphur burps?!?

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Hi Everyone,

I am a 33 year old male & I have been suffering tremendously for almost 2 years now with a Chronic Gastrointestinal Condition, that has so far been undiagnosed. Below you can find my story. If ANYONE is experiencing the same thing as myself and has found a solution PLEASE POST BELOW. Any guidance is greatly appreciated at this point.

On the morning of October 4, 2016 my life changed as I knew it.

I woke up that morning with stomach cramps and severe rotten egg (sulphur) burps. Within minutes I was having explosive diarrhea. I cleaned myself out over the day, ate something during the night and the next morning it return again. The most off and bothersome symptom was the constant diarrhea accompanied by intense intestinal gurgling mostly felt on my upper left quadrant of my abdomen, the gurgling, the more intense it became the more liquid bowel movements I would have. So off to the ER I went.

There they did tests for C Diff, Bacterial Culture, Blood Tests as well as a CT Scan. Everything was negative. As a pre-caution they sent me home with 14 days of Flagyl. On day 4-5 I started to feel better. We now Fast Forward to 3 weeks off the antibiotics. The symptoms started to return just as aggressive as before. Back to the ER I went. The GI doctor I saw at the ER, scheduled me for a colonoscopy and endoscopy the following Monday morning. Tests were done, biopsy was negative and visually they saw absolutely nothing. I was told you could have IBS.

Over the course of the months following this I suffered tremendously and finally my family doctor sent in a referral to get myself followed my a permanent GI. (Here in Canada where I live, our Health Care if free but with limitations and crowded hospitals with lengthy wait times and appointment scheduling among many other things.)

This Gastro doctor wanted to get to the bottom of it. He told me at this point it could not be infectious due to length of period I had been dealing with it, so his first line was to prescribe me Imodium, Bentylol (Antispasmodics) as well as a Bile Acid Binder called Cholestyramine due to the fact that in 2011 (7 years ago) I had my Gallbladder removed. He also scheduled me for his own set of scoping tests including something called a Push Enteroscopy where they look further down into your small intestine.

I started the anti diarrhea medications. At first it was helping. 1 to 2 pills everytime I was really bad would stop the tap from running and let me go on with my day, as well as the Bentylol for the cramps. The Cholestyramine was being taken at 2 sacs a day but was unsure it it was working just yet due to the fact that it can take a month to see results. In the meantime he performed his series of scoping tests (Colonscopy & Enteroscopy) both were negative on biopsies and visually he saw nothing but clean intestines.

Over time the Imodium and Bentylol started to work less & less. It was at this point that I knew the Cholestyramine was no longer working so I stopped that. He prescribed me Lomotil as a substitution and opening taking it for the first time it reacted just as good as the Imodium did when I started it. While I was juggling with anti-diarrhea medications I was also experiencing with diets (FODMAP, SCD). If I stuck religiously to these diets the Rotten Egg Burps would not be present however I would still get the cramping, burning above my belly button abdominal pain as well as the loose stools and liquid diarrhea.

Fast forward to July 2017. My symptoms have now become so aggressive Imodium is no longer working (I could take up to 10 a day with lomotil and some Bentylol, and still have a liquid bowel movement) at this point my GI doctor thinks outside the box, he sends me for a stool test for my Calprotectin (Stool Inflammation) level and refers me to a doctor here in Montreal who specializes in SIBO (Small Intestinal Bacterial Overgrowth), he also suggest a MRE (Like a MRI but for the small bowel).

The stool test comes back in the massive upper range of 2100 (Normal is below 150). The MRE however is negative. A positive stool test this high signifies Chrons or UC or some form of Inflammatory Bowel Disease, however besides the elevated stool level all other tests so far show absolutely nothing. I see the doctor for a test for SIBO, a lactulose Breath Test. It came back elevated but not extremely high and due to the fact I had diarrhea when I was doing the Breath Test which can lower your results he was confident enough to diagnose me with Small Intestinal Bacterial Overgrowth and claimed I got these from taking two many antibiotics during the 2016 year for a reoccuring dental and prostate infections I kept having and then in July of 2016 I came down with the stomach flu which consisted mostly of diarrhea and little to no vomiting which he stated destroyed me intestinal flora composition. His treatment was 14 day antibiotic called Rifaxamin and a decent probiotic to replace my beneficial bacteria.

I took the Rifaxamin as prescribed (which by the way is ridiculously expensive) and followed with probiotics.

While on the medication I was perfect. I thought I was cured..little did I know..this was just the beginning.

As I came off the medication once again all symptoms started to return! So my gastro put me back on it for 10 days and this time had absolutely no result from it. I was lost at this point, no clue what to do to help me or my situation. I had quit school (when all this originally started) was down to working 10 hours a week at a part time job, have a 6 year old daughter and a wonderful fiancee that I could never take part in any daily plans with them due to the fear or me pooping my pants (which has happened many a times by this point).

In a last ditch effort my Gastroenterologist put me on Entocort, a cortosteroid made for the treatment in Crohn's Disease. At first I thought it might actually be working. But after 3 months at the highest dose I realized it was not actually working. He re-tested my Fecal Calprotectin level and this time it came back at a low marker of only 45 so he considered the first test a "false positive" reading. I thought the Entocort had lowered it and he told me not from 2100 to 45, maybe from 2100 to 1500 but not that big of a difference. So he waited and tested again and it came back at 22.

As I sit here and type this on the forum I am still currently suffering from daily explosive diarrhea, chronic intestinal gurgling on upper left side of abdomen (which gets significantly worse after food) and sulphuric burps. I am currently on the waiting list for a Capsule Endoscopy however the doctor is convinced it won't find anything due to all the other tests showing absolutely nothing. I have also recently completed a 5-HIAA Urine Collection to check for rare endocrine tumors in my pancreas or small bowel, however I am assuming at this stage if it was a tumor especially in my pancreas it would have most likely spread and I would be hospitalized on the regular.

Below is a list of all tests and medications I have done and taken to try and diagnosis and solve my problem:

Tests:

CT SCAN + CT ENTEROGRAPHY

COLONOSCOPY (X2)

ENDOSCOPY (x2)

ENTEROSCOPY

MR ENTEROGRAPHY

ULTRASOUND

X-RAY

STOOL TESTS FOR C DIFF, BACTERIA, PARASITES

FECAL CALPROTECTIN

LACTULOSE AND GLUCOSE BREATH TESTING

GASTROPARESIS NUCLEAR SCAN

BLOOD TESTS FOR EVERYTHING

IGG FOOD INTOLERANCE TESTING

5-HIAA URINE COLLECTION (AWAITING RESULTS)

CAPSULE ENDOSCOPY (PENDING APPLICATION)

Medications Currently Taking or Previously Taken:

Imodium, Lomotil, Bentylol, Cholestyramine, Entocort (Cortosteroid), Flaygl, Cipro, Rifaxamin, Caltrate Plus, Saccromyches Bouleardi, Align, HMF Multi-Strain Probotic, Peppermint Oil Capsules, Pepto-Bismol, Candibactin AR & BR (Naturopahtic Treatment for SIBO), CBD Oil & Medical Marijuana. As well as Elavil and Desipramine which are anti-depressants to help slow bowel motility. I am currently trying Atrantil which is another supplement used for Hydrogen or Methane SIBO and I have been taking it 7 days now with no returned results. If anything my liquid diarrhea has been sent into overdrive.

This can't just be IBS like every doctor is trying to put it off to be. I know people who have IBS and they do not go to the bathroom 10-15 times a day pure liquid and have sulphuric rotten egg burps which accompany before these diarrhea episodes.

ANY ADVICE OR COMMENTS WOULD BE GREATLY APPRECIATED.

I just want to be better sad

0 likes, 12 replies

12 Replies

  • Posted

    It could be bam bile acid malabsorption

    I have just started taking tablets and have already noticed the difference in 3 days

    • Posted

      Hi Susan,

      My GI tried me on medication for Bile Acid Malabsorption. It was a powder called Cholestyramine. Took it at the max dose of 3 packs a day for almost a month and no change unfortunately.

      - Matthew

  • Posted

    HI Matthew,

    Sorry to hear that you are having a rough time.

    Have they performed an MRCP or Endoscopy to rule out any issues with your pancreas? 

    I suffer from IBS and my pain is below the belly and comes in waves then diarrhoea.  

    Hope you find some answers too....keep advocating for yourself.

    Hope 

    • Posted

      Hi Karen,

      Ive had 2 normal endoscopys as well as a CT Scan with contrast and a MRI with contrast and they all show a normal Pancreas. My pain is usually felt about 2 inches above the belly button most of the time or on my lower right side.

      - Matthew -

    • Posted

      Was the endoscopy to look at the stomach or pancreas?   In Australia the Gastroscopy looks at the stomach (doesnt go to pancreas) and Endoscopy (different instrument) looks at pancreas.  

    • Posted

      As far as I know Karen it was to look at the stomach. My pancreatic Enzymes in my blood tests and scans were fine. So here in Canada with our Health Care being mostly covered by The Government if there is no red flag for the test they won't perform it although I will definitley mention it to my GI next time I see him! smile

      - Matthew

    • Posted

      I had the same sort of issues with auto immune disorder. Scans etc always normal. It is inflammatory in nature so doesn't always show up. My problem is inflammatiin in the lining of my stomach.

      I did have other health issues going on. Dreadful fatigue and finally joint pain and migraine. They followed after years of gut problems. Not sure if you have anything else going on. I was finally diagnosed after a rheumatologist thought I had inflammatory bowel disease but...via a long route and many doctors...I was finally diagnosed properly.

    • Posted

      May pay to ask as it suggests they havent sent a camera down to your pancreas.  I underatand this test is better than Mri and less evasive than ercp.  I was also told that your lipase and amalyse may not be elevated in blood work if it is chronic.  Just a thought.  Perhaps try some digestive enzymes (creon) to see if it makes a difference.

      Have you gone down the natural health path?  Chinese Medicine is good for gut health.

      Good luck

    • Posted

      Yes doctor put me on Creon for a few weeks (forgot to mention that in the medications I listed), was a Gel cap looking pill, clear & red with small tiny enzyme balls them. Took 2 with every meal did not change anything. Same symptoms with or without the Creon.

      - Matthew

    • Posted

      Hey Margaret,

      What was your final diagnosis and how did they end up finding it?

      - Matthew

  • Posted

    I cant give you any advice but wanted to wish you well and hope that a treatment plan that works for you will be found. Your story is heartbreaking. I have IBSD and recently have had a few accidents and I can relate to the horror of fearing an accident in public!!! IBS is such an isolating condition. I still cant understand why doctors have not figured it out yet!!!!

    Good luck!

  • Posted

    Hi Mathew

    Hope youre well. Did you ever get down to the bottom of this issue? Would be great to hear from you as i am struggling with similar issues myself

    Thanks

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