I am a gastroenterologist. Ask me whatever you want

I had stomach pains and gurgling, a bit of nausea, and diarrhoea (didn't burn).
My grandmother says it's from the laxative effect of the plums I ate, I think it was about 8 - is she right?

Is IBS just a bunch of fatties eating too much

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Whats the worst way you know to fuck up the body orgalorg

I'm 20 and suffer from acid reflux and hiatal hernia. I had gastritis too not sure what is going on with that

I stopped taking PPIs because I hate them, was taking them on and off for a year now. My diet is pretty good, I'm thin, but I do drink quite a lot.

How possible is it for my condition to get much worse, like GERD?

1. Is intermittent fasting just a meme or is it actually good for your digestive system and hormones?
2. Can L Glutamine actually be used to treat gastritis or is it just a con by the fitness industry?
3. Can you prove that you are legit and not just some teenage user larping from his mother's basement?

I really like waffle house gravy. Could I just drink a whole tub of it? what would happen to me?

Why is it so hard to get a doctor to perscribe ursidiol?

You probably are suffering from fat malabsorption, take took much protein, and have almost no soluble or insoluble fiber. Your diet is retarded.
You ask for the fastest solution. The best solution is to not overeating like a fat faggot, practice aerobic exercise, and stay hydrated.
we would take biopsy of your duodenum. I don't understand what you are asking. We test for certain antibodies.
IBS is sort of like sudden infant death syndrome. We use the term because we don't know exactly what is wrong but can probably exclude IBD. That's all. IBS is extremely complicated and has so many constituents possibly making up the presented symptoms. It is more than likely another autuke issue that is triggered by gastroenteritis
drink ethylene glycol...for diseases I am familiar with, primary billiary cirhossis and Crohn's disease are probably the worst.

May I ask why you hate proton pump inhibitors? I assume protonix.

she is. You ate 8 plums you fucking goofball. Sugar alcohols are in certain fruit. It is recommended very much that people with IBD stay away from them because will give them even more diarrhea than they already are suffering from.

Any supplements or something that I could take after years of alcohol abuse?

You have a haitel hernia, acid reflux, AND drink, and I can't get you to take a fucking ppi? Just kill yourself, oh wait you already are. ppi is only bad for people when they don't need it. You clearly do.
Billiary salts......

Is it true fasting will help get rid of my hemerroids desuka?

is there any supplement i can take that stops me from farting every 10 seconds

If you don't have PBC, I am not prescribing ursidiol. You should be happy that you don't have PBC and wont die a very miserable death after the ursidiol inevitably stops working and you've for a liver transplant but we know it won't work etc.. this is how many severe GI diseases play out. Only treatable with a biologic or chemotherapy until they either stop working and we have to move to surgery, or the medication kills you.
not at all, that doesn't make sense. Eat more fiber, go for walks, and drink a lot of water. Your hemmeroid isnt going away because you don't poop for a week or whatever the logic supposed to be

I once had green poo for 2 days, never before never again.
How considered should I have been?

It was more to do with autophogy than not shitting. Autophogy occurs when you're fasting making the healing process quicker as your body starts to recycle damaged and cancerous cells. Typical medical jew!!!!

besynchro.com/blogs/blog/the-profound-benefits-of-fasting-and-autophagy

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What made you ultimately choose this medical path? did it make economic sense, or do you just love the digestive system?
any funny stories or experiences to share?

Having an stinging/gnawing pain in my upper left stomach. Taking ppi against heartburns. Will I die?

bile from your liver is green. It isn't a concern. You just had some malabsorption for whatever reason.
not eating at all is the best thing for your digestive system, but life isn't perfect. People who suffer from IBD sometim3s need to move on to a liquid diet because it is less stressful for your digestive system. If GIs we're in charge, we would have all of you on all liquid diets and ban solid food.
Unless you have a severe malabsorption in the small intestine, supplements are overall a complete scam. We give supplements to people with ulcerated and scarred intestines who simply cannot eat enough to meet their daily requirements any longer due 5o how ineffective their small intestine is.... commonly b12 injections and ferrous sulfate for crohns patients as they suffer from anemia frequently and their illeum is just ruined thanks to that terrible disease.

And no.

I take lansoprazole. I started with pantoprazole but it gave me bad side effects.

I'm told it can cause osteoporosis and everyone tells me I need to give up drinking pills if I can, since I'm so young to be dependent on them and I can fix my problem with a healthy lifestyle

I dunno man, even when I do stop drinking for a few months and try to eat healthy I still feel sick (chest pains, can't swallow well etc). I know I need to stop drinking completely but it's my vice

I guess I need to start taking pills again :(

90% of my stools are either slim or flat, for about a year and a half now.
Obviously I'm concerned there's a tumor in my colon.
However, there is never any blood and never any pain.
But when I stick a finger up there I can feel a pretty big lump just above the opening of the anus that covers the entire back wall of the rectum and kind of dips at the side.

How fucked am I?

Btw I have had pretty bad external hemerrhoids for ages.

I developed Crohn's when I was in my early 20s, so I have an inherent desire to treat IBD, and I always gave a shit about nutrition when I was very young but thought being a nutritionist would be very boring.
Gastroenterology really isn't funny. You put your finger up peoples butts but many times is because they may be dying and you were trying to identify a perianal abcess, caused by a fistula, caused by Crohn's disease and now they can't shit without being in extreme pain and bleeding a lot.

also i made 480k last year so that is probably the primary reason for many GIs

Okay.... I don't want to freak you out much but you are permanently damaging your body by not taking something like protonix. Scarring from damage to the mucosal linings and we cant FIX that. This is why you need to take a ppi. If you let your body become damaged over and over and give no chance to heal any percentage of it at all, it will simply scar over to the point that severe intervention will need to take place and we can't just give you a pill to take anymore that option will be GONE. Many problems or the GI system are simply untreatable and we can only stall the progression.

Not op here
Just get your rectum checked. It doesn't even hurt

why would you die

Fuck, so I'm fated to drink these all my life?

My uncle has the same problem but worse, he needed operations and shit. Regardless he continues his alcoholic lifestyle and popping these pills

Why do my undies get really damp when holding in a shit? Is it from the heat/sweat generated in my assbush or is there some clear discharge happening?

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>Crohn's is probably the worst

Ayyyylmao Crohn's user here born to suffer

Is it cool for me to do anal with Crohn's of the ileum? Weird question to have to ask my irl gastro

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How do I make sure the output on my op-amp doesnt go into oscillation

You drink heavily and you are concerned about side effects from a PPI? Wow.
Obviously you should stop drinking. It is very very bad. Using a PPI will probably prevent you from going to where he has gone. You are exactly who a ppi is supposed to be prescribed for... Probably one 40mg pantoprazole each morning is typical. I hope you aren't using the granules.
Your boyfriend must have a gigantic yet soft dick if he is reaching your illeum. I wouldn't recommend putting anything up your ass if you have Crohn's. It can and will more than likely move into to your colon, especially if you aggravate your digestive system via putting dicks up your ass.

What medications do you take?

Wait the Crohn's will move into my colon?

Right now I'm on humira twice a month and I'm feeling 10x better, like a new person. Been on for a bit over a year and a half now and went from basically home bound and bedridden to a functional adult holding down multiple jobs living life as best I can. I had an MRI recently to check on affairs within and I'm told that while I feel better, I'm not getting better, and we're gonna be running more tests to figure out if it's polyps and stuff or if it's scarring and I'm shit out of luck. If it's polyps, we're gonna up it to weekly humira.

Thank god for The Canadian govt footing my 1600 bill each month.

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I feel my anus is always swollen, never blood. I also have small lump inside my butt cheeks. It all happened after I got a pilodinal sinus removed. Been going to the doctor and nothing is found.
I've taken antibiotics, they've poked my anus more times I can imagine, nothing.

I don't think it's hemorrhoid's. I have a high fiber diet, my poop is soft.

I don't know mang. I just want my ass to stop being sore.

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How do i get rid of IBS? Also why does it take me so many wipes to get clean (i eat alot fiber btw)

whats the safest lube for anal

Ivr been having nausea/"morning sickness" for years where I'll wake up, dry heave for a while, and possibly vomit (usually bie considering the color, as I doubt it's chyme).

Is it just "anxiety" as my GP has put it or possibly something else? I had an endoscopy a fee years back and all they found was gastritis.

1.5 years in Humira... Hopefully it lasts for years for you. Some GIs will recommend a thiopurine such as imuran or maybe methotrexate to prevent antibodies from ruining the effectiveness of these biologics but I don't agree at. They are basically poison. By feeling better, I presume you mean not shitting blood and no joint aches or fevers or inability to eat or cramps etc... You definitely have scarring. These ulcerations do not heal completely. Polyps are not a concern as you should be going for yearly colonoscopy and getting those cut out. Only dysplasia would be a very serious concern(giving you a permanent ileostomy) as it would be too dangerous to allow you to keep your colon.

Humira isnt going to prevent polyps. It will reduce Inflammatory response in your intestines, allowing them to partially healing and scar over. The Humira will eventually stop working and you 3ill be moved on to stelara or entyvio, possibly remicade but I doubt this. Remicade is better than Humira for sure but it more than likely won't work after Humira stops working as they are similar.

and yes it is very possible that the Crohn's 3ill move into the colon.

eat less fiber, drink less water.

Define inside of your butt cheeks

Little lumps that even if I squeeze doesn't secrete pus.

We thought it could have been folliculitus but the antibiotics didn't work.

The inner walls of my butt cheeks, where the ass thought each other my man.

Why do i need to use an entire toilet paper roll for my ass to get clean? Not even wet wipes help

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Let's say I'm constipated. How many days of stool buildup would it take for my colon to actually rupture and kill me?

Will rubbing my stomach actually help me digest foods easier, quicker and help with metabolism?
Just asking for a friend

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My shit always starts out hard, but the tail end of it is mushy, leading to a messy shit every single time, and this has been happening since I was like 12. Even on bulk forming laxatives it does nothing, please help me.

My stummy hurt, pls help

I had laparoscopic appendectomy around 8 months ago. I waited around 1-2 months before going back to the gym. Sometimes after heavy DL's i get a paint around my naval scar. Is it a hernia.

How do you define heavy drinking? Is it more the amount or the duration?

My diet ranges from 150-300 calories a day to sometimes 500-700 if I need protein to sustain energy throughout tough workouts. I never feel truly hungry even after going without eating for two weeks and living off water, although my body becomes weak and I once crawled to the kitchen as a child after sleeping for 2 days and for some reason my body REALLY needed pickles specifically so I wouldn't pass out and I ate half the jar. I drink water or tea throughout being awake nearly 24/7. If I eat anymore then 800 calories, I start gaining weight and I feel constantly sick, bloated, no energy and depressed. No history of diabetes or anything in my family. Am I fine just staying with what I'm doing? Something tells me my body is really fucked up, I never really went through puberty and I have really bad gyno.

Pretty much got the same problem 2 weeks ago. It always gets out of the anus and itches until I place it back where it belongs and I fucking hate doing so. Also the shits got slimmer and fewer but more frequent.

Never had any disease at my butt though.

Why not be a Chad EMT?

I've had constipation for years now. Only related thing were hemorrhoids I had since I was 18. I've been neglecting it badly up to the point where I've had severe bleeding from them and they got inflamed and I had high fever and shivers. I've been taking magnesium supplements to combat it and tried to watch my diet. But sometimes even eating a lot of fibre isn't helping.

Is there anything I can do? Kind of not in the mood to go to a doctor and explain to them that I was neglecting my health for so long, especially as I'm supposed to know better as a nurse.

How do I prevent hemorrhoids?

Any advice on specialties? Why did you choose GI specifically?

how competitive is the medical industry? at least for you field?

Not OP, but I can respond.
There are several competitive 'chokepoints' in the process of becoming a physician. The first is getting into medical school, which only 50% of applicants accomplish, then once you complete medical school, you have the match to determine your residency (residency is where you train into your specialty). Specialties vary greatly in competition, the most competitive being things like dermatology (high pay, low hours, EZ life) to the least competitive such as family medicine (general care) or pediatrics (nobody likes the parents)

What do you thhink is the minimum IQ required to be a doctor with an advanced specialty?

Should I pay money to see you when a GP doctor did blood work and said it's just ibs? My guts will not stop gurgling and I haven't had a proper shit in 2 months. Thin and feels like something's stuck

>reading this thread and seeing how nobody has proper gut health.

Makes me feel a little better. Why does gut medicine and understanding seem so incomplete and incompetent?

IQ is a bit of a meme in doctoring. Truth is a lot of it is brutal rote memorization, then calling upon that memorization to aid in problem solving. If IQ measures problem solving then that certainly can help in some fields though, such as surgery if you have to adapt to what you find when you open up the patient (anatomy can vary). In the end, just working your ass off is the name of the game. Study till you drop for the USMLE, and you can get a high score and have good residency options

Example:
>Patient presents with issue
>Remember everything that could cause this, begin process of elimination
>Remember what questions to ask to rule things out, what population demographic is most likely to be afflicted, what tests to run, etc etc etc
>Remember what everything is when labs come back, and what they mean for the patient, as well as any complications
>Remember what the treatments are, what outcomes look like
That only covers part of it, there's just a lot you have to remember about everything, and be able to apply it. Basically hardcore biology

can I get rid of IBS if I don't consume as much sugar or none at all? From what I can remember, I never had IBS as a child. I ate a bunch of sugar when I was young, became fat, went skinnyfat in my teens (IBS kicked in) and still am.

I'm using a peroxide mouthwash, about 4% I think. Might be lower.

Says to swish for a minute, spit out and not to eat or drink for 30 mins.

I understand peroxide is part of pirrhana, I don't want to ellaborate because I'd rather not have dumb kids trying to make it.

Anyways, will it burn my guts up or is the warning just to keep the peroxide on my teeth?

Sorry in advanced that it's not directly related, just the passing curiosity of a failed pre-med who knows a little ochem.

Is Kombucha healthful to my stomach?

Is rectal douching harmful to health?

What is the optimal pooping schedule? daily? what time of day? How would one achieve the optimal?

At some point I became unable to eat Doritos anymore. Every time I eat them I get a stabbing pain in my stomach and diarrhea. I thought it was something like crohn's disease but I can eat other corn chips and different potato chips just fine.

Why do Doritos fuck my stomach up so bad?

I eat chicken nuggies almost every day. Am I going to die?

My butthole doesn't work right. Sometimes, even if I shower and scrub it thoroughly with soap and water, later in the day I'll wipe and it'll be poopy. It's kind of debilitating because when it happens I can tell people around me notice the smell and it really bothers them, and if there was something I could do to fix it that would be pretty life changing.

Pain in left side of the abdomen when running or swimming for a while. Whats that? Weight about 150 lbs if that helps

i hadn't pooped in a week, I'm in the bathroom atm my poop is stuck what do help

i slept on floor for 2 month and it fixed wierd sounds in my gut and pain in my stomach when i lie on the left side, do you know why/how this works?

Getting a shit transplant can change people's body composition and even personality . What are your thoughts on this? Are we all basically NPCs who's behavior is controlled by our gut flora?

How do I get rid of reoccurring pinworms? I have had them once a month for about a decade now. Somehow I am fat, despite long term pinworms and eating an average amount.

I believe I have some sort of blockage in my colon and I'm scared it may be colon cancer. I'm 23yo, but minutes before I have a bowel movement, I can feel the fecal matter having to push pass something in my colon and it stings and hurts. On top of that, I have an anal fissure which hurts and causes bleeding with bowel movements.my stool seems to be getting thinner and less volume. Stomach pain and easy bloating etc. Seeing a GI specialist in 2 days. What do?

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Fuck you and your drugs doctor

I have ulsrative colitis and have been bleeding for a year or so now they gave me butt fluids to inject in my butt but i want pills what do i do i skipped my colonoscopy because i was scared that i have cancer

>What do?
>Seeing a GI specialist in 2 days.
Do that. When he says it's nothing make a thread so everyone else's bowels calm down.

i once didnt shit for 9 days. u jelly?

no way, u a savage bro

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I once didnt shit for 2 weeks and it was horrible.
I couldn't eat anything because I always felt full (my stomach was full of shit) and I was lossing kilograms daily even though I was a 55 kg skeleton at the time.
It was so stressful because I simply couldn't shit
FUCK CONSTIPATION, the only good Constipation is Emotional Constipation.

Does pee come from the balls?

Are you still here answering?

Can you describe your diet?

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I'm about 4 months pregnant, and for the last couple days every one of my poops has has blood on it. Is this normal?

Would you take one in the throat from the dook master?

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What do you know about pancreatitis?

Wow i went to sleep after
and came back just now. I thought the thread would be gone.

I will answer more questions now

Please answer my question here in an original fashion

How badly will casual bulimia
(binge/purge once a week) affect me?

My computer power cycles. Do you know what's wrong?

I feel like I want to say same

What's it like being the most Chad subspecialty in IM

all my life until i stopped eating gluten i would occasionally have bowel movements that were very narrow and exited in 5-6 movements or contractions over like 10-20 minutes. these poops were accompanied by an intense aching pain and sometimes red blood spots when wiping afterwards.
since then I have reduced my gluten intake ~99% but i still eat onions sauce and every now and then a bite of someone's cake or something. if I eat enough gluten I feel like I can feel my poops narrow, and very rarely I will have a "flare up" sometimes after eating very spicy food. I tested negative for celiac disease.

What do you think I have? Is my colon scarred and fucked up? Should I eliminate even onions sauce even though I don't notice any ill effects from it? No doctor has diagnosed me with anything.