Diarrhea after walking dog [blush]

What tests exactly did the Dr do. If you haven't had one already ask for referral for a CT or MRI scan. I have another issue but a CT scan also shows that I have divercuticular disease. I occasionally get the same symptoms as you. If you have only had blood and fecal tests, please go back again and again until they do further tests, something is causing this and they may have something that will help.

I suffered from the same thing and eventually discovered (after about 2 years) and lots of hospital/doctors visits that it was coffee that's was causing numerous bouts of diarrhoea..

Have you thought of having a colonoscopy ?

When this has happened to me it's been related to very high anxiety/trauma and a sign that I need help

I have had IBS since my teens and more recently following a colonoscopy was diagnosed with diverticular disease in my late 60’s. I manage my symptoms by taking either buscopan or Imodium.
I did in the past work on a colorectal surgical ward, where patients were advised to eat either marshmallow or a few jelly babies as this can help bind loose stools. I also take a daily actimel drink in order to maximise my guts healthy bacteria.
It’s all trial and error, good luck and try to stay positive.

pen50

SueBooWoo

Good Morning all every morning when I get up feel fine (other than the usual aches and pains) I have a cup of tea, take dog for a 45 min walk.

When I get home within 10/15 mins I get severe stomach ache and then end up having several 10/12 bouts of severe urgent Diarrhea.

I'm thinking it could be IBS but Buscopan doesn't seem to help.

I've recently had lots of tests at doctors and everything comes back clear (so nothing sinister).

I also changed from cows to soy milk a few months back in case it was that

Any thoughts / advice please

Sounds to me like you may have developed Bile Acid Diarrhoea (also known as Bile Acid Malabsorption or Bile Salt Diarrhoea - BAM/BAD/BSD). Excess bile salts get into your colon and cause irritation and hence vast amounts of uncontrollable diarrhoea. I have it, and if you do too, my condolences, it is a miserable condition.

Unfortunately, your GP almost certainly will not have heard of it (not a single doctor or nurse at my surgery had). They can do a test for it by prescribing one of the drugs used to control it, Colestyramine (a powder to mix with liquid, cheaper, less effective, and many people find it makes them gag) or Colesevelam (large pills, more expensive, more effective, but off-label as NICE hasn't actually approved it yet). These drugs bind with the excess salts before they get into the colon, reducing the inflammation. They work best in conjunction with a very low-fat, low-insoluble-fibre diet. They're pretty safe and shouldn't do much damage to the rest of you. If your diarrhoea dries up after taking them, you very probably have BAM/BAD/BSD.

Despite what will be written on your prescription, most people find that taking the drugs last thing at night on an empty stomach gives the best results.

Having checked what happens with the binders, you should be referred to your local gastrointestinal department, preferably to have a SeHCAT scan. Good luck with that. I personally have been waiting months for an appointment . You will have to come off any drugs for a fortnight; one week before taking the isotope, one week after before the actual scan.

This is not IBS though it is usually misdiagnosed as such. So things like a low FODMAPS diet won't help, nor will Buscopan (but some sufferers find that giving up gluten and/or dairy does help). Loperamide (Imodium) will appear to help but often causes knock on problems; best to rely on the binders and save the Loperamide for days when they won't work or where you really can't afford to be glued to a loo.

There is a Facebook group which is, as far as I can see, the only real source of information for sufferers.

The condition is thought to affect one person in one hundred, mostly women (of course). It is grossly underdiagnosed. It can be caused by damage to the colon (type 1), gall bladder removal (type 3), or, as in my case, no apparent cause (type 2).

If it is type 2, it comes with the added joy of metabolic slowdown and hence, weight gain. Many doctors refuse to believe that someone who is piling on the pounds can also be producing litres and litres of diarrhoea. They're wrong.

Absolutely agree with Pen50. I too have it (had it for years, gall bladder out in 1998 and two bouts of campylobacter food poisoning about six years ago brought it on)
The Cholystyramine sachets have totally changed my life.
Hope you get sorted out!

Greciangirl

I suffer from what I think is IBS.
Constant toilet trips.
But I do not suffer with diarrhoea very much at all.
I also take Imodium if going out, but only if my bowels are in overdrive.
I try not to take Imodium as it stops me having bowel movements for several days which can be uncomfortable.

Do others who take Imodium on a daily basis have problems.?

You really ought to be checked out for other issues. IBS is intermittent. If you wish you'd bought shares in Imodium, chances are quite high that you've actually got BAM/BAD/BSD.

I find going for a walk impossible now as it causes me to need the loo urgently. I had two early morning flights recently and dreaded it happening on the plane. Of course I had to go and felt awful when I knew there were people queuing for the loo and I was in there ages. Old age is full of difficulties.

Did the tests you doctor had done, include checking whether your thyroid is working correctly?

Loose movements (plural) in the morning were one of my symptoms of an over-active thyroid. Since starting medication for that, the "busy bowel" has cleared up, unless I eat onions for dinner the previous evening.

So perhaps you should consider your dinner menus?

Rapeseed oil upsets my digestion - and half of the foodstuffs you buy such as sauces, mayonnaise etc. are made with it.

Ktsmum

I too take Immodium every morning if I am.going out, I have the same problem, sudden onset loose stools, awful if not near a toilet, Immodium does the trick and gives me confidence to go out on my daily walk without problems

Please get yourself checked for BAM/BAD/BSD. You're taking so much Imodium that it's quite likely not to be IBS. I had your sort of symptoms for over thirty years, it took faecal impaction (worse than childbirth) over Christmas, and paying for a private consultation, before I found out what was actually going on. The NHS is absolutely dire at diagnosing this.

Knittypamela

I find going for a walk impossible now as it causes me to need the loo urgently. I had two early morning flights recently and dreaded it happening on the plane. Of course I had to go and felt awful when I knew there were people queuing for the loo and I was in there ages. Old age is full of difficulties.

Knittypamela, do ask your GP about BAM/BAD/BSD. Your symptoms sound too severe for IBS.

Are you in Facebook? There are groups on there to support those with IBS. Def worth a look.

have you tried goats milk my friend has severe ibs she has goats milk it really helps her tummy

I have IBS diagnosed 8 years ago after a colonoscopy which showed everything completely normal. With me its affected by what I eat and drink. Water from another area affects me as our water here is soft. When I stay with daughter its a v hard water area. Also if I change to bottle water I get diarrhea for a few days after. If I have a dental or hospital appointment I get it too, so also stress related. Sugar free squash causes it too and also artificial sweeteners. Also cetrazine that i take for hayfever - its on their side effect list My NHS screening for bowel cancer has always been clear so I'm not too worried.
Worth keeping a food and drink list for a couple of weeks to see if there's a pattern with causing diarrhea. Check for up to 48hrs before an episode of diarrhea, then slowly eliminate one item at a time. Also check side effects of any medication you take.
Best wishes HTH

I’m two weeks into a low-FODMAP elimination diet after increasingly distressing experiences like yours, I researched IBS and had eaten lots of known trigger foods in the couple of days before my last, and worst attack yet. It’s massively better, though not being able to eat so many of my usual favourites is challenging. It will be worth it.

So sorry to hear your difficulties. I can relate. I find just going for a local walk can set me off, because on numerous times I have had to rush home. Now I hate going on that same route.. It doesn't happen on other walks maybe because I know toilets are close by.... I try to keep dairy and wheat free, also follow FODMAP diet. I take anti anxiety meds, have done for years. You are not alone.

Don't be embarrassed about having diarrhoea .
I've had to dash to the loo a few times when out with friends .
If you have IBS you might need Mebeverine .
Buscopan isn't that strong .
I take it to stop the spasms and codeine to stop the diarrhoea .
Sometimes - I have it and sometimes - I don't .
I had an attack yesterday and couldn't go shopping.
A slice of coffee cake might have caused it .
I ate it without knowing that it was flavoured with coffee until I'd taken a great bite of it .
I'll have an attack at Christmas if I enjoy too much wine or Xmas pudding .
Just drink warm water in the mornings and have tea ( maybe peppermint ) when you get home from your dog walk .

Keep a food diary and pursue appointments with your GP .
Get well soon .

If this has started recently, it could be that whatever you're consuming first thing is causing it. Try just having a drink of plain water instead and see if that helps.
The water varies in different parts of the country and I developed a problem after moving to a new town. I stick to tonic water or filtered water, never straight from the tap.

The large intestine does it processing all through the night and is ready to evacuate between 5 and 7 am. It needs liquid and a good healthy microbiome, something to research if you are interested. The microbiome contains hundreds of different types of bacteria and they need feeding to function

I have such a microbiome and now only have goats milk also making kefir from goats milk. Exercise stimulates and too much liquid in the bladder also stimulates. Gassy liquid and bottled mineral waters eg evian stimulate.

I am now in my happy place. Better to tackle the underlying cause rather than sticking- plaster chemical methodology

Is it your medication (if you take any)?

Some drugs can do this - statins for example.