Digestive Issues

Dear Dr. Meletis,

About six weeks ago, I developed diarrhea. It lasted three weeks. I then started getting heartburn, indigestion and gas. The upper stomach problems have mostly subsided. I still have unusual bowel movements, twice in the morning with irregular size, color, odor and mucus. I have no idea what this is all about, and I missed a period, which I have never done. No chance of pregnancy and besides a chronic yeast infection I have had for 10 years I am otherwise a healthy 43-year-old woman. I have very low iron due to heavy periods, and I also take bioidentical progesterone cream, to keep my hormones balanced. It also helps with my uterine fibroids, which cause my heavy cycles. I need some advice on the bowel problems.

Thanks,

Ms. M.

Dear Ms. M.,

I will assume you are using Culturelle® or BioPro™ (both are probiotics), that are generally very good after either a bacterial or viral diarrheal episode. Of course, diarrhea can be associated with many causes, yet regardless of the cause, the diarrhea disturbs the friendly flora balance. The fact that you are still having mucus suggests that there is still inflammation ongoing. Thus, finding out the cause of the inflammation is important. You may consider getting a stool test for both parasites and a separate one for a bacterial culture.

There is a product called GI Cell Support that is very well liked by patients that are seeking to support colon and intestinal health. If your symptoms do not improve you may wish to get diagnostic imaging including an ultrasound of your abdomen (the gallbladder, liver and spleen).

Sincerely,

Chris D. Meletis, ND