Brief Answer:
Gastroenteritis most likely.

Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
I am a Gastroenterologist and would be answering your query.
Have gone through your details and i appreciate your concerns.

Most likely you are having Gastroenteritis also termed as Stomach flu.
Presence of fever was a indicator of ongoing infection.Fever in body is suggestive of infection.In gastroenteritis mucosal lining of intestine is inflammed.It can be caused either by bacteria,Protozoa or Virus infection.Most commonly is viral in nature and is self limiting.Nause,Vomiting,Soft and frequent stools are all characterstic feature of Gastroenteritis.
Intially i would recommend you to go for stool routine and microscopy test to rule out the cause of problem i.e whether its viral or bacterial or protozoal.
In case its bacterial or protozoal short term therapy with antibiotics like Ofloxacin and Secnidazole would be given.

As of now start taking-
Loperamide (imodium) 4mg stat dose followed by 2mg twice daily for 2 days.
Take 2Tsf Metamucil daily.It's natural fiber and would imbibe water swell up and would increase the bulk of stools.
Take VSL#3 twice daily.
In case Fever is there again take Tylenol sos.
Drink plenty of electrolyte rich fluids(Orange juice,Coconut water).
Eat light easily digestible vegetarian food for few days.

Try to control levels of your stress.Stress stimulates the auronomous nervous system which increases the persitaltic activity of intestine leading to incomplete digestion and excretion of unformed stools.

Don't worry its not cancer.Cancer is a chronic condition and fever was suggestive of infection.
Initially follow what i said for 3 days.Things will take 3-5 days to get better.
In case if things get worse even after treatment we would proceed for further investigations.

Hope i answered your query well.
Follow up with reports.
Thank you.

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Brief Answer:
Folllow up.

Detailed Answer:
Hi again dear,
Consuming about 20-30 grams of fibers is good for health.If you are already receiving a significant amount of fiber from your diet, then there is no use of taking Metamucil rather it may cause bloating and gases.However gradual introduction of limited amount of fibers can be good even in patients of IBS.
Fever,nausea,loose stools,gas etc are all symptoms of gastroenteritis.However it not necessary that every patient presents with all symptoms always.
As you are not having fever right now it means that the infection is resolving.As already expained above symptoms of gastroenteritis are usually self limiting and would take almost 5-7 days to resolve.

However toxins released by bacteria's and virus destroys the normal microbiota of gut.Our gut consist of million of variety of good bactria's and yeast which are important for proper digestion of food.Once depleted it takes about 2-4 weeks for this microbiota to return back to normal along with probiotic therapy.This microbiota is responsible for giving stool proper shape and consistency.

So don't panic.Your symptoms are resolving.
It will take some time.See our body is a complex system,Once the normal functioning is hampered it takes time to reboot itself.

As already explained above overthinking and anxiety will make symptoms worse.So don't panic.Try to calm down your nerves.Overanxiety can even be responsible for IBS.

Take Lactium supplements daily.It's a natural stress buster.

Keep on taking probiotics for few more days.
Get a stool routine test done.
Small quantity of metamucil can be introduced for few days to add bulk to stool.
Take a cup of banana with yoghurt daily.

Tell me how you feel in 5 days.

Has colonoscopy been ever done on you in past?
which probiotic are you on?
What are your symptoms of IBS?
Please revert back.

Regards!

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Brief Answer:
IBS is a dioagnosis of exclusion.When all other causes are ruled out patient is lAbelled as IBS.

Detailed Answer:
Hello again,
Irritable bowel syndrome is a diagnosis of exclusion.Hence before labelling you as a patient of IBS a planned colonoscopy or MRI abdomen should be done once.The problem with Gastrointestinal disease is that every problem from Gastroenteritis to Carcinoma has almost the same presenting symptoms so without investigations just on the basis of narration its very difficult to excatly rule out the cause of problem.As you said they won't let you to go for colonoscopy in that case you can ask them to get at least a MRI done.
Though not asked yet i would like to share my experiences with IBS.
You have not mentioned the names of salts you have tried.So i would give you a general briefing with new advances. May be you know all these things but go through the text carefully once. Doctors in united state are over conscious about use of medications so many times patient'S does not seems to have any idea about other salts available these days.

Firstly small briefing for Irritable bowel syndrome and why every patient is a unique case when we deal with IBS.
In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.

Recent studies by French scientists have indicated that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors.

Further data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important.

So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).As anxiety in your case is increasing your symptoms start taking natural axiety busters like Lacium supplements.

Some patients have attacks of diarrhea and bloating and some may have constipation. Other symptoms that may be present in irritable bowel syndrome include nausea, vomiting, headache, loss of appetite, muscular pains, heartburn, and weakness. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same.You are having loose stools and bloating so approach for you should be like-


Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects.Mebeverine works on certain muscles in the wall of your intestines, causing them to relax.

Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.Can be used in combination with above mentioned medicines


For bloating and gas take Tab Nexium 40mg twice daily can increase it to 80 mg twice daily. Ciontinue VSL#3 twice daily with food as proper digestion of food will prevent excess gas formation.When food is not properly digested large amount of gases are produced inside due to incomplete fermentation of food.Hence if digestion improves overall symptoms will also improve.
Food pattern recommended is-
Eat simple and natural home cooked food.
If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders.
Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you.
No pizza,Burger, Red meat, and dairies for few weeks.
No alcohol or smoking.
Take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can.Follow your body increase their uptake gradually.
Drink lots of juices and fresh water daily. Drink cleaner water, it will help a lot.
Avoid over spicy and heavy food.

If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things.

In case you need any other help feel free to ask.I would be happy to help you.
Hope i answered your query well.

Thanks and Wish her luck.

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