Brief Answer:
Need some help from you sir

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I can understand your symptoms and how they can be both frustrating and inconvenient. But for any diagnosis, the right information needs to be provided to a doctor and for that I need your help sir.

I would like you to try and recall all the instances when you have experienced the urge to pass a bowel movement and if it comes immediately after having a meal containing specific food items. Let me list some of the most common food items that can irritate an individual with bowel abnormalities and let me know if you consume any of the following and have the symptoms you have mentioned above:
+Tea
+Caffeine
+Carbonated drinks
+Sugar-containing drinks
+Oily/fatty/fried food
+Dairy products
-Gluten containing products
+Popcorn
+Chips

I would also like you to write back to me with the a reply on which of the following symptoms you have:
+Increased urge to pass a bowel movement immediately after eating any triggering factors (above mentioned food items or anything else specific in your case)
-Abdominal bloating
-Abdominal pain (if yes, then what relieves it or what do you think causes it?)
-Pain around the left side of the rib cage
-Loose or broken stools
-Mucus in the stools
-Blood in stools
-Increased amount of flatulence (gas passed)
-Great relief experienced after having a bowel movement
-Past history of having diarrhea without the presence of a fever

I would love to hear from you with a response to my questions in order to help you further and more accurately. Do not worry sir, we will find the cause for your symptoms and certainly treat it.

Best wishes.

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Brief Answer:
Elaborate evaluation;underlying condition confirmd

Detailed Answer:
Hello once again sir.

If at all there are no triggers, then there is an underlying condition that is causing your symptoms. I would recommend a few investigations to find the exact cause, like:
-Colonoscopy with biopsy
-24 hour pH monitoring
-Ultrasound of the abdomen and pelvis
-Complete blood count (especially a check on ESR, hemoglobin, serum vitamin levels, etc.)
-Stool analysis
-Check stool for occult blood

The weight loss is slightly worrying sir, and blood can at time go unnoticed in the stools. The fact that you have experienced weight loss and and are feeling lethargic could be a sign of some bowel irritation which has resulted in inflammation. The bowel has certain functions other than just passing of the fecal content. It is responsible for the absorption of certain nutrients from the contents passing through the colon, and if at all these parts of the colon are abnormal/inflamed or not functioning normally these nutrients are lost.

The non-absorption of these nutrients can easily result in weakness and lethargy that can cause your presentation and weight loss. I am almost completely sure you have some underlying gastrointestinal condition that needs elaborate evaluation and treatment.

For now, you could also initiate a multi-vitamin supplement to help deal with your lethargy and poor energy levels. Please keep me updated sir, and I hope you understand why we need to investigate elaborately in order to find the cause. Only after that can we initiate treatment in a more accurate and rapid manner, without this any/all treatment will be blind treatment.

Best of luck sir.

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Brief Answer:
Preferably gastroenterologist

Detailed Answer:
Hello once again sir.

A normal doctor/physician should be able to help, but only to a certain extent and would then transfer you to a gastroenterologist. So you may as well approach one directly if you can.

Please also feel free to keep in touch and write to me for any further assistance.

Best of luck.

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