Hello again,
Thanks for posting your query.
Your main symptom is altered bowel habits, which is consistent with irritable bowel syndrome.
These symptoms are not due to gallbladder issues. If the gallbladder is involved, the symptom would be severe right upper abdominal pain that may radiate your shoulder blades. Ultrasound scan of the abdomen would confirm it.
I mentioned biopsy of the small intestine. This is done as part of evaluation of defective absorption work-up.
Good to hear that you are negative for celiac. It is unlikely to be cancer as there is no evidence for it .
Hope this helps, please feel free to discuss further as follow-up queries.
Regards,
Dr.R.K.
Patient replied :
so are you saying its unlikely there is cancer in the small intestine but the procedure might reveal an defective absorption problem
Exactly. Cancer is highly unlikely. The procedure might reveal or rule out a defective absorption problem. Irritable Bowel Syndrome (IBS) is a common problem, so before proceeding with further evaluation a treatment trial for IBS can be taken. The biopsy need to be considered only after that.
Hope this helps
Please feel free to ask followup questions.
Thank you
Patient replied :
What is a treatment trial for IBS?
Hello,
My sincere apologies with the delay in reply due to unforeseen circumstances.
Diarrhea predominant IBS is treated with probiotics, antidiarrheals, antispasmodics and tricyclic antidepressants.
Let me know if I can assist you further. Again my apologies for the delay.
Regards,
Dr.R.K.