1/18/12

What Causes Painless Ongoing Diarrhea Only?

Been having diarrhea latterly that’s sudden with no explanation, and it’s kind of watery, and there are no other symptoms?

Sudden onset diarrhea, no apparent cause—this may be microscopic colitis. I’ve had this. Mayoclinic.com says that microscopic colitis can also present with nausea, dehydration, weight loss and abdominal cramps.

The primary symptom of microscopic colitis is painless diarrhea. There is no constipation in this disorder. Rarely there’s abdominal discomfort beyond what you’d normally expect with diarrhea.

My gastroenterologist said that microscopic colitis can be mild, moderate or severe in nature, and that in severe cases, one can lose up to 50 pounds.

Microscopic colitis symptoms can be similar to those of an intestinal infection, which my doctor suspected was wrong with me. He also suspected stress.

My doctor’s nurse thought it was stress related or possibly irritable bowel syndrome. The nurse told me that his divorce gave him diarrhea for two weeks. 

However, I knew there was more than stress involved with my case, because the diarrhea did not look normal. Maybe stress caused the MC.

My diarrhea was tan to light brown, rather than the normal chocolate or fudge color, and it also tended to be tinged with the color of whatever foods I had eaten the day before.

In my stools were food chunks. Sometimes the diarrhea easily spewed out all over the toilet water. And sometimes it was in solid pieces, but the pieces instantly dispersed when I poked a cotton swab to them. I’d see bits of food everywhere in the water.

My gastroenterologist, as well as Mayoclinic.com, says that NSAID drugs can bring on microscopic colitis. I had not been taking any of these drugs (e.g., ibuprofen). My doctor also said that sometimes there’s no known cause. Mayoclinic.com says a bacterium or virus may bring it on.

The diagnosis can be made only via microscopic analysis of a tissue sample obtained from the large colon during a colonoscopy.

Sudden onset diarrhea, especially watery, may very well be microscopic colitis, if this has been happening to you, particularly if you don’t have other symptoms. It usually resolves on its own, said my doctor, though there are patients who’ve had it chronically.

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