Diarrhea issues?
Hello Doctor,
Two days ago, I drank avocado milk, and that night I experienced diarrhea with some mucus and blood mixed in.
Could this be caused by drinking milk? Last year, I also had blood in my stool after eating yogurt.
I'm worried it might not be ulcerative colitis or Crohn's disease, which are autoimmune conditions.
Isn't intestinal inflammation caused by bacteria, viruses, or autoimmune issues? Can drinking milk trigger autoimmune enteritis?
Since I discovered blood in my stool three years ago, I underwent a colonoscopy, which revealed hemorrhoids and diverticula.
However, I have still noticed blood in my stool several times since then, with two instances of more severe diarrhea with mucus and blood.
I have seen multiple doctors.
If it were ulcerative colitis, would it have been detected three years ago? If the tests at that time were normal, is it possible for it to develop now?
I apologize for the many questions, and I appreciate your help.
Thank you.
Y, 20~29 year old female. Ask Date: 2019/08/06
Dr. Chen Shidian reply Gastroenterology and Hepatology
If there are no signs of colitis during the colonoscopy while bleeding, it can be ruled out.
However, future changes cannot be guaranteed, and it is advisable to seek further evaluation if necessary.
Reply Date: 2019/08/06
More Info
Understanding diarrhea and its potential causes is crucial for maintaining gastrointestinal health. Diarrhea can arise from various factors, including dietary choices, infections, inflammatory conditions, and even autoimmune diseases. In your case, the occurrence of diarrhea after consuming avocado milk, along with the presence of mucus and blood in your stool, raises several important considerations.
Firstly, it is essential to recognize that certain foods can trigger gastrointestinal symptoms in susceptible individuals. Dairy products, such as milk and yogurt, can cause issues for those who are lactose intolerant, leading to symptoms like diarrhea, bloating, and abdominal pain. However, the presence of blood and mucus in your stool is concerning and warrants further investigation. While lactose intolerance typically does not cause blood in the stool, it is possible that your gastrointestinal tract may be reacting to other components in the dairy or the avocado.
The presence of blood in your stool, especially when accompanied by mucus, can indicate several conditions, including infections, inflammatory bowel diseases (IBD) like ulcerative colitis or Crohn's disease, or even hemorrhoids and diverticulitis, as you have previously mentioned. Given your history of hemorrhoids and diverticula, these could be contributing factors to your symptoms. However, the recurrence of blood in your stool, particularly after a significant period since your last colonoscopy, raises the question of whether a more serious condition might be developing.
You mentioned concerns about autoimmune diseases such as ulcerative colitis or Crohn's disease. It is important to note that these conditions can develop at any age, and symptoms may not always be present during initial screenings. If your colonoscopy three years ago did not show signs of IBD, it is still possible for these conditions to develop later. Symptoms such as persistent diarrhea, abdominal pain, and blood in the stool should prompt further evaluation, including possibly repeating a colonoscopy or other diagnostic tests to assess for inflammation or structural changes in the bowel.
In terms of your dietary concerns, while it is unlikely that drinking milk directly causes autoimmune conditions, it can exacerbate symptoms in individuals with existing sensitivities or conditions. If you suspect that dairy products are contributing to your symptoms, it may be beneficial to eliminate them from your diet temporarily and observe any changes in your gastrointestinal health.
Given your history of gastrointestinal issues, including diverticula and hemorrhoids, it is advisable to consult with a gastroenterologist for a comprehensive evaluation. They may recommend additional testing, such as stool studies, imaging, or a repeat colonoscopy, to rule out any serious underlying conditions. It is also essential to monitor your symptoms closely and keep a detailed record of your dietary intake and any associated gastrointestinal symptoms, as this information can be invaluable for your healthcare provider in determining the appropriate course of action.
In summary, while diarrhea can be caused by various factors, the presence of blood and mucus in your stool is a significant concern that should not be overlooked. It is crucial to seek medical advice for a thorough evaluation and to discuss your dietary habits and any potential triggers. Early diagnosis and intervention can lead to better management of your gastrointestinal health and overall well-being.
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