- CASE FILE
Home hospice nurse who had gallbladder removed 5.5 years ago now with intractable diarrhea with no specific trigger for last 3 years.
ABOUT THIS CASE FILE
In January 2014, I had a laparoscopic cholecystectomy without issue. After first couple weeks, digestion returned to normal and had no issues until late in 2015. At that time I began having intractable explosive diarrhea that appears to have no specific trigger. The are no foods or food categories that routinely trigger episodes. I have changed timing of food... nothing works. I am ON antidiarrheals full time. On a good day, the are only 3-4 episodes. On a bad day, I'll have 12-20 episodes. It is so severe that i usually have less than 5 minutes for it to start after eating something. At times, it is so severe that even the smell of food will trigger an episode. When it strikes, the urgency is so intense that I literally have only seconds to get to the bathroom! I have had diagnostic endoscopy which showed nothing more than very minor hiatal hernia. In conjunction with diarrhea, I have had increasingly difficult to control reflux that did not exist before the cholecystectomy. In 5 short years I have gone from using 3- ranitidine a year to now being on 60mg dexilant daily and never being able to skip a dose and remain asymptomatic. I am a home hospice nurse in a very rural area and spend a large portion of my day in my car and patient homes and I cannot continue to go on this way never knowing when this will hit. Please help!