CHRONIC Diarrhea? Here's What To Do | Dr. Will Bulsiewicz
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- Опубликовано: 14 янв 2025
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We’ve all had unpleasant toilet experiences in our time. It can be distressing to deal with and not something we like discussing.
But when does normal diarrhea become chronic? And when do we need to seek medical care?
In today’s episode, Jonathan and Dr Will ask what is chronic diarrhea and how can we rule out something more serious? Will also shares tricks of the trade to ease your symptoms and tells us how our amazing guts work to keep our whole body healthy.
If you want to uncover the right foods for your body, head to joinzoe.com/podcast and get
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Mentioned in today’s episode:
Chronic Diarrhea by Garrett J. Descoteaux-Friday; Isha Shrimanker, National Library of Medicine
Chronic Diarrhea by Cleveland Clinic
Diarrhea From John Hopkins Medicine
Diarrhea From Stanford Medicine Healthcare
Exocrine Pancreatic Insufficiency (EPI) From Loma Linda University Health
Episode transcripts are available here: joinzoe.com/le...
Books:
Fibre Fuelled by Dr Will Bulsiewicz: amzn.to/4bzmUXP
Every Body Should Know This by Dr Federica Amati: amzn.to/4blJsLg
Food For Life by Prof. Tim Spector: amzn.to/4amZinu
Is there a nutrition topic you’d like us to explore? Email us at podcast@joinzoe.com, and we’ll do our best to cover it.
I had chronic diarrhea for years and many other symptoms along with it.
I never received a proper diagnosis from any of the doctors I went to.
I was getting so frustrated with the most recent doctor visit that I went on the internet and typed in my symptoms.
What kept coming up was “Celiac Disease “.
I then requested the simple blood test to determine if I had it.
Sure enough I tested positive for Celiac Disease.
I stopped eating gluten immediately and within a short period of time a LOT of my symptoms went away.
At the same time I was tested to check my Vitamin D3 level and it was extremely low.
So with going off gluten COMPLETELY and taking Vitamin D3 supplements my health started to improve greatly.
Do you have diarrhoea that last to a month and more every day
Thanks for sharing your experience
3:20: 💉 Different tests can be done to diagnose chronic diarrhea, including stool tests, blood tests, sigmoidoscopy, and colonoscopy.
1:35: 🩺 Chronic diarrhea is defined as loose or watery stools happening three or more times within 24 hours for at least four weeks, and it can be a symptom of an underlying serious condition.
6:44: 🩺 Understanding the causes of diarrhea, particularly if it occurs at night, is crucial for diagnosis and treatment.
10:04: 🩺 The speaker discusses the diagnosis and potential causes of chronic diarrhea, including C diff infection, absorption issues, and IBS.
13:04: 🚽 IBS is diagnosed by ruling out other conditions and identifying symptoms such as abdominal discomfort and improved discomfort after a bowel movement.
16:54: 🍌 Bananas, rice, applesauce, and toast can help improve symptoms of diarrhea by binding up the stool and giving it more form.
19:25: 🥛 Temporary dietary strategies, such as eliminating dairy, artificial sweeteners, caffeine, alcohol, spicy foods, and fatty foods, can help improve symptoms of digestive issues.
Recap by Tammy AI
Thank you so much for the summary ❤
Thank you ❤
Excellent information delivered with clarity!
Some really good info in here I hadn't heard before on possibly differentiating between infectious and inflammatory causes of chronic diarrhea. You are the best Dr Wil! I have your books and they are awesome. I also love the true empathy you show towards people suffering with GI troubles. Thank you!
Suffering right now thankyou all the information has helped me feel less anxious about what’s going on with me. 🙏🏻
Did you check for H. pylori?
Let's not be fearful to get all these tests....until the hospital bill comes in and you realize insurance covered almost nothing and your stuck with a hefty bill and possibly no diagnosis at all.
Wtf
More on BAM please. Took 42 years for me to be diagnosed. Most people don;t know what it is and never was it mentioned in all those years of GP visits and hospital tests.
A tablet after every meal and I can finally live a relatively normal life.
Could you clarify what is BAM is and what is the tablet that you take that is helping? My son has had debilitating irritable bowel syndrome with chronic dumping for years. He is 5'10 and weighs 108 lb. I'm always trying to get more informed in hopes that we will find a solution someday
Bile Acid Malabsorption.
Please, how is the diagnosis of bam?
How can one of the worst chronic (idiopathic) conditions like BAD (bile acid diarrhoea) and it's lack in research and treatment be ignored???
It is hell for sufferers...
I don't know if I have it but I'm going through something extremely similar to it anyway and it is hell. Its been happening to me for years now and it's just miserable. I'm not even an adult, I've got school and stuff while this is happening and I hate it.
Yup. Had this already over two years.
Impressive video very much appreciated. You cover so much ground and with clarity. Many thanks.
Great information
Excellent video. You provided a lot of info
Not a word about chronic stress and its impact on the gut-brain axis
Dysregulation of the nervous system can lead to many chronic "functional" problems like IBS . I wonder if this doctor ever asks his patients about the stress and emotional trauma etc in their lives
I know without a doubt 20 years of constant stress over my son and his in and out of jail and drug use until his death 9 years ago from meth. THEN I had 5 years of stress dealing with his Don who came to live with us and was on and out of jail and stealing from us until I made him leave 5 years ago. He's homeless and presently in jail.
So I have microscopic colitis. At 75. I told them both repeatedly they were killing me. 😢😢😢
@@lydialedbetter2041so sorry to hear about your stress. Praying for your peace of mind 🙏
Thank you! I have been suffering for years with watery diarrhea.
Loved this! Great info!
Excellent info!
Excellent - clear and methodical. Has made me think it IS worth me asking to discuss this with my GP, as I have been experiencing multiple loose stools ofr some years. Colonoscopy 18 months ago ruled out bowel cancer - at that point. Polyps were removed - Jonathan didn't mention them? Or whether something can live in our guts for decades eg the amoeba from dysentery? My dad always put his problemm down to the war years in India as a young adult. Any thoughts?
When I lived in the Middle East in my late 20's I found I had severe diarrhea after consuming anything with Olive Oil in it. Eliminated Olive Oil, diarrhea disappeared. Really weird. Dysentery was also a problem if water wasn't thoroughly boiled
I suffer from chronic diarrhea
I happened to have a hydration mix at home and made up one bottle and one cup and drinking the cup of hydration mix with filtered water and the diarrhea appears to have stopped .. I have sludge in my gallblader and a fatty litter from 4 months of chronic watery stool
I'm exhasted .. I've lost so much weight due to this issue
I will need to bring my doctor's attention to this in case it's another issue .. Going to order more hydration mix
I've also been going through it for years now and I'm 13. Please help.
Great Video!
Just became a sub. These gentlemen are great 👍 very intelligent.
I find too much vegetable and too little protein, causes chronic diarrhoea . If I stick to a vegan diet for a long time , this occurs and disappears immediately goes if I add eggs, meat , fish.
8:10
Toast has gluten, which makes me have diarrhea. Even gluten-free bread makes me sick. Rice also makes me feel bad too. So BRAT (banana, rice, applesauce, toast) diet is pretty toxic for me! It makes me worse.
I'm allergic to wheat The doctor say intolerance I see allergic because I eat it and I get sick. You were talking about the Brett diet One thing does help and that is the rice. When babies have diarrhea in my generation we would take a smaller amount of rice and boil it to get the starch. Like a normal steam rice is a 2 to 1 ratio two cups to 1 cup. Of course it wouldn't boil that much but do one cup to a quarter cup instead of a half a cup and the rice can absorb all that liquid and it gives off a starch. By the way do not rinse off your rice because that rinse is all the starch that's what you need. It does help a good bit just drink the water lift you can eat the rice too that helps. Not so much if you're diabetic but it does help you cut. Then being diabetic when the side effects of my medication is tada diarrhea ...
Dear all! I have been suffering from for past 2 months. 1) mushy stools that has undigested food
2) It happens 2-3 times a day
3) white mucus visible sometimes
4) Flatulence a lot
No other symptoms like pain or blood in the stool or anything else at all
Celiac Disease Or H. pylori.
Did you ever get a diagnosis?
Hello, I am going through the same situation you are, constant diarrhea, it’s been on going for a month. I wanted to check up on you and see if everything is okay. Were you able to find a cure? If so, can you please let me know what helped? Thank you and have a blessed day.
@@IsraelGamasI am also going through this, please guide me that are you ok now?
@ hello, I am actually going to see a doctor tomorrow. I am currently still experiencing symptoms, however, it has gotten a bit better compared to before. I’ll keep you updated.
I had gall bladder removed for years, so much trouble on my stomach due to acid. I had hronic diarrhea for weeks what I'm going to do.
Zoe team - would it be possible to find out more about SIBO?
Unfortunately, our physicians here can’t figure out. I have Celiac, microscopic colitis and “possible Crohns”. Chronic diarrhea for over 5 years.
they are useless,
I have this for years and my doctor seems not to care.
yup same here
@@susanrenaud7109 same here doctor is a dick
You’re not the only one
Doctors are arseholes
exactly whats happening to me, doctors are lazy these days
I have chronic diarrhea for more than 7 years is there any help please
Both me suffering same thing for 5 and half years tried different things but not working instead increasing and I'm going nut because of it. I need help too
15 years for me, doctor after doctor, lots of tests and no answers.
Damn, im so sorry for you guys. I've been going through it for 2 or 3 years and it's just constant. Plus, I'm not even an adult I literally have school and everything how am I supposed to put up with this?? I'm miserable. 7 years and 15 years sounds like hell. I'm so sorry for you guys.
@@Glitchblade833 you literally have to plan your entire life around it. I’m sorry for you, not how life should be.
@@cindyloppnow1621 well.. shit.
KEYTRUDA HAS DESTROYED MY BOWELS AND JOINTS YOU DOCTORS DO GREAT HARM
Really good
Thanks for this :)
Is it possible to get diarrhoea from consuming too much fibre?
Yes. Especially extracted fibres.
I have had chronic diarrhea for 2 months but tested negative for bacteria.
What’s the yeast probiotic he mentioned?
saccharomyces boulardii probiotics
@@angelesmurillonogales9199 they dont work
Psyllium husk does help with BAM
What about FODMAPS?
Please indicate the name of the prebiotic and the probiotics that were recommended, hard to get the name down from the video
saccharomyces boulardii probiotics
partially hydrolyzed guar gum organic as prebiotic 😉
yes. i need help to figure out what t eat
I've had extremely watery stool everyday for more than a year now. No blood or pain though. I don't have to poop during the night, but I do have alot of gas. What could be wrong? My sister is lactose intolerant and says that because she didn't adapt her diet, it made her intolerant to other things aswell. She can't eat bread and such. I have a gallstone. Not sure if that could be causing it?
Its either IBS or ultrative colitis
This sounds just like what I have. Did you get any progress? What started it for you?
Dr. Will Bulsiewicz mentioned EPI and Gallbladder removal induced chronic diarrhea as being easily treatable. I've had clients remove all those foods but still have the issue. Anything else that would help?
It might be over for me
Same here, I can't lose any more weight. Dr's in my country, if I can get an app. ,are useless. Reckon by end of Jan if no help I'll be finished.
Very interesting and helpful for so many to start getting to the bottom 😁 of their problems.. A member of my family has been diagnosed with BAM. Bile acid malabsorption and has been prescribed sequestrants . Is there any other things that can help? Love to hear your views.
A low FODMAP diet helped me. I have BAM & Crohns, and was referred to a dietician by my specialist.
Any update on Covid surge in UK. Symptoms etc.
What if you poop in the middle of the night, but your stool is normal?
Very interesting, but no mention of psyllium for binding stool?
I heard it mentioned as one of the positive things that can help. Watch from timestamp 18min.
Any ideas for 'toddler diarrhea'? My GP says it could last until he's 6....!
My 37 year old daughter has had chronic diarrhea (day and night) for months. Her weight continues to decrease (150lbs down to 83lbs…she’s 5’0”) She refuses to go to the doctor because it’s “embarrassing” and expensive. We’ve tried all the dietary things mentioned, but nothing is working. Help, please.
Hmmmm... I am a man myself, but I do know "certain" problems are embarrrassing for people, and especially women in many cases... Unfortunately !
Her weight has almost halved !!!!! I do not know the time perspective here, but she has gone from: Overweight , to Underwieght according to the BMI (body mass index ) charts.... NOT GOOD !!!
Gut problems are widely spread in our society, and getting more and more common. IT IS NOT EMBARRASSING !!! This is not a sexually transmitted disease !!! And that should not be embarrassing to get tested for either ... Please get her to see a gastroentorologist and encourage her to see this podcast.
Dr. Will Bulsiewicz is brilliant !!
My suggestion would be to just start a process, starting with :
1. Do a test for Celiac´s Disease .
2. Just a regular blood panel test to see if there major deficiencies in minerals and vitamins.
Best of luck leamatthew800 ! It is most distressing seeing one´s own child like that...
Get her to the doctor. That sounds deadly. Her weight can't decline at that rate. ❤
I too have BAM & take Questran sequestration powder. Any advice on diet would be hugely appreciated.
In the UK, Questran is only available with 30mg aspartame added which can make you feel worse. Ask your GP for switch to Colesevelam, ignore the instructions (which are for a different condition) and take last thing at night on an empty stomach (source - Prof Julian Walters ICL) The less fat/oils/dairy in your diet the less tabs you will need to take.
what about a ball in your lower right abdomen that when you press makes strange gurgling sounds, doesn't hurt too much is uncomfortable and seems to be blocking my bowel habits
I'm 13 and I've been going through serious chronic diarrhea. It's literally been going on for years and it's making my entire life completely miserable. My family know and are trying their best to help me and we've seen doctors a few times. But it just won't stop. In school, its becoming a serious problem and I literally wake up at 4 in the morning only to have to clean myself for about 15 minutes and yes, it happens in my sleep. I have just had enough. I know this comment probably won't be seen by anybody but please if you do see this and you have any idea what I'm going through, please tell me how to get rid of it or even sort of just make it less of a problem.
I don’t know unfortunately. But I wish you the best! Hope you‘ll get better
@@arno3664 thank you. Since I made this comment I've sort of understood it more. I don't think it's something I can really get rid of but gluten free food and healthy food seems to help. So yeah I've gotten a lot better mentally and physically. Anyway, thanks for replying and have a good day
Try cifrofloxacin 500 mg and metronidazole 400 mg with ORS.
Take pentoprazole before meal for acidity
When you say “at least 4 weeks of the symptoms” - means you have diarrhea all this time or just part of the time?
I've had EPI for two years now and the diarrhea is severe I go like three times after every meal, I was told to try Imodium alongside the pancreatic enzymes. is it safe. And how can I contact you sir
are u fine bro ??
It all sounds very interesting. We eat a lot of Europe's diet, plus a few other items. I like wild meat, rabbit, Venison as well as wide range of vegetables. We started adding lots of garlic...I found that I would get a loose bowl quite a few times per quarter. Days of work. I ran a tolerance test, which indicated I should drop some of these foods. This issue stopped. We follow a lot of Zoë advice and are generally very good.
so....what are you not eating? Thank you
Sometimes the side effects of your medications the ones that are trying to keep you alive causes diarrhea. Then there's food allergies that causes diarrhea like gluten or celiac disease. The misery is incomprehensible.
I need help im having this problem now
me have diarrhea. well I have very very looose stools for about 2 weeks now. but i got no other symptoms. just very loose stools.
its been 3 years now, and underlying problems is unknown
It turns my stomach to listen to people in the medical field/ If I was to have diarrhea then the first thing I would do is replenish all the minerals that I'm losing through having diarrhea so I would take quality minerals to balance it out and then that day or with by the next day I would be drinking the high potency probiotics, to balance my system and then to flood my intestines and colon with "the right bacteria" then I would continue to take my multivitamin and vitamin C on a daily basis/& This is what I would tell my clients/I've worked in "healthy healing" for 33 years now
☯️
No medical doctor would tell you this because they Do Not have training in Natural ways 👍😉🌟😊🙏☯️😘
No-one even knows all the biotics we have/need, much less which one needs and how to introduce that.
seems IBS is just an X file for doctors that whenever the cause is unknown, they put it in that file.😢
Ulcerative colitis? IBD ?
What is recommended as treatment for microscopic colitis?
What is that probiotic name?
saccharomyces boulardii probiotics
The problem here is verbal diarrhea.
Ikr the rambling is insane
Interesting but if he says the name Jonathan another time...
❤️💖❤️🙏💖❤️💖
Another video completely ignoring idiopathic severe BAM. Upsetting considering how common and undiagnosed it is, also classed as a disability and yet I still lost my job and am unable to work because of it.
Instead of using an acronym that is meaningless to people, assume we don’t know what BAM is.
Totally agree
Just going to ask - what is BAM?
Bile Acid Malabsorption
Can stuck poop in the small intestine cause diarrhea? Having a bowel movement every day does not mean the intestines are clear. Dr. Will Bulsiewicz
Stress and diahhrea… not enough sleep
Does waking up at night include early morming waking.?
21 minutes is not a short. Cut out the waffle, get to the point.
Funny
Cringe
Didn’t you mean “cut out the crap”?
i found it very informative, I don‘t appreciate your comment
Lol bet you need to not cut out in the adhd medications haha
Stop speaking in upspeak 🤦🏻♂️
Every statement sounds like you’re asking a question and trailing your voice upward? They have videos on how to stop doing this. You’re welcome.
Good content but also it takes too long to get to some of the points. Thanks you.
I wish this wasn't so scripted. You can see Dr Will reading the answers and it's just obvious that he's reading most of the time
Try 10 years I just have to cough and I have an accident I go 20 times a day , day in day out I couldn’t take thing no more so I tried to end my life . How can a body produce so much . I damaged my back a disc went backwards and leaked over my neves to my bladder and bowels I struggle every day
Sorry for your pain
Just stop eating.
"I was skeptical at first, but Planet Ayurveda's products really work! I've seen a huge improvement in my health."
A physical exam by a GP? Ha ha! Not a chance!
Why is Bulsiewicz smiling over this?
It's so creepy.
Anybody else watching shitting their pants?
HABBA SYNDROME HABBA SYNDROME HABBA SYNDROME HABBA SYNDROME
Florastor
Waste of time.
Get to the point and recommend wats to take care if this you're a waste of time
There is an ‘o’ in the word diarrhoea. It’s difficult to spell, but just remember there is the word ‘hoe’ after the double ‘r’.
I guess the video might have used an American spelling. If that’s the case, it’s no excuse for a British channel.
Because that “o” is absolutely going to clear up massive diarrhea!
@@paisley1134 Always gives me great comfort to find a perfectly formed circle in the middle of an attack!
OEstrogen, is weird, and pronounced ee strogen
Like vihtamins..instead of vytamins