A sudden urge to use the restroom, especially when accompanied by persistent discomfort, should not be taken lightly. According to Dr. Martin Scurr, this sensation could indicate underlying health issues rather than simply being a case of irritable bowel syndrome (IBS).
In a recent inquiry, a concerned spouse detailed that his 86-year-old wife has been suffering from constant abdominal pain and an increased frequency of needing to relieve herself, particularly at night. Despite a diagnosis of IBS and a prescription for mebeverine to alleviate cramping, her condition has not improved.
Dr. Scurr noted that while IBS is indeed prevalent, affecting up to one in five adults in the UK, the symptoms described warrant further investigation. He emphasized that nocturnal pain is atypical for IBS and suggests a more serious concern.
The situation is exacerbated by the patient’s significant weight loss over the past two years. She has dropped from approximately 50 kg to 44 kg, which represents more than a 10 percent decrease in body weight. This loss, particularly when accompanied by a reduced appetite and reliance on nutritional supplements like Fortisip, raises red flags for possible gastrointestinal inflammation or other serious conditions.
While previous abdominal scans and blood tests have shown no alarming results, Dr. Scurr recommends a colonoscopy. This procedure involves using a thin, flexible tube equipped with a camera to inspect the bowel’s lining and is typically performed under sedation. He advises discussing this option with her general practitioner and possibly seeking a referral to a gastroenterologist.
In the meantime, Dr. Scurr encourages the patient’s spouse to monitor her weight weekly. Any further decline could necessitate expedited investigations to determine the cause of her symptoms.
In a separate query, a reader expressed concern regarding the safety of using Truvia, a low-calorie sweetener derived from erythritol. Dr. Scurr reassured that, while it is generally safe for long-term use, some individuals may experience gastrointestinal side effects such as bloating and discomfort. Notably, certain studies have linked high erythritol levels to an increased risk of heart attacks and strokes, particularly in those already at risk due to conditions like cardiovascular disease or diabetes.
Dr. Scurr concluded that while moderation is key, those without pre-existing heart conditions can continue using Truvia unless they encounter adverse effects.
Finally, he addressed a growing issue concerning men’s bone health, highlighting that osteoporosis, often perceived as a women’s condition, can also affect men. He cited a case of a male dentist who suffered a fracture despite being otherwise healthy. Dr. Scurr stressed the importance of weight-bearing exercises and adequate nutrition, including vitamin D and calcium, in maintaining bone health.
Taking these symptoms seriously is crucial, as they can signal more significant health challenges that require immediate attention.
