A sudden and frequent urge to use the restroom may not simply indicate irritable bowel syndrome (IBS), but could reflect underlying health concerns, according to medical professional Dr. Martin Scurr. His remarks follow a letter from a concerned husband regarding his wife’s troubling symptoms, which include persistent stomach pain and nocturnal urges to use the toilet.
The 86-year-old woman has been experiencing these issues alongside significant weight loss—from approximately 50 kg to 44 kg—over the past two years. Despite being prescribed mebeverine to alleviate cramping, her condition has not improved. Dr. Scurr emphasizes that while IBS is a common diagnosis, affecting up to one in five adults in the UK, the specific symptoms described warrant further investigation.
Symptoms such as nighttime pain and substantial weight loss are not typical for IBS, which usually does not disrupt sleep. Dr. Scurr notes that the woman’s weight reduction, exceeding 10 percent of her body weight, is particularly concerning, especially since she has been taking Fortisip, a high-calorie nutritional supplement designed for those struggling with malnutrition. This combination of symptoms may suggest gastrointestinal inflammation, which requires a thorough evaluation.
While the woman has undergone abdominal scans, including ultrasound and CT imaging, with no significant findings, Dr. Scurr recommends a colonoscopy. This procedure, where a camera-equipped tube examines the bowel lining under sedation, will help identify any potential issues. He advises the family to discuss this option with her general practitioner and to monitor her weight weekly, as any further loss could require prompt action.
In another query, a reader expressed concern over the safety of consuming Truvia, a low-calorie sweetener derived from erythritol, a sugar alcohol. Dr. Scurr reassured that, while Truvia is generally considered safe for long-term use, some individuals may experience digestive side effects. Notably, research has indicated a potential link between high erythritol levels and increased risks of heart attacks and strokes, particularly for those already predisposed to cardiovascular issues.
Dr. Scurr also highlighted the importance of bone health in men, referencing a patient who developed osteoporosis despite being fit and healthy. Osteoporosis is often underdiagnosed in men, leading to significant fractures from minor injuries. Risk factors include family history, aging, and low testosterone levels. He encourages men to engage in weight-bearing exercises and to ensure adequate intake of vitamin D and calcium.
These insights serve as a reminder of the complexity of health symptoms, urging individuals to seek further medical evaluation when faced with unexplained changes in their well-being. By addressing these issues promptly, patients can work towards better health outcomes and prevent potential complications.
