instruction: hello doctor I have a gastroenterology issue for over a month I have a mild to moderate upper and lower abdominal pain on the left side the pain also extended to my left leg also I pass stool twice a day diarrhea like stool with large white balls in it and I am facing weight loss I took trimebutine and mebeverine for over four weeks I have is also I am taking probiotics and digestive enzymes what is concerning me the most are the large white balls in the stool that are not mucus they are quite firm and the weight loss due to couid 19 I want to avoid physically seeing a doctor so please suggest a possible cause and treatment
output: hello yes you might be having is irritable bowel syndrome and you might have developed small intestinal bacterial overgrowth silo with is which can occur commonly in silo you get fat malabsorption which can lead to white stools can you please tell me whether you get greasy stools and bloating or not let me tell you that greasy stools are identified by a foul smell and floating on top of commode water also share how much weight have you lost in how much time I will start you on the treatment of silo but meanwhile we have to investigate and rule out other diagnoses whenever feasible for you silo abc complete blood count reactive protein ash thyearoid stimulating hormone stool routine examination and culture stool for fat content stool for reducing substances colonoscopy or sigmoidoscopy if needed in the future pseudomembranous colitis tablet rifaximine 50 my thrice a day for 14 days mebeverine thrice a day oral rehydration solution exercise after two weeks