instruction: hello doctor every once a month at least I get a flare up of diarrhea where I go at least six times a day and nothing seems to settle my stomach the stool itself has a weird texture almost sand like most of it float down but some do float up and there is mucus in it other symptoms I am experiencing are lethargy feeling of being full yet hungry loss of appetite and dry mouth any idea of what this could be
output: hello do you have lost some weight since the start of symptoms do you have noticed any triggers diets stress change in lifestyle or drinking alcohol before such episodes alcohol has a large amount of fermentable carbohydrates which can cause diarrhea gas and bloating often episodes of binge drinking the common possibilities are that you have one of the above trigger which causes your gastrointestinal gi upsets they can go unrecognized with episodes of symptoms as in your case the other possibility is endometriosis endometrium is the lining of the uterine cavity of the female internal genital tract in menstruation the lining sheds causing bleeding and pain endometriosis is a condition where endometrial tissue is implanted into gut and it behaves similarly as one has menstruation on monthly cycles it causes pain at times very severe diarrhea and even bleeding from the gut it is important that you notice yourself the temporal time relation between the onset of symptoms and onset of menstruation I want that you should provide me more information as I can be able to investigate you properly in a specific direction providing you target management plan which can fit you best I hope this helps cyclical abdominal symptoms endometriosis celiac disease food allergies eosinophilic gastroenteritis endometriosis environmental triggers follow up to provide more information to diagnose and investigate properly