instruction: hello doctor for the past one year I am having diarrhea I went to the doctor he wrote me some tests my blood urine and feces are normal and negative for parasites my stomach ultrasound colonoscopy are normal six months later I went to the dentist she asked me to take flagyl 500 my metronidazole on the next day my feces was normal and tight I asked another gastroenterologist and he said to continue the flagyl for 14 days after 10 days I had diarrhea again the doctors are telling me that I have very sensitive intestines and advise me to take probiotics and ibutin gelsectan I still have diarrhea what is your idea about my problem
output: hello as you described this condition to be lasting for almost more than a year it can be is irritable bowel syndrome but is usually starts at an early age than this although it can happen at any age that is why it is important to rule out all organic causes before labeling it as a sensitive bowel is please answer the following questions to rule out organic causes do you have any weight loss with it how many episodes of loose stools do you have in 24 hours do you get up in the night for stools do you have any crappy abdominal pain with it is there any blood in stools or mucus is your sleep disturbed any stress any travel history to tropics any biopsy was taken during the colonoscopy to rule out microscopic colitis meanwhile do a few of these lab tests and start this treatment in addition to probiotics but the tablet should be taken four hours apart from probiotics ash thyearoid stimulating hormone cop reactive protein is tablet rifixamine 50 my 0 for 21 days