instruction: hello doctor I am a 32 year old female whatever I eat within one hour I am urged to go to the toilet my stomach hurts every time I go to the toilet I cannot eat fish milk products some gluten products or chicken my sister thinks I may have crohn disease I need to find out what is going on I have been dealing with it since I had coil four years ago
output: hello I can understand your concern according to your statement you have been suffering from abdominal pain followed by defecation one hour after taking your meals you cannot eat fish milk some gluten products or chicken which can aggravate your sufferings the most likely cause of needing to pass stool right after eating is the gastrocolic reflex the reflex is a normal involuntary reaction to the food entering stomach for some people it is mild causing no symptom for others it may be intense and the urge to poop after eating can be severe like you certain health conditions such as irritable bowel syndrome or is can cause a person digestive tract to move food through their system at a much faster rate other conditions like food allergies food intolerance anxiety gastritis celiac disease inflammatory bowel disease or i'd crohn disease etc all can give rise to digestive symptoms like abdominal pain bloating increased frequency of defecation diarrhea constipation alternating diarrhea and constipation etc so you should undergo some investigations like abc complete blood count us ultrasound of a stool culture sigmoidoscopy and rectal biopsy colonoscopy and jejunal biopsy to find out the underlying cause of your present conditions in the meantime you can avoid some foods like fatty or greasy foods high in fiber dairy products etc again if you are suffering from anxiety stress or any other psychological distress then you should take steps to remove them after getting your investigation reports and knowing some additional history like weight loss hormonal imbalance previous diseases medication history family history I can help to treat you further you had an coli infection four years back and from then you have been suffering according to your description I think you took medication for your coli and coli usually disappears from the body with 14 days but it may aggravate some rare long lasting complications like is crohn disease ulcerative colitis etc