A 18-year-old female asked:
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hi i have reflux, gastritis, lots of gas and intestinal rumbling followed with dark green loose stool that's foul smelling. is this ibs? if not help!?

2 doctor answers
Dr. John Feola
30 years experience Internal Medicine
R/O IBS: IBS = irritable bowel syndrome is a diagnosis of exclusion. You need a full exam and blood work. Especial screen for H pylori . Also stool screen x 3 for occult blood /parasite/hpylori . Given age over 50 you also need a baseline colonoscopy. While you are getting these items checked out you should ditch to a gluten free high fiber diet . Ie gutbliss.com and Wholeapproach.com. Also 64-80oz water
Answered on Jan 7, 2019
Dr. Carrie Cannon
32 years experience Family Medicine
Not irritable bowel: Reflux isn't IBS, gastitis is inflammation of the stomach. Foul-smelling stools sometimes mean gastroenteritis or malabsorption. Sounds like it is time for a GI specialist or at least a visit to your usual physician for stool studies if the problem continues and even a gluten sensitivity panel with a later GI referral. irritable bowel synd is a diagnosis of exclusion, although real and painful.
Answered on Feb 6, 2019

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Dr. Pradeep Parihar
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Intestinal metsplasi: Get upper endoscopy or try Prilosec OTC for 2 weeks . If still problem , get rechecked for h pylori breathing test.

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