Waking up at night, urgent need to pass stool, with no cramping. stool is normal to loose, and i'll have to go 3+ times. moderate nausea and mild vomiting when this happens. somtimes upper chest and back pain and chills. happens a few times a month.

Irrat bowel syndrome: This could be a irritable versus inflammatory bowel. You need to see a gastroenterologist

R/O IBD: Nocturnal urge to have stools ,waking patient up. with unintentional weight loss, and associated with chills, nausea and vomiting, although not classical for anything, specific, but certainly pathology such as IBD has to be entertained Colonoscopy is indicated with CT Scan Abdomen