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my feces smells like ammonia and my girlfrien says my semen tastes like chemicals. What could cause this?

PAST HISTORY : Hep C but all normal.

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Dr. Pravin Gore answered : 11 years ago

get a C.T.Scan of the whole abdomen and pelvis done to rule out colo-vesical fistula. Consult a colon-rectal surgeon if results are positive.

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My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

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Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...
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I was suffering from blood in my stool from long time until i consulted a doc and he said that i have fissure. I got it cured through ointments and having drinking fibre. However, from last few monts I have started suffering from incomplete evacuation. All the time my stomach is bloated up and I dont feel like eating anything. I have increased my water intake and also have started eating fibre fruits to a great extent but nothing is helping me. Howsoever hard I try, I am not able to evacuate completely. I go to washroom at least 5 times a day but still i feel full all the time. Sometimes I get black stool and sometimes its normal. My stool is not hard at all. I feel uneasy all the time. I stay in tension all the time due to this. Please suggest me a cure to this.

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Hi, Since you have had a fissure, chances of recurrence are high. Constipation is just one of the causes of fissure. There can be other causes, for example, there can be a tear in anal canal, or there may be a foreign body present in body, or it can happen during normal labor. Usually the fissure has bright red blood and not dark coloured blood. Since you have dark, it indicates that blood is coming from above in alimentary tract, which might be due to inflammatory bowel disease, irritabl ...
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