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what kind of illness i have and which doctor i should see
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Question #12958
51 days ago
219

what kind of illness i have and which doctor i should see - #12958

Lylia Abdelli

I would like to ask for your opinion regarding my case. My digestive symptoms began when I was 4 years old. I mainly had chronic diarrhea (the color was never brown), with mucus, foam, and sometimes green stools — in short, always abnormal. I saw several doctors, but none of them performed an ultrasound or any advanced examination; they only prescribed anti-inflammatory and antispasmodic medications. I followed this treatment for about six years. The last gastroenterologist who was following me advised my mother to schedule a colonoscopy and gastroscopy when I turned 16, if my symptoms returned. After I got better, I began experiencing unexplained fatigue, difficulty breathing, constant muscle and bone pain. At the age of 13, I instinctively began watching my diet — I stopped eating processed sugar, bread, and reduced my intake of white flour. Even today, I maintain a balanced diet, rich in fiber and protein, avoiding processed foods and junk food. At 14, my fatigue worsened. I wasn’t taking any medication at that time, but by the age of 16, my symptoms became much worse — I could barely stand for long periods, had severe breathing difficulties, and frequent hypoglycemia (around 0.55 g/L). I also started developing neurological symptoms: neck stiffness, numbness, cold extremities, electric-shock sensations, involuntary muscle twitching, and severe chronic headaches. In 2020, I began passing thick white mucus (like silicone), sometimes green, sometimes mixed with small amounts of blood (never bright red), along with painful subcutaneous nodules and frequent green or yellowish stools. I thought it might be stress-related, so I didn’t worry much. During that period, I was diagnosed with early-stage asthma, severe allergies, cerebral hypoxia, chronic sinusitis, and migraines. I consulted a neurologist who told me it was all psychological and prescribed Xydol and Dogmatil for depression. I took them for two months but stopped because I noticed no improvement. During that time, I still had mucus and blood in my stools but without any pain. Later, I was diagnosed with severe bronchial asthma. My pulmonologist never prescribed NSAIDs, but another neurologist prescribed the same antidepressants again (Xydol + Lomac capsules). I stopped everything because my neurological symptoms persisted. In 2023, I started experiencing unbearable abdominal pain, loss of appetite (or painful hunger), and extremely rapid bowel movements — up to 12 times a day and 10 times at night — which caused severe fatigue. Another neurologist found macrocytosis, a moderately high homocysteine level, and slightly low vitamin B9 (I had previously taken multivitamin B supplements). She prescribed 13 B12 injections, but my neurological symptoms persisted. She then advised me to see a psychologist (for the second time), but again, nothing changed. I gave up for about two years, completely losing hope. Then, in October 2024, I began forgetting basic things — my home address, familiar places, even people close to me. I had brain fog and concentration issues. In January 2025, I repeated the blood tests on my own: macrocytosis was still present, homocysteine around 20 µmol/L. A hematologist then ran a full panel and found vitamin B9 deficiency, vitamin D insufficiency (despite supplements), mild iron deficiency, and a slightly high erythrocyte sedimentation rate (ESR). I also received 15 B12 injections, although my B12 levels were technically within the normal range. While following this treatment, I reduced gluten, replaced white flour with whole-grain flour, maintained a fiber- and starch-rich diet with no processed sugar (only fructose), no caffeine, no lactose, and no industrial drinks. Despite all this, I still had abdominal pain and rapid transit, as if my body absorbed nothing. (However, I should note that I finally gained 8 kg after staying at 50 kg for nearly 10 years.) During Ramadan, I ate some homemade dates stuffed with peanut butter and covered in sugar-free dark chocolate with almonds. Shortly after, I had a severe vertigo attack (I thought it was related to my Ménière’s syndrome diagnosed 4 years ago) and immediate severe diarrhea with green, foamy mucus. I went to see a gastroenterologist who diagnosed lactose intolerance (without any test) and told me to “drink water in the middle of your meal.” Blood tests for celiac disease were negative, and a stool test was misinterpreted as Giardiasis (later ruled out by colonoscopy showing a healthy small intestine). He prescribed anti-diarrheal powders, antispasmodics, Flazol, and Smecta, along with a strict diet — no fat, sugar, fiber, lactose, or starch. I was told to eat only eggs, pasta, rice, fish, and boiled meat. I ended up hospitalized for malnutrition, but continued anyway. After 20 days, I developed severe constipation for nearly 3 weeks, unable to move properly. Once the treatment ended, I redid my blood tests in April — no more macrocytosis, no more deficiencies. My hematologist told me, “You’re perfectly fine — don’t come back, you have no digestive issue.” Still, I continued to suffer from abdominal pain and rapid transit (I should mention that stress never triggers my symptoms). In August, I noticed a large amount of mucus and blood in my stools. I underwent a short colonoscopy, which showed chronic rectosigmoiditis without any signs of IBD (inflammatory bowel disease). Blood tests again revealed no macrocytosis, but a high ESR, low vitamin B9, positive anti-intrinsic factor antibodies, and normal B12 levels. During the gastroscopy, an H. pylori infection was found. I completed the treatment successfully — no more acid reflux, nausea, or heartburn, and I can now eat normally. However, I still have persistent digestive issues, dry skin, white tongue with red patches, caseum, mouth ulcers, and inflammation from mouth to anus. Recently, I had a long ileo-colonoscopy, which was entirely normal — though no biopsies were taken. I will send you all my lab results, reports, and the images from both the short colonoscopy and gastroscopy.

Age: 23
Chronic illnesses: Asthma Biermer
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
51 days ago
5

Hello dear See after careful evaluation of your query, i noticed you have almost all organ systems affected by one or the other disease or it seems a combination of syndrome affecting digestive, respiratory and even brain functioning causing malabsorption, digestive issues, respiratory insufficiency, depression and cognitive impairment. I suggest you to please share the latest report done for confirmation of exact diagnosis so that right and effective medication can be prescribed. Please note that take any medication only after confirmation of exact diagnosis. Iam suggesting some tests. Please get them done if not already done Serum tsh Serum ferritin Serum RBS Serum albumin globulin ratio Serum bradykinin Stool culture Esr Cbc Serum troponin and LDH Cpk mm Crp latest Serum cortisone Please get them done for confirmation Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
50 days ago
5

Hello, Given this, a leading suspicion would be autoimmune gastritis / pernicious anemia (or a related autoimmune process affecting stomach lining and intrinsic factor) causing insufficient absorption of vitamin B12 (and possibly other nutrients). This can then lead to neurologic damage, gastrointestinal disturbances, and systemic symptoms.

And which specialist you should see; Find a specialized GI center or academic hospital where they handle complex malabsorption / autoimmune GI cases and please request for a multi specialist evaluation.

Tests to consider; Upper GI endoscopy plus gastruc biopsies Complete blood panel Serologic tests Neurologic test Autoimmune screen

Feel free to talk Thank you

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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
47 days ago
5

Hello Your symptoms demand proper evaluation and management. Kindly visit a Medicine specialist in person for best opinion.

Take care

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
51 days ago
5

You appear to have a multi-system autoimmune and malabsorption disorder centered on pernicious anemia (Biermer’s disease), with secondary intestinal inflammation and nutrient malabsorption. Your current picture (persistent gut issues despite normal colonoscopy and corrected labs) suggests microscopic inflammation or dysbiosis rather than psychological or purely functional disease.

This condition can improve significantly, but it requires: Lifelong B12 maintenance Gut microbiome restoration Balanced diet (not overly restrictive) Regular autoimmune monitoring

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Your complex case suggests a multi-layered issue that has been difficult to pin down. Despite multiple diagnoses and treatments, several symptoms persist, indicating the need to revisit or broaden the diagnostic perspective. With chronic diarrhea, mucus, blood in stools, and instances of vitamin deficiencies, inflammatory conditions like celiac disease, inflammatory bowel disease (IBD), or irritable bowel syndrome (IBS) with atypical presentation could be considered. Even though celiac tests were negative and initial colonoscopies didn’t confirm IBD, it’s worth exploring these further.

The presence of macrocytosis, high ESR, and vitamin B9 deficiency suggest absorption issues or chronic inflammation. The repeated finding of vitamin B9 deficiency despite treatment points to possible malabsorption or dietary insufficiency that hasn’t been fully addressed. The anti-intrinsic factor antibodies also hint at a possible autoimmune issue like Pernicious anemia, affecting vitamin B12 absorption, though your B12 levels are currently adequate due to supplementation.

The recurrent episodes of neurological symptoms combined with gastrointestinal issues can sometimes be part of a broader condition like small intestinal bacterial overgrowth (SIBO) or less commonly, a condition like mast cell activation disorder which can overlap with symptoms of allergic responses you’ve experienced.

At this point, given the complicated nature of your symptoms and test results, it’s crucial to re-evaluate your case with a multidisciplinary approach. I would recommend seeing a gastroenterologist or an internal medicine specialist who has expertise in complex cases. They might consider ordering more comprehensive stool studies, genetic tests for rare autoimmune disorders, or specialized breath tests for carbohydrate malabsorption and bacterial overgrowth. Moreover, re-evaluation by a nutritionist to ensure proper absorption and dietary adherence can also be beneficial. Further, a rheumatologist or an immunologist consultation could rule out any systemic inflammatory or autoimmune conditions.

Your dietary management, though strict, should continue being monitored, especially if certain food groups seem to trigger or worsen symptoms. Since your symptoms don’t notably align with stress, ensuring there’s an ongoing assessment to update your symptom log might reveal patterns that haven’t been seen yet.

In situations like severe or sudden exacerbations characterized by high fever, unremitting rectal bleeding, prolonged severe abdominal pain, or significant weight loss, promptly seeking emergency medical attention is important to rule out acute complications.

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Dr. Yuvraj Rathore
I am Dr. Yuvraj Rathore, a medical professional with a bit more than 4 years of clinical experiance. Sometimes it feels like much longer honestly — the kind of learning that only comes from working long nights, emergencies, and quiet OPD mornings where you actually talk to patients, not just treat them. I spent 3 years as a Junior Resident in the Department of Surgery at Government Medical College, Dungarpur. Those were intense days — assisting in surgeries, managing pre and post-op cases, handling inpatient care, and running through emergency cases where every decision mattered (and had to be fast). I learned not just the techniques but how to stay calm when things got messy. Surgical OPD became like a second home — dressing wounds, following up post-surgery patients, and sometimes just listening to someone who was scared about a diagnosis. After that, I worked for a year as a Medical Officer at a Community Health Centre (CHC). It was a very diffirent pace — more about continuity of care than crisis response. I provided primary healthcare, managed acute & chronic illnesses, and worked on preventive and promotive health services for rural families. You don’t realize how much small interventions matter till you see a diabetic patient come back stable after months. Medicine for me isn’t only about procedures or prescriptions — it’s about attention, patience, and being honest with the person in front of you. I like to balance clinical precision with empathy, and maybe that’s why I never really rush consultations, even when the line outside is long. Right now I’m focused on deepening my surgical knowledge while keeping my general practice roots strong. Every patient still teaches me something new — some days it’s about pathology, other days it’s about humanity. Maybe that’s why I still feel curious every single day I walk into the ward or clinic.
48 days ago
5

Hello Lylia On the basis of whole given scenario of your medical condition

Advice / Plan (Short) • Likely problem: Chronic autoimmune/inflammatory gut disorder with nutrient deficiencies. • See: Gastroenterologist, hematologist, neurologist. • Diet: Balanced, avoid extreme restrictions. • Supplements: Continue folate, iron, vitamin D as advised. • Emergency: Severe pain, vomiting, blood in stool, fainting → go to hospital. • No new meds until evaluated by specialists.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
47 days ago
5

Your long-standing digestive issues with chronic diarrhea, mucus and occasional blood in stools, rapid transit, and persistent abdominal pain despite normal imaging and labs suggest a complex gastrointestinal or malabsorption disorder, possibly functional or autoimmune-related. Given your history of vitamin deficiencies, positive anti-intrinsic factor antibodies, and ongoing systemic symptoms, a comprehensive evaluation by a gastroenterologist, ideally with a focus on malabsorption syndromes and autoimmune enteropathies, is strongly recommended. Additionally, a nutritionist and possibly an immunologist should be involved to address dietary optimization and underlying immune or inflammatory contributions.

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