A sudden and recurring urge to use the restroom could signify more than just irritable bowel syndrome (IBS). According to Dr. Martin Scurr, gastrointestinal symptoms that disrupt sleep warrant further investigation, as they may indicate a more serious underlying condition.
In a recent case, a wife, aged 86, has been suffering from constant stomach pain and nocturnal urges to use the bathroom. Despite a diagnosis of IBS and treatment with mebeverine, her condition has not improved. The patient’s husband expressed concern about her symptoms, which include waking in the early hours due to cramping. Dr. Scurr noted that pain associated with IBS typically does not occur at night, suggesting this symptom should be thoroughly examined.
Further complicating the situation, the woman has experienced significant weight loss, dropping from 50 kg to 44 kg over the past two years. This loss, exceeding 10 percent of her body weight, raises red flags, especially given that she has been consuming Fortisip, a high-energy nutritional supplement designed for those facing malnutrition. Dr. Scurr emphasized that this weight reduction could indicate gastrointestinal inflammation, necessitating additional medical evaluations.
While reassuringly, previous abdominal scans, including ultrasound and CT imaging, returned normal results, Dr. Scurr strongly recommends further tests. A colonoscopy, a procedure that allows doctors to inspect the bowel lining using a flexible tube equipped with a camera, may provide critical insights. This procedure, performed under sedation, typically lasts between 30 to 45 minutes. Dr. Scurr advised the husband to discuss these recommendations with their general practitioner and consider a referral to a gastroenterologist.
In the meantime, Dr. Scurr suggested that the patient monitor her weight weekly, as any additional loss could necessitate more immediate action.
Another inquiry addressed by Dr. Scurr involved concerns over the frequent use of Truvia, a low-calorie sweetener made from erythritol, a sugar alcohol derived from the stevia plant. While research indicates that Truvia is generally safe for long-term consumption, potential side effects such as bloating and loose stools may occur. Additionally, some studies suggest that elevated erythritol levels might be linked to increased risks of cardiovascular events, although the findings are still under scrutiny.
Dr. Scurr advised caution for individuals already at risk for heart conditions, such as those with cardiovascular disease, diabetes, or obesity. For others, continued use of Truvia is acceptable as long as no adverse effects are experienced.
In another health-related discussion, Dr. Scurr raised awareness about osteoporosis in men, a condition often overlooked. He recounted a case involving a dentist whose thumb fractured while handling surgical instruments. Despite being healthy, the dentist was diagnosed with osteoporosis, underscoring the need for greater awareness of bone health in men.
Key risk factors include family history, aging, and reduced physical activity. Dr. Scurr noted that men should consider incorporating weight-bearing exercises into their routines to strengthen bones and maintain health. He recommended that his patient shift from low-impact activities like swimming to high-impact training, such as preparing for a half-marathon.
These discussions highlight the importance of not dismissing seemingly minor symptoms. Both gastrointestinal issues and bone health require vigilant monitoring and proactive care, especially for older adults.
