{"id":6250,"date":"2025-10-22T03:31:58","date_gmt":"2025-10-22T03:31:58","guid":{"rendered":"https:\/\/harmonygutandliver.com\/?p=6250"},"modified":"2025-11-13T09:54:42","modified_gmt":"2025-11-13T09:54:42","slug":"why-am-i-still-having-diarrhoea-chronic-diarrhoea-treatment","status":"publish","type":"post","link":"https:\/\/harmonygutandliver.com\/blogs\/why-am-i-still-having-diarrhoea-chronic-diarrhoea-treatment\/","title":{"rendered":"Why am I still having diarrhoea? Chronic diarrhoea treatment."},"content":{"rendered":"\t\t
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People often seek diarrhoea treatment at Harmony Digestive and Liver Wellness Centre in Milton Keynes with two heavy thoughts. The first is, \u201cIs this something serious like inflammatory bowel disease?\u201d The second is, \u201cWill anyone take me seriously, or will they say it\u2019s in my head?\u201d Consultant Gastroenterologist Dr Arjun Prakash starts by answering both: your diarrhoea is real; it matters; and there\u2019s a clear way to find out what\u2019s going on.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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When to Take Persistent Diarrhoea Seriously\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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If loose stools have been hanging around for more than six weeks, happening three or more times a day when that isn\u2019t normal for you, or if urgency and accidents are creeping into daily life, it\u2019s time to assess properly.<\/p>

If there\u2019s blood, weight loss, or new mucus\u2014it\u2019s simply a reason to explore proper diarrhoea treatment<\/i><\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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The Common Diagnosis: IBS Explained Differently \n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Most people Dr Prakash sees with ongoing diarrhoea turn out to have IBS. He knows that label can sting. He explains it differently: IBS is a gut\u2013brain nerve axis disorder. The nerves of the bowel become extra sensitive and the bowel can speed up. It\u2019s physical and common\u2014and treatable. He talks about IBS after checking for treatable medical causes, so you don\u2019t feel dismissed while you\u2019re still worried.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Your First Appointment: What to Expect\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The first appointment is a conversation. What does a good day look like? What does a bad day look like? Any travel, tummy bugs, new medicines, night-time symptoms, or food that seems to trigger things?<\/p>

Small details can big decisions<\/b><\/i>. One woman came in hoping for something gentle for abdominal cramps. During the chat she mentioned a previous history of polyps and the pattern didn\u2019t fit typical diarrhoea predominant IBS. Dr Prakash suggested a colonoscopy. It found a tight narrowing in the transverse colon. Only fluid could slip past, so it felt like diarrhoea. Acting on that one clue changed everything. Not everyone needs a colonoscopy\u2014but some people absolutely do, and careful history can guide us in the right direction for effective diarrhoea treatment.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Exploring Other Causes of Chronic Diarrhoea\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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He also evaluates for some elusive reasons for diarrhoea. Bile acid malabsorption can follow a tummy bug or gallbladder surgery\u2014or appear without a clear trigger\u2014and produces urgent, watery stools that often get labelled as IBS. It\u2019s very treatable, once recognised. Pancreatic enzyme deficiency is another: when there aren\u2019t enough digestive enzymes, stools can turn pale or greasy, weight can drift down, and people feel bloated and drained; a simple stool test can catch it. Then there is microscopic colitis, where symptoms can wake you at night and certain medicines are known to nudge it along. In one of his cases, those two details\u2014night-time symptoms plus an offending drug\u2014led to the correct diagnosis and, more importantly, to a simple treatment that worked.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Diagnostic Tests: What They Show and Why They Matter\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Testing is explained in plain language. A faecal calprotectin looks for bowel inflammation and helps separate inflammatory conditions (like Crohn\u2019s or Ulcerative colitis) from IBS. Routine bloods check for anaemia, thyroid issues general inflammation and a coeliac screen. Stool tests for infection are used when the story points that way\u2014after travel, for example. If there\u2019s a question about the pancreas, a faecal elastase can help. Colonoscopy is suggested when it\u2019s likely to change what happens next: red flags, abnormal results, or a new change in pattern. If you\u2019re younger, your stool inflammatory markers are normal, your coeliac screen is negative and a recent colonoscopy was normal, repeating it rarely adds value. It isn\u2019t about doing everything; it\u2019s about doing the right for you, including the right diarrhoea treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Treatment and Management Options\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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No one needs to \u201cwait it out\u201d without help. While investigations are running, symptom relief usually starts straight away so the next few weeks feel liveable. People are often nervous about fibre because they worry it will make diarrhoea worse; used in the right way, soluble fibre can actually help firm things up in IBS-D. Loperamide has its place, but it shouldn\u2019t be the whole plan. Diet matters, but endless elimination diets tend to shrink life more than symptoms. A targeted, time-limited low-FODMAP approach with careful re-introduction can work very well when guided by a good dietitian. Cost matters; Dr Prakash is upfront about when dietetic input is likely to be worth it so you don\u2019t spend blindly.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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The Role of the Gut Microbiome\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The microbiome sits in the background of many of these conversations. It helps to think of it as a garden. After infections, stress or antibiotics, that garden can drift out of balance. Prebiotic fibres are the food that help the right plants grow, but they work best when you start low and go slow to avoid gas and cramping. Probiotics can help some people with IBS-D, though results depend on the strain and on the person. Try one for a few weeks (not the off-the shelf ones) and judge it by how you actually feel.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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When to See a Gastroenterologist in Milton Keynes for Diarrhoea Treatment\n\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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If your symptoms are short-lived, clearly linked to a bug or a one-off dietary misstep, and you otherwise feel well, simple self-care is reasonable: fluids, rest, and time. But if diarrhoea has crept past six weeks, if there\u2019s blood, weight loss or night-time symptoms, or if life is being planned around the nearest toilet, that\u2019s the moment to see a gastroenterologist in Milton Keynes for Diarrhoea Treatment.<\/p>

Harmony offers stool, blood and breath testing, evidence-based IBS care, and endoscopy when needed. For practicalities, Dr Arjun Prakash and his team are recognised by major insurers including Bupa and AXA, among others, which can make authorisation simpler; self-pay is available as well. Patients come from across Milton Keynes, Bletchley, Newport Pagnell, Buckingham, Bedford, and Northampton and from other areas within Buckinghamshire, Bedfordshire, Northamptonshire.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Book a Consultation\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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If you\u2019re still dealing with diarrhoea and want a thorough, well-led plan you can book with Dr Arjun Prakash at Harmony Digestive and Liver Wellness Centre<\/a><\/span>, Milton Keynes. The real goal is simpler: answers, relief, and getting your life back through the right diarrhoea treatment.<\/p>

(General information only; please seek personalised medical advice. If you have red-flag symptoms mentioned above, get care promptly)<\/p>

Book a consultation or screening today: Click Here<\/a><\/span><\/p>

To book a private liver consultation or second opinion, Get in touch with us<\/a><\/span><\/p>

Had a great experience with us? We\u2019d love to hear your thoughts! Click here to leave a Google review<\/a><\/span><\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

People often seek diarrhoea treatment at Harmony Digestive and Liver Wellness Centre in Milton Keynes with two heavy thoughts. The first is, \u201cIs this something serious like inflammatory bowel disease?\u201d The second is, \u201cWill anyone take me seriously, or will they say it\u2019s in my head?\u201d Consultant Gastroenterologist Dr Arjun Prakash starts by answering both: your diarrhoea is real; it matters; and there\u2019s a clear way to find out what\u2019s going on. When to Take Persistent Diarrhoea Seriously If loose stools have been hanging around for more than six weeks, happening three or more times a day when that isn\u2019t normal for you, or if urgency and accidents are creeping into daily life, it\u2019s time to assess properly. If there\u2019s blood, weight loss, or new mucus\u2014it\u2019s simply a reason to explore proper diarrhoea treatment The Common Diagnosis: IBS Explained Differently Most people Dr Prakash sees with ongoing diarrhoea turn out to have IBS. He knows that label can sting. He explains it differently: IBS is a gut\u2013brain nerve axis disorder. The nerves of the bowel become extra sensitive and the bowel can speed up. It\u2019s physical and common\u2014and treatable. He talks about IBS after checking for treatable medical causes, so you don\u2019t feel dismissed while you\u2019re still worried. Your First Appointment: What to Expect The first appointment is a conversation. What does a good day look like? What does a bad day look like? Any travel, tummy bugs, new medicines, night-time symptoms, or food that seems to trigger things? Small details can big decisions. One woman came in hoping for something gentle for abdominal cramps. During the chat she mentioned a previous history of polyps and the pattern didn\u2019t fit typical diarrhoea predominant IBS. Dr Prakash suggested a colonoscopy. It found a tight narrowing in the transverse colon. Only fluid could slip past, so it felt like diarrhoea. Acting on that one clue changed everything. Not everyone needs a colonoscopy\u2014but some people absolutely do, and careful history can guide us in the right direction for effective diarrhoea treatment. Exploring Other Causes of Chronic Diarrhoea He also evaluates for some elusive reasons for diarrhoea. Bile acid malabsorption can follow a tummy bug or gallbladder surgery\u2014or appear without a clear trigger\u2014and produces urgent, watery stools that often get labelled as IBS. It\u2019s very treatable, once recognised. Pancreatic enzyme deficiency is another: when there aren\u2019t enough digestive enzymes, stools can turn pale or greasy, weight can drift down, and people feel bloated and drained; a simple stool test can catch it. Then there is microscopic colitis, where symptoms can wake you at night and certain medicines are known to nudge it along. In one of his cases, those two details\u2014night-time symptoms plus an offending drug\u2014led to the correct diagnosis and, more importantly, to a simple treatment that worked. Diagnostic Tests: What They Show and Why They Matter Testing is explained in plain language. A faecal calprotectin looks for bowel inflammation and helps separate inflammatory conditions (like Crohn\u2019s or Ulcerative colitis) from IBS. Routine bloods check for anaemia, thyroid issues general inflammation and a coeliac screen. Stool tests for infection are used when the story points that way\u2014after travel, for example. If there\u2019s a question about the pancreas, a faecal elastase can help. Colonoscopy is suggested when it\u2019s likely to change what happens next: red flags, abnormal results, or a new change in pattern. If you\u2019re younger, your stool inflammatory markers are normal, your coeliac screen is negative and a recent colonoscopy was normal, repeating it rarely adds value. It isn\u2019t about doing everything; it\u2019s about doing the right for you, including the right diarrhoea treatment. Treatment and Management Options No one needs to \u201cwait it out\u201d without help. While investigations are running, symptom relief usually starts straight away so the next few weeks feel liveable. People are often nervous about fibre because they worry it will make diarrhoea worse; used in the right way, soluble fibre can actually help firm things up in IBS-D. Loperamide has its place, but it shouldn\u2019t be the whole plan. Diet matters, but endless elimination diets tend to shrink life more than symptoms. A targeted, time-limited low-FODMAP approach with careful re-introduction can work very well when guided by a good dietitian. Cost matters; Dr Prakash is upfront about when dietetic input is likely to be worth it so you don\u2019t spend blindly. The Role of the Gut Microbiome The microbiome sits in the background of many of these conversations. It helps to think of it as a garden. After infections, stress or antibiotics, that garden can drift out of balance. Prebiotic fibres are the food that help the right plants grow, but they work best when you start low and go slow to avoid gas and cramping. Probiotics can help some people with IBS-D, though results depend on the strain and on the person. Try one for a few weeks (not the off-the shelf ones) and judge it by how you actually feel. When to See a Gastroenterologist in Milton Keynes for Diarrhoea Treatment If your symptoms are short-lived, clearly linked to a bug or a one-off dietary misstep, and you otherwise feel well, simple self-care is reasonable: fluids, rest, and time. But if diarrhoea has crept past six weeks, if there\u2019s blood, weight loss or night-time symptoms, or if life is being planned around the nearest toilet, that\u2019s the moment to see a gastroenterologist in Milton Keynes for Diarrhoea Treatment. Harmony offers stool, blood and breath testing, evidence-based IBS care, and endoscopy when needed. For practicalities, Dr Arjun Prakash and his team are recognised by major insurers including Bupa and AXA, among others, which can make authorisation simpler; self-pay is available as well. Patients come from across Milton Keynes, Bletchley, Newport Pagnell, Buckingham, Bedford, and Northampton and from other areas within Buckinghamshire, Bedfordshire, Northamptonshire. Book a Consultation If you\u2019re still dealing with diarrhoea and want a thorough, well-led plan you can book with Dr Arjun Prakash at Harmony Digestive and Liver Wellness Centre, Milton Keynes. The<\/p>\n","protected":false},"author":1,"featured_media":6252,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"pagelayer_contact_templates":[],"_pagelayer_content":"","two_page_speed":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"jetpack_featured_media_url":"https:\/\/harmonygutandliver.com\/blogs\/wp-content\/uploads\/2025\/10\/a-calm-professional-medical-consultation_1kgLi53gTWiD_eOFlP51vw_Na2kbR1JSReUz9pbROSZUA-1-1.jpeg","_links":{"self":[{"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/posts\/6250","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/comments?post=6250"}],"version-history":[{"count":5,"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/posts\/6250\/revisions"}],"predecessor-version":[{"id":6408,"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/posts\/6250\/revisions\/6408"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/media\/6252"}],"wp:attachment":[{"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/media?parent=6250"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/categories?post=6250"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/harmonygutandliver.com\/blogs\/wp-json\/wp\/v2\/tags?post=6250"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}