Chronic loose stools. Not going away!

The fact that your fecal calprotectin and stool microscopy are normal is very encouraging, as it effectively rules out active inflammatory bowel disease (IBD) or a parasitic infection. Given that your symptoms have persisted for 3 months along with left-sided abdominal pain, your condition likely falls under Irritable Bowel Syndrome (IBS-D) or a functional gastrointestinal disorder. The presence of PCOM (Polycystic Ovarian Morphology) and Fatty Liver Grade 1/2 also suggests a metabolic component; hormonal imbalances from PCOM can sometimes alter gut motility, leading to chronic loose stools."

The Low-FODMAP Approach: "Try a 'Low-FODMAP' diet for 2 weeks. This involves temporarily avoiding certain carbohydrates (like wheat, onions, and certain fruits) that often trigger fermentation and loose stools in sensitive individuals." ​Probiotic Trial: "A high-quality multi-strain probiotic can help restore the balance of your gut microbiome, which may have been disrupted over the last 3 months." ​Stress Management: "Chronic gut issues are often linked to stress. Mindful breathing or light yoga can help calm the 'gut-brain axis' and reduce abdominal pain." ​Caution: "Do NOT self-medicate with long-term antibiotics for the loose stools, as this can worsen the underlying microbiome imbalance and potentially increase fatty liver stress." ​Red Flags: "If you notice sudden weight loss, blood in your stool, or if the abdominal pain becomes sharp and localized, seek a physical examination immediately."

When basic tests are normal, the answer usually lies in functional triggers or the gut microbiome. Please book a full session so we can dive deeper into your diet and metabolic history