Tag Archives: diarrhea

Just what is the Smart Pill?

The Smart Pill Capsule Study will help your Doctor determine if you have a condition called gatroparesis which is a condition that may delay food from emptying out of your stomach. It allows the Doctors to see how long it takes food to travel through your stomach and intestines. You will swallow a vitamin-sized capsule the will send measurements of ph, temperature throught your GI tract to a data recorder that you will wear for the duration of the test which can last as long as 5 days.

What to expect during the test: You will eat a Smart Bar, they say just like a granola bar but it is gritty and chewy and not easy to eat when you already feel nauseated, suffering from Gerd, esophagitis and unable to eat, now you have to eat this gritty bar, But I used mind over madder in this situation. Then they give you the smart pill, which is the largest size pill I have seen if you bend your head down its easier to swallow. Then fast again for 6 hours, you wear the data recorder during the entire test. The hardest part, you can’t take your normal medications, like the ones that keep you from throwing up, gerd, acid reducer, pain meds, tums ect. This is before and during the test. You should be able to excrete the pill with in 2 days, If not MRI to find out where it is and how they are going to get it out.

My experience has not been easy to say the least, Non stop nausea, fullness, esophagitis, Gerd, a sense of feeling of full from the moment I ate the bar, I am miserable, can’t sleep, can’t eat, barely drink. But only 4 more days. thank god for music and meditation. But I am hoping this test will help the Doctors figure out what’s going on with my tummy so I can eat and start get stronger again.


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What does IVIG treatment feel like?

IVIG therapy also known as a normal human immunoglobulin, the use of a mixture of antibodies to treat a number of health conditions. This treatment can treatment many diseases such as mine autonomic neuropathy, autonomic small cell neuropathy, autonomic dysfunction but is used for so many other treatments and everyone has their own idea of what the treatment is like I can only explain how it makes me feel. Everyone’s experience is different. I was told you may be cold, or fluish, fatigue and painful joints.

My particular treatment plan is 5 days on and 3 weeks off. I was ready to go, positive thinking, I am not going to have any site effects, I am thinking positive. So it can be done by injection or IV. Mine is IV. One particular thing we noticed The faster the IV the more sick I felt, so a 2-3 hour treatment turned into 5 hours. This is done in a infusion center. and all around you are cancer patients, infectious disease all receiving some sort of treatment. That alone makes the entire situation more surreal. Other than the poke in the vein, it was nothing, I had planned on writing reading, but a part me needed to watch, learn and listen to what was happening, not out of disrespect for other patients but one reality of what I was enduring and 2 how lucky I was I was alive, tears for the people that were so sick, its really a difficult place to say Yeah I get to go to treatment today. So I dressed up, I was raised if you felt bad, dress up and you’ll feel better. I was the only one not in pjs, sweats etc.. I wanted to ward off all evils. I didn’t know what to expect,

The headache began, wow! I had never had a headache like this, took Tylenol, no relief, my legs hurt but that was normal but usually heat helps, not this time. I was nauseated, well I was use to that but I could conquer this, these people are fighting for their life, I can do this, I found myself tired, warn out, barley wanting to make it to the car, but tomorrow was going to be better. I came home no appetite and just slept until the tornado began, it was building and I was doing guided imagery to stop it, wasn’t working, I am getting a warmer and warmer stomach, head felt hot, didn’t even want to watch TV. I had so many things planned that I would get done during treatment.

Day 2 a little worse, Day 3 little worse, still forcing myself t dress up, said screw bringing the computer or writing or reading, I knew now, my fight was just beginning. I kept thinking just 2 more days, then sleep for a month. little did I know the days following made me sicker and sicker, found myself sleeping on the bathroom floor, can’t eat, can’t drink, my taste buds were leaving before the treatment but now gone, I was so sick I spent Christmas in the hospital, I didn’t even care that it was Christmas, my veins were giving out, and find a vein that worked was getting difficult, but I was so use to it, it didn’t hurt, my arms trashed, my hands are trashed so I had to have a port put in. This allows the treatment to have access with out having to stick me 6 times. It put me over the edge. The Doctor said it was normal for people to have this reaction after the first 5 days. Thanks for the information. I start again on the 25th, my taste buds are gone, I’m nauseated to the point the meds don’t work anymore, I will crave something like fruit and I pay after. I always thought food was suppose to be good for you, now its just a necessity to stay alive, I can even hold that down, my chest hurts, my esophagus hurts and burns like its on fire. My smell has changed and sounds, its like effecting every aspect of my life and with out food I have no energy, I guess because my body is loosing wt slowly it doesn’t matter, but when you can’t get out of bed your not going to burn a lot of calories.

So for me I pray my second treatment I will handle better and get through this easier. I have home health to do it at the house because with out a immune system, I can’t be around infectious disease. I feel so blessed, I can be in my pjs and no one will think lesser of me because it will just be me and the nurse. So I know I have along road, but it’s a road worth fighting. sometimes I feel so sick Ipray I don’t wake up, and peoples responses still blow me away, Until you try it, you don’t know how you will feel during and after treatment. so I will pray each treatment gets better and I will start to feel better, my dream to get my life back. I am willing to do anything to live. But IVIG is no picnic. But if you are starting this treatment your reaction may be different, you may have no symptoms, I pray that for you and myself.

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Blastocystis! Say What?????

Here is a name of a new parasite, actually not new, but one that is not tested, The CDC recognizes it as a Parasite that effects your digestive tracks and causes Unbelievable digestive pain, can’t eat, diarrhea, intestinal pain, extreme fatigue and other symptoms, Now here is what I found was interesting is humans can have this parasite and live with and have no symtoms but for others it can be awful. As you will read in the article you will learn about this parasite. If you have animals you are more likely to get it. It is transferred through the animals feces. This Parasite unfortunately is not tested unless you ask, because our Dr’s don’t learn about it, but in other countries it is a routine test with stomach issues, digestive issues.

Blastocystis is a genus of single-celled heterokont parasites belonging to a group of organisms known as the Stramenopiles (also called Heterokonts) that includes algae, diatoms, and water molds. Blastocystis consists of several species, living in the gastrointestinal tracts of species as diverse as humans, farm animals, birds, rodents, reptiles, amphibians, fish, and cockroaches.[2] Blastocystis exhibits low host specificity, and many different species of Blastocystis can infect humans[3] and by current convention, any of these species would be identified as Blastocystis hominis.
Blastocystis is one of the most common human parasites in the world and has a global distribution.[4][5][6][7] It is the most common parasitic infection in the United States, where it infected approximately 23% of the total population during year 2000.[6][7] In less developed areas, infection rates as high as 100% have been observed.[4][5] High rates of infection are found in individuals in developed countries who work with animals.[5][8] Although the role of Blastocystis hominis in human disease is often referred to as controversial, a systematic survey of research studies conducted by 11 infectious disease specialists from nine countries, found that over 95% of papers published in the 10 years prior identified it as causing illness in immunocompetent individuals.[7] The paper attributed confusion over pathogenicity to the existence of asymptomatic carriers, a phenomenon the study noted is common to all gastrointestinal protozoa.[7]

1 Classification
2 Signs and symptoms
3 Taxonomy
4 Epidemiology
4.1 Transmission
4.2 Reservoir
5 Morphology
6 Life cycle
7 Obtaining and culturing Blastocystis
8 See also
9 References
10 External links

The appropriate classification of Blastocystis has only recently been resolved. The original description of Blastocystis was as a yeast due to its yeast-like glistening appearance in fresh wet mounts and the absence of pseudopodia and locomotion.[9] This was then contradicted by Zierdt,[10] who reclassified it under subphylum Sporozoa (and later in Sarcodina), based on some distinctive protistan features of the Blastocystis cell, such as the presence of nuclei, smooth and rough endoplasmic reticulum, Golgi complex, and mitochondrion-like organelles. Its sensitivity to antiprotozoal drugs and its inability to grow on fungal media further indicated that it was a protozoan.
However, major revisions were made to its classification. An analysis of gene sequences was performed in 1996, which placed it into the group Stramenopiles.[11][12] Other Stramenopiles include brown algae, mildew, diatoms, the organism that caused the Irish potato famine, and the organism responsible for Sudden oak death disease. However, the position of Blastocystis within the stramenopiles remains enigmatic.[13]
Signs and symptoms
See also: Blastocystosis
Most published studies have reported that between 50% and 80% of individuals mono-infected with Blastocystis will show symptoms.[14][15] Factors influencing presentation of symptoms have been listed as the patient’s age, with younger patients less likely to show symptoms, as well genetic changes that influence the production of cytokines.[16] Some studies have suggested that pathogenicity may be linked to specific subtypes of Blastocystis[17] and experimental infection of animals has reported varying degrees of illness depending on the subtype used.[18] While some subtypes appear to be less likely to result in symptomatic infection, those subtypes are also found in symptomatic individuals who have no other infection found.[16] Symptoms associated with the infection are diarrhea,constipation, nausea, abdominal cramps, bloating, excessive gas, and anal itching.[19] Most cases of the infection appear to become diagnosed as irritable bowel syndrome, according to studies from Denmark,[20] Pakistan, the United Kingdom, and Italy.[7] The timescale of infection with the parasite can range from weeks to years.[21] In the early 2000s, Egyptian physicians identified 84 patients with diarrhea and enteritis apparently caused by Blastocystis hominis. After three days of nitazoxanide treatment, symptoms cleared and no fecal organisms were detectable in 36 (86%) of 42 treated patients and in 16 (38%) of 42 people who received placebo (P < .0001). the investigators concluded that either B hominis is pathogenic and can often be effectively treated with nitazoxanide, or that nitazoxanide (a drug approved by the FDA for the treatment of giardia and cryptosporidia) eradicated an unidentifiable organism.[22] Taxonomy For many years, scientists believed one species of Blastocystis infected humans, while different species of Blastocystis infected other animals. So they called Blastocystis from humans Blastocystis hominis and gave different species names to Blastocystis from other animals, for example Blastocystis ratti from rats. In recent years, various genetic analysis have shown that Blastocystis hominis as a unique entity does not exist, i.e. there is no single species of Blastocystis that infects humans.[3] In fact, a number of distinct genetic types of Blastocystis can infect humans, including those previously called Blastocystis ratti[23] and the differences are so great that they could be considered separate species. Because of this, in 2007 scientists proposed discontinuing the use of the term Blastocystis hominis. Their proposal was to refer to Blastocystis from humans and animals as Blastocystis sp. subtype nn where nn is a number assigned to each group according to the degree of genetic identity of the Blastocystis organisms, based on gene sequences, rather than the host that was infected.[24] At that time nine subtypes were known to infect mammals and birds, all of which had been found in humans. A tenth group was reported in China in 2007,[25] but a full analysis of its relationships has not yet been performed and it is not yet clear whether it is a group within a described subtype or a new subtype. A definite tenth subtype was then found in a variety of other mammals, including primates, but it has not as yet been found in humans.[26] There are now at least 13 genetically distinct small subunit ribosomal RNA lineages.[27] These additional subtypes were found in a variety of mammalian hosts (including elephants and giraffes) and it is very likely that more subtypes will be found as more hosts are surveyed. Epidemiology Blastocystis spp. prevalence in humans often exceeds 5% in industrialized countries.[28] In the United States, it infected approximately 23% of the total population during year 2000.[6][7] In less developed areas, infection rates with one or more subtypes are as high as 100%.[4][5] Transmission Fecal-oral transmission is the most accepted pathway, and recent studies have shown that transmission involves only the cyst form of the parasite.[29] The extent to which human-human, human-animal, and animal-human transmission occurs is still unknown. Genomic studies provide evidence for all three routes, though experimental studies have yet to provide conclusive proof for the existence of either.[30] Reservoir Conclusively stating that Blastocystis has an animal reservoir depends upon unraveling the true nature of its transmission. If, as Noël et al. deem likely based upon their own molecular work and a review of the literature, animal-to-human transmission is possible, then animals such as pigs and dogs could in fact be acting as a large reservoir capable of human infection.[31] Epidemiological studies finding that infection is more common in people living in proximity to farm animals or pets[21] further supports this notion. Morphology Blastocystis has various morphological forms. Four commonly described forms are the vacuolar (otherwise known as central body), granular, amoeboid, and cyst forms. The appearance of the organism is largely dependent upon environmental conditions as it is extremely sensitive to oxygen. Whether all of these forms exist in the host intestine is unclear. Vacuolar form The vacuolar form is the typical cell form of Blastocystis seen in culture and is often used for the identification of the organism. These vacuolar forms vary greatly in size, with diameters ranging between 2 µm and 200 µm. The vacuolar form is otherwise known as central body form because it has a large central vacuole surrounded by a thin band of peripheral cytoplasm which contains other organelles. Flocculent material has been described as being scattered unevenly throughout the vacuole. The function of the vacuole is still unclear, however, it has been suggested that, like for many eukaryotic cells, it is for storage purposes. Other functions, such as cell division during reproduction and the deposition of apoptotic bodies, have been proposed, although more tests need to be done to validate these roles. Four common forms of Blastocystis hominis. Clockwise from top left: vacuolar, granular, amoeboid, and cyst forms. Granular form The granular form is somewhat morphologically similar to the vacuolar forms except that distinct granules are observed in the central vacuole and / or cytoplasm. Within the central vacuole, these granules appear in different forms too. Three types were suggested – metabolic, lipid, and reproductive granules. Metabolic granules play a role in chemical processes that are necessary for the maintenance of life in the organism. It was also put forward that reproductive granules were involved in the development of progeny cells. These hypotheses were made based on microscopy alone, which may be deemed misleading, hence more need to be done before making a definite conclusion. It has also been suggested that the granules may be an indication that the cell is dying. Amoeboid form The other form that exists is the amoeboid form. The amoeboid form of Blastocystis is non-motile and strongly adhesive. A research study has reported that amoeboid forms are produced only in cultures taken from symptomatic individuals, with asymptomatic individuals producing exclusively vacuolar forms. The study suggested this method could be used for diagnosing symptomatic infection. Additionally, it suggested the symptoms could be due to the accumulation of the strongly adhesive amoeboid forms on the host's intestinal wall. A detailed ultra-structural study of amoeboid forms was published in 2007.[32] Cyst form The Blastocystis cyst form is a more recent discovery and has helped in the advancement of understanding the way the infection is transmitted. As compared to the other forms, it is generally smaller in size and has a thick multilayered cyst wall. It lacks a central vacuole and few nuclei, multiple vacuoles and food storage deposits were observed. The cyst form is the most resistant form of this parasite and is able to survive in harsh conditions because of its thick multilayered cyst wall. Experiments have been carried out to show its ability to withstand acidic gastric juices. Besides, the cysts did not lyse when placed in distilled water and could survive well at room temperature for up to 19 days, indicating its strong resistance.[33][34] Life cycle The supposed life cycle begins with ingestion of the cyst form. After ingestion, the cyst develops into other forms which may in turn re-develop into cyst forms. Through human feces, the cyst forms enter the external environment and are transmitted to humans and other animals via the fecal–oral route, repeating the entire cycle. Life cycle of Blastocystis proposed by Tan[35] Obtaining and culturing Blastocystis The ATCC maintains a collection of Blastocystis isolates. Some records show whether the isolates were obtained from symptomatic or asymptomatic carriers. As yet, no publication has identified the subtypes of most of the ATCC isolates, which are mostly axenic. Researchers have reported that patients with Irritable bowel syndrome may provide a reliable source for xenic Blastocystis isolates. Some researchers have reported being able to culture Blastocystis from 46% of IBS patients.[36] Researchers have described different culture mechanisms for growing Blastocystis. Colony growth on solid medium colonies on solid culture medium using a synthetic medium with added supplements have both been described.[37][38] However, most cultivation is performed in liquid media of various types.

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Low Potassium can be dangerous!

I myself have been suffering from low Potassium, from consistent Diarrhea do to my Autonomic Dysfunction, Every time I have been hospitalized, my Potassium is dangerously low, but they would give it to my IV, also drink the awful drink and tell me to eat bananas. I didn’t understand that part of my drop attacks, head pain, and paralysis was caused by Potassium. Now with all my hospital stays, don’t ya think one Doctor would say, you can’t walk because you have critically low potassium, your throat is paralyzing because of your potassium. Instead they just send me on my way. So I contacted my Doctor at Stanford and we need to talk about the seriousness of your potassium. Have a great 4th of July. So a new Prescription of Potassium is called into the pharmacy so I can get my levels up and now that I recognize what’s happening, I am more aware. I didn’t realize how dangerous low Potassium was. So I researched it myself and here Is a little information for low Potassium. and the results can be permanent.


When a person gets methylation going, even only partially, the single most dangerous side effect is dropping potassium. In the absence of kidney damage which people usually know about and certain drugs that cause the potassium to accumulate, low potassium is the odds on favorite after staerting methylation. As methylation starts up, no ifs ands or buts typically, in a day or less with the active protocol, when those symptoms hit on the 3rd day typically or a little later, it’s virtually always potassium. This can get dangerous, how quickly is the only question. I have had enough disturbing communications in the past couple of weeks to issue this repeating the warnings.

From Pubmed –

Potassium – low; Low blood potassium

Last reviewed: May 29, 2011.

Hypokalemia is a lower-than-normal amount of potassium in the blood.

Causes, incidence, and risk factors

Potassium is needed for cells, especially nerve and muscle cells, to function properly. You get potassium through food. The kidneys remove excess potassium in the urine to keep a proper balance of the mineral in the body.

Hypokalemia is a metabolic disorder that occurs when the level of potassium in the blood drops too low.

Possible causes of hypokalemia include:
Antibiotics (penicillin, nafcillin, carbenicillin, gentamicin, amphotericin B, foscarnet)

Diarrhea (including the use of too many laxatives, which can cause diarrhea)

Diseases that affect the kidneys’ ability to retain potassium (Liddle syndrome, Cushing syndrome, hyperaldosteronism, Bartter syndrome, Fanconi syndrome)

Diuretic medications, which can cause excess urination

Eating disorders (such as bulimia)

Eating large amounts of licorice or using products such as herbal teas and chewing tobaccos that contain licorice made with glycyrrhetinic acid (this substance is no longer used in licorice made in the United States)

Magnesium deficiency




A small drop in potassium usually doesn’t cause symptoms. However, a big drop in the level can be life threatening.
Symptoms of hypokalemia include:
Abnormal heart rhythms (dysrhythmias), especially in people with heart disease



Muscle damage (rhabdomyolysis)

Muscle weakness or spasms

Paralysis (which can include the lungs)

Signs and tests

Your health care provider will take a sample of your blood to check potassium levels.

Other tests might include:
Arterial blood gas

Basic or comprehensive metabolic panel

Electrocardiogram (ECG)

Blood tests to check glucose, magnesium, calcium, sodium, phosphorous, thyroxine, and aldosterone levels


Mild hypokalemia can be treated by taking potassium supplements by mouth. Persons with more severe cases may need to get potassium through a vein (intravenously).

If you need to use diuretics, your doctor may switch you to a form that keeps potassium in the body (such as triamterene, amiloride, or spironolactone).

One type of hypokalemia that causes paralysis occurs when there is too much thyroid hormone in the blood (thyrotoxic periodic paralysis). Treatment lowers the thyroid hormone level, and raises the potassium level in the blood.

Expectations (prognosis)

Taking potassium supplements can usually correct the problem. In severe cases, without proper treatment a severe drop in potassium levels can lead to serious heart rhythm problems that can be fatal.


In severe cases, patients can develop paralysis that can be life threatening. Hypokalemia also can lead to dangerous irregular heartbeat. Over time, lack of potassium can lead to kidney damage (hypokalemic nephropathy).

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