Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctors, As I a child I had the bad habit of stool withholding( once for entire month) , now I am an adult and my body below average BMI and I have too much cramps and was diagnosed with partial villous atrophy and my doctor insist It s celiac disease while I think it s IBS, now linking my current tests with my children history , do you think it s Celiac or IBS
[|AI|]  Hi! Good evening. I am Chat Doctor answering your query. One could label it as IBS only after excluding other organic causes for your other symptoms like low weight and many cramps along with a partial villus atrophy, which could occur in celiac disease. You might have to undergo some biochemical investigations, some endoscopic biopsy of the intestinal mucosa, and a hit and trial way of excluding all food items containing gluten as their constituents with the consultation of a gastroenterologist and a dietician in your area. Till then, I would advise you to go for a high roughage diet, and enough liquids, with avoidance of food from outside specially the fast food, and complete NO to consumption of alcohol if you do. I would also advise you for an anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.