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Diagnosis
After weeks of having to rush to the bathroom day and night, the 77-year-old had lost 25 pounds. What was wrong?
Credit...
Photo illustration by Ina Jang
Published April 14, 2022
Updated April 22, 2022
“My husband has been sick for a month and can barely walk and you’re going to
send him home
?” The woman, usually reserved, was now shouting at the doctor in the Texas Health Arlington Memorial Hospital emergency room in Arlington, Texas. Her husband, 77 years old and until recently quite healthy, sat and watched his wife in amazed gratitude. “Don’t you have a GI specialist you can talk to?” she added. The doctor was silent for a moment, then nodded. “I’ll be back,” he said before disappearing into the crowded emergency room.
One month earlier, the man developed terrible and unrelenting diarrhea. Pepto-Bismol didn’t help; neither did Imodium. He gave up all dairy products. He ate more fiber. When after two weeks he still found himself getting up two or three times a night and hurrying to the bathroom just as many times during the day, he went to see his primary-care doctor, Samrath Sokhey. The doctor gave him a stronger antidiarrheal medication, Lomotil, and sent him to the lab for tests.
When the tests were unrevealing, Sokhey saw him again. By then the patient looked sick; he was tall and had always been trim, but now he looked gaunt. The patient walked, cycled or lifted weights every day and had for years. But not these days, he reported. After weeks of this diarrhea, his only exercise was running to the bathroom. He had lost nearly 10 pounds. He always wanted a six-pack stomach, he joked, but he wasn’t sure it was worth this. Sokhey ordered tests to look for parasites and referred the patient to a GI specialist.
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to read as many articles as you like.
A correction was made on
April 22, 2022
:
An earlier version of this article misstated the name of the institution where Dr. Tarek Sawas works. It is the University of Texas Southwestern Medical Center, not the University of Texas Southwestern.
A version of this article appears in print on
April 17, 2022
, Page 14 of the Sunday Magazine with the headline: He Was Remarkably Healthy, Until Chronic Diarrhea Nearly Killed Him
.
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Diagnosis
# He Was Remarkably Healthy Until Chronic Diarrhea Nearly Killed Him
After weeks of having to rush to the bathroom day and night, the 77-year-old had lost 25 pounds. What was wrong?
- Share full article
- 637

Credit...Photo illustration by Ina Jang
By [Lisa Sanders, M.D.](https://www.nytimes.com/by/lisa-sanders-md)
Published April 14, 2022Updated April 22, 2022
[See more of our coverage in your search results.Encuentra más de nuestra cobertura en los resultados de búsqueda. Add The New York Times on GoogleAgrega The New York Times en Google](https://www.google.com/preferences/source?cs=0&hl=en&q=nytimes.com)
“My husband has been sick for a month and can barely walk and you’re going to *send him home*?” The woman, usually reserved, was now shouting at the doctor in the Texas Health Arlington Memorial Hospital emergency room in Arlington, Texas. Her husband, 77 years old and until recently quite healthy, sat and watched his wife in amazed gratitude. “Don’t you have a GI specialist you can talk to?” she added. The doctor was silent for a moment, then nodded. “I’ll be back,” he said before disappearing into the crowded emergency room.
One month earlier, the man developed terrible and unrelenting diarrhea. Pepto-Bismol didn’t help; neither did Imodium. He gave up all dairy products. He ate more fiber. When after two weeks he still found himself getting up two or three times a night and hurrying to the bathroom just as many times during the day, he went to see his primary-care doctor, Samrath Sokhey. The doctor gave him a stronger antidiarrheal medication, Lomotil, and sent him to the lab for tests.
When the tests were unrevealing, Sokhey saw him again. By then the patient looked sick; he was tall and had always been trim, but now he looked gaunt. The patient walked, cycled or lifted weights every day and had for years. But not these days, he reported. After weeks of this diarrhea, his only exercise was running to the bathroom. He had lost nearly 10 pounds. He always wanted a six-pack stomach, he joked, but he wasn’t sure it was worth this. Sokhey ordered tests to look for parasites and referred the patient to a GI specialist.
[Subscribe to The Times](https://www.nytimes.com/subscription?campaignId=8WXW7) to read as many articles as you like.
**A correction was made on**
April 22, 2022
:
An earlier version of this article misstated the name of the institution where Dr. Tarek Sawas works. It is the University of Texas Southwestern Medical Center, not the University of Texas Southwestern.
***
When we learn of a mistake, we acknowledge it with a correction. If you spot an error, please let us know at [corrections@nytimes.com](mailto:corrections@nytimes.com).[Learn more](https://www.nytimes.com/explain/2022/new-york-times-journalism)
A version of this article appears in print on April 17, 2022, Page 14 of the Sunday Magazine with the headline: He Was Remarkably Healthy, Until Chronic Diarrhea Nearly Killed Him. [Order Reprints](https://nytimes.wrightsmedia.com/) \| [Today’s Paper](https://www.nytimes.com/section/todayspaper) \| [Subscribe](https://www.nytimes.com/subscriptions/Multiproduct/lp8HYKU.html?campaignId=48JQY)
Read 637 comments
- Share full article
- 637
***
## Diagnosis: More Medical Mysteries
### In her column for The New York Times Magazine, Dr. Lisa Sanders shares the solutions to seemingly impossible medical cases.
***
- **Walking With a Shuffle:** The man’s changed gait [was the first sign of a serious problem](https://www.nytimes.com/2026/04/03/well/shuffle-normal-pressure-hydrocephalus.html).
- **Yellowing of Her Eyes**: Something was terribly wrong with the young woman’s liver, [but doctors had no idea what](https://www.nytimes.com/2026/02/27/well/yellow-eyes-liver-autoimmune-disease.html).
- **Unbearable Back Pain**: For a doctor and a mother of four, [there was almost no relief to be found](https://www.nytimes.com/2026/01/30/well/back-pain-pelvic-congestion-syndrome-nutcracker.html).
- **A** **Pain In His Chest**: Doctors ruled out a heart attack, but the patient had a sense that [something was very wrong](https://www.nytimes.com/2026/01/09/well/chest-pain-reflux-esophageal-cancer.html).
## Related Content
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- [Her Sudden Back Pain Was Unbearable. What Could Ease It?](https://www.nytimes.com/2026/01/30/well/back-pain-pelvic-congestion-syndrome-nutcracker.html)
Photo illustration by Tomi Um
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Diagnosis
After weeks of having to rush to the bathroom day and night, the 77-year-old had lost 25 pounds. What was wrong?

Credit...Photo illustration by Ina Jang
Published April 14, 2022Updated April 22, 2022
“My husband has been sick for a month and can barely walk and you’re going to *send him home*?” The woman, usually reserved, was now shouting at the doctor in the Texas Health Arlington Memorial Hospital emergency room in Arlington, Texas. Her husband, 77 years old and until recently quite healthy, sat and watched his wife in amazed gratitude. “Don’t you have a GI specialist you can talk to?” she added. The doctor was silent for a moment, then nodded. “I’ll be back,” he said before disappearing into the crowded emergency room.
One month earlier, the man developed terrible and unrelenting diarrhea. Pepto-Bismol didn’t help; neither did Imodium. He gave up all dairy products. He ate more fiber. When after two weeks he still found himself getting up two or three times a night and hurrying to the bathroom just as many times during the day, he went to see his primary-care doctor, Samrath Sokhey. The doctor gave him a stronger antidiarrheal medication, Lomotil, and sent him to the lab for tests.
When the tests were unrevealing, Sokhey saw him again. By then the patient looked sick; he was tall and had always been trim, but now he looked gaunt. The patient walked, cycled or lifted weights every day and had for years. But not these days, he reported. After weeks of this diarrhea, his only exercise was running to the bathroom. He had lost nearly 10 pounds. He always wanted a six-pack stomach, he joked, but he wasn’t sure it was worth this. Sokhey ordered tests to look for parasites and referred the patient to a GI specialist.
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**A correction was made on**
April 22, 2022
:
An earlier version of this article misstated the name of the institution where Dr. Tarek Sawas works. It is the University of Texas Southwestern Medical Center, not the University of Texas Southwestern.
A version of this article appears in print on April 17, 2022, Page 14 of the Sunday Magazine with the headline: He Was Remarkably Healthy, Until Chronic Diarrhea Nearly Killed Him. [Order Reprints](https://nytimes.wrightsmedia.com/) \| [Today’s Paper](https://www.nytimes.com/section/todayspaper) \| [Subscribe](https://www.nytimes.com/subscriptions/Multiproduct/lp8HYKU.html?campaignId=48JQY)
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