Patient : I am 23 and in really good shape. I have been a dancer all my life and I now I'm a coach. I recently graduated from college with my masters in Architecture, and just moved back home with my parents. I have diarrhea with Incontinence. I have been having it for about 5 years now, and it's getting worse. I am not stressed at all right now, and even if I was I have really good stress management. I have been to the gastroenterologist and have done a colonoscopy, endoscopy, pill cam, CT, and blood test for celiac. So far all my results have been normal. The only exception was a comment that said "There is a possible submucosal lesion in the distal jejunum but it could just be a bulge." I do not have pain, unless I am having a bowel movement with my period. It is like muscle pain in my anus, (not cramps). My heart beats extremely fast before I have incontinence. I do not get constipated. With all the results being normal, I'm starting to assume their going to rule it as IBS. I feel very strongly that it is not. I get incontinence even when I'm sitting at home completely relaxed. I have tried controlling my muscles, breathing, yoga... anything that I assume would help IBS patients, but it still comes. I have been so embarrassed about this problem and want it solved. The only solution I have found works so far is a fat free diet. My doctor says my gal bladder is fine, however. Please help. Is it really all in my head? What else could it be?
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