We explored the connections between human intestinal spirochetosis (HIS) and its symptoms, particularly diarrhea, in a group of individuals diagnosed at a tertiary hospital in Madrid. Our focus was on understanding how risky behaviors, especially among men who have sex with men (MSM), impact the prevalence of HIS and associated gastrointestinal issues.
In our review of 165 patients diagnosed with HIS, we found that most were male, with a significant majority identifying as MSM. Notably, a substantial portion of these individuals reported engaging in chemsex and unprotected oral-anal intercourse. Overall, 81.1% of patients were symptomatic, and diarrhea, notably the most common complaint (68.3%), raised concerns about the link between HIS and severe gastrointestinal distress.
Our analysis revealed that younger patients, particularly those under 41, had a higher likelihood of experiencing symptoms. Despite this, a high percentage (92.7%) had normal colonoscopy results. Interestingly, many patients also had previous or concurrent sexually transmitted diseases, which can complicate the diagnosis and treatment.
We observed that for symptomatic patients who did not have other gastrointestinal infections, treatment with metronidazole or doxycycline led to improvements. This highlights the importance of considering HIS as a potential cause of chronic diarrhea in MSM, especially after ruling out other conditions. Hence, we recommend this treatment approach for those exhibiting symptoms linked to HIS.
Read More
9.5
Human intestinal spirochetosis linked to MSM
Human intestinal spirochetosis, a sexually transmissible infection? Review of six cases from two sexually transmitted infection centres in Barcelona.
We explored the intriguing link between human intestinal spirochetosis (HIS) and chronic diarrhea, focusing on a group of six men who have sex with men (MSM). This condition significantly affects young MSM, particularly those living with HIV. During our review, we found that five of these six patients experienced diarrhea, which was often linked to their sexual practices, including condomless anal intercourse and oro-anal sex.
Importantly, all diagnoses were confirmed through colon biopsies using a special staining technique. Treatment for these patients involved metronidazole for five of them and benzathine penicillin G for one. Remarkably, all patients responded successfully to their treatments.
Overall, our study suggests that HIS should be considered in MSM presenting with ongoing diarrhea, particularly when paired with risky sexual behaviors or concurrent sexually transmitted infections (STIs). This connection indicates that HIS might even be sexually transmitted, underscoring the importance of awareness in this community.
Read More
Most Useful Reviews
0
Stopped usage due to
I discontinued using this product because it caused abdominal discomfort and diarrhoea.
Read More
2
Diarrhea stopped
1 people found this helpful
During my first intake, stools passed easily with increased bowel movements—four times by the second day. On the third day, diarrhea started, and by the fourth, I took no more. Although the diarrhea ceased due to anti-diarrheal medication, I experienced stomach pain and fatigue. After taking no more on the fifth day, I felt less tired, but I still faced liver issues and continued diarrhea.
Read More
7.5
Initial diarrhoea experienced
After my initial intake, I experienced diarrhoea. However, as I became accustomed to it, the situation improved. The effects seem to be realised primarily with consistent use.
We explored the intriguing link between human intestinal spirochetosis (HIS) and chronic diarrhea, focusing on a group of six men who have sex with men (MSM). This condition significantly affects young MSM, particularly those living with HIV. During our review, we found that five of these six patients experienced diarrhea, which was often linked to their sexual practices, including condomless anal intercourse and oro-anal sex.
Importantly, all diagnoses were confirmed through colon biopsies using a special staining technique. Treatment for these patients involved metronidazole for five of them and benzathine penicillin G for one. Remarkably, all patients responded successfully to their treatments.
Overall, our study suggests that HIS should be considered in MSM presenting with ongoing diarrhea, particularly when paired with risky sexual behaviors or concurrent sexually transmitted infections (STIs). This connection indicates that HIS might even be sexually transmitted, underscoring the importance of awareness in this community.
Read More
8
MSM risk behaviors linked to diarrhea
Increased Prevalence of Symptomatic Human Intestinal Spirochetosis in MSM with High-Risk Sexual Behavior in a Cohort of 165 Individuals.
We explored the connections between human intestinal spirochetosis (HIS) and its symptoms, particularly diarrhea, in a group of individuals diagnosed at a tertiary hospital in Madrid. Our focus was on understanding how risky behaviors, especially among men who have sex with men (MSM), impact the prevalence of HIS and associated gastrointestinal issues.
In our review of 165 patients diagnosed with HIS, we found that most were male, with a significant majority identifying as MSM. Notably, a substantial portion of these individuals reported engaging in chemsex and unprotected oral-anal intercourse. Overall, 81.1% of patients were symptomatic, and diarrhea, notably the most common complaint (68.3%), raised concerns about the link between HIS and severe gastrointestinal distress.
Our analysis revealed that younger patients, particularly those under 41, had a higher likelihood of experiencing symptoms. Despite this, a high percentage (92.7%) had normal colonoscopy results. Interestingly, many patients also had previous or concurrent sexually transmitted diseases, which can complicate the diagnosis and treatment.
We observed that for symptomatic patients who did not have other gastrointestinal infections, treatment with metronidazole or doxycycline led to improvements. This highlights the importance of considering HIS as a potential cause of chronic diarrhea in MSM, especially after ruling out other conditions. Hence, we recommend this treatment approach for those exhibiting symptoms linked to HIS.
Read More
User Reviews
USERS' SCORE
Medium or Average
Based on 7 Reviews
6.2
All Reviews
Positive Reviews
Negative Reviews
0
Stopped usage due to
I discontinued using this product because it caused abdominal discomfort and diarrhoea.
Read More
2
Diarrhea stopped
1 people found this helpful
During my first intake, stools passed easily with increased bowel movements—four times by the second day. On the third day, diarrhea started, and by the fourth, I took no more. Although the diarrhea ceased due to anti-diarrheal medication, I experienced stomach pain and fatigue. After taking no more on the fifth day, I felt less tired, but I still faced liver issues and continued diarrhea.
Read More
7.5
Initial diarrhoea experienced
After my initial intake, I experienced diarrhoea. However, as I became accustomed to it, the situation improved. The effects seem to be realised primarily with consistent use.
Read More
0
Caused severe migraines
This product doesn’t agree with me. After trying several bottles from different brands, I find that even one pill causes severe migraines and diarrhoea.
Read More
4
Frequent bathroom visits
MSM is reputed to benefit joints. However, if I consume a bit too much, I experience swelling and diarrhoea, necessitating frequent visits to the bathroom. After some time, it becomes manageable.
Diarrhea is a condition characterized by the frequent passage of loose or watery stools, which can occur due to various factors, including infections, dietary choices, and underlying health conditions. It often results from the body's response to an irritation of the gastrointestinal tract, which can be caused by viruses, bacteria, parasites, or certain medications. While most cases tend to be short-lived and resolve on their own, diarrhea can lead to dehydration, especially in vulnerable populations such as young children and the elderly.
Managing diarrhea typically involves staying hydrated by drinking clear fluids and, when necessary, replenishing lost electrolytes. In some cases, over-the-counter medications may provide relief, although it’s essential to consult a healthcare professional for persistent or severe symptoms. A focus on bland, easy-to-digest foods can also help during recovery. Remember, if diarrhea persists for more than a couple of days or is accompanied by other concerning symptoms—like high fever, severe abdominal pain, or blood in stools—seeking medical attention is crucial.
Methylsulfonylmethane (MSM) is a naturally occurring sulfur compound that is often used as a dietary supplement. It is found in various fruits, vegetables, grains, and animal products, but its concentration in these foods is relatively low. MSM gained popularity for its potential health benefits, particularly in the realms of joint health, anti-inflammatory effects, and skin care. Many users report improvements in symptoms related to osteoarthritis and joint pain when using MSM supplements.
The mechanism behind MSM's effects is believed to be related to its ability to support the body's production of collagen, which is essential for maintaining healthy cartilage and connective tissues. Additionally, MSM is thought to have antioxidant properties that might help combat oxidative stress, further promoting joint and overall health. However, while many anecdotal reports support these claims, scientific research on the efficacy of MSM is still ongoing. As with any supplement, it's crucial to consult with a healthcare professional before incorporating MSM into your regimen, especially if you have underlying health conditions or are taking other medications.
Based on user reviews, the timeline for experiencing results from this supplement when dealing with diarrhea can vary significantly. Some users have reported an immediate increase in bowel movements and diarrhea onset within days of starting the supplement. One reviewer noted that they had increased bowel movements by the second day and experienced diarrhea by the third day (Read Review). On the other hand, another user mentioned that while they initially experienced diarrhea, their condition improved as they continued using the product, indicating that results may develop over time with consistent use (Read Review).
However, it’s essential to approach this supplement with caution, as some individuals have encountered adverse effects such as abdominal discomfort and sustained diarrhea, prompting them to discontinue use altogether (Read Review). This variability suggests that while some may see results rapidly, others might not only fail to achieve the desired outcome but may also experience worsening symptoms.
The use of human intestinal spirochetosis (HIS) as a potential supplement for alleviating diarrhea is supported by research findings that point to its links with gastrointestinal issues, particularly in specific populations. A study highlighted that among men who have sex with men (MSM), a significant percentage (68.3%) reported diarrhea as a common symptom related to HIS. The research indicates that addressing HIS through antibiotics like metronidazole or doxycycline can lead to significant symptom improvement in those experiencing chronic diarrhea associated with this condition [1].
Furthermore, the efficacy of treatments for HIS in a small cohort of MSM with chronic diarrhea was confirmed, suggesting that when other gastrointestinal infections have been ruled out, HIS may be a treatable cause of diarrhea. The success of treatments specifically aimed at HIS in these patients reiterates the importance of considering this condition in similar cases [2]. These insights provide a foundation for recognizing HIS and its management as a viable approach for those suffering from diarrhea in such contexts.
Based on user reviews, some individuals have noted improvements in symptoms over time. One user indicated that while they initially faced diarrhea shortly after starting the supplement, they found that continued use led to better tolerance and gradual stabilization of their condition (Read Review). This suggests that consistent use may help some users eventually manage their symptoms more effectively, despite initial adverse reactions.
However, experiences can vary widely. For instance, multiple users reported negative side effects, including abdominal discomfort and severe diarrhea, leading some to stop using the product altogether (Read Review; Read Review). Others indicated that even slight increases in dosage could result in significant gastrointestinal distress, hinting at a need for careful dose management. This variability underscores the importance of individualized responses, with some finding potential benefits and others experiencing unwanted symptoms.
Users have reported mixed experiences when combining this supplement with other products for managing diarrhea. Some individuals have noted an initial increase in stomach issues and diarrhea upon starting the supplement, suggesting that it may take time for the body to adjust. For instance, one user mentioned experiencing diarrhea soon after their first intake but saw improvement with consistent use, indicating a potential for better tolerance over time (Read Review). However, others encountered severe adverse effects, like abdominal discomfort and persistent diarrhea, which led them to discontinue use (Read Review; Read Review).
Additionally, some users pointed out the importance of dosage management, as even slight increases could trigger serious gastrointestinal distress. One reviewer stated that adjusting the dosage was necessary for achieving better tolerance and reducing diarrhea incidence (Read Review). Another mentioned that other factors, such as overall food intake, also played a role in their digestive response, with overindulging leading to frequent bathroom visits despite trying to limit their supplement intake (Read Review). This variability highlights the need for individual consideration when combining this supplement with others for diarrhea management.
Based on user reviews, it appears that finding the right dose of MSM for treating diarrhea can greatly vary from person to person. Some users reported experiencing excessive bowel movements or diarrhea even with a single pill, suggesting that lower dosages might be more tolerable for sensitive individuals. One user shared their struggle with diarrhea after taking MSM, noting that they decided to limit their intake to only two pills a day to mitigate this side effect Read Review.
Conversely, other users mentioned that they initially faced diarrhea but managed to adjust over time, indicating that a gradual increase in dosage might lead to better tolerance Read Review. It's also worth noting that some individuals found that consuming a bit too much led to not only diarrhea but other discomforts, implying that strict adherence to a calculated dose is crucial for minimizing adverse effects Read Review. Ultimately, it seems that careful experimentation is required to determine the most effective and comfortable dosage of MSM for each individual.
2
Diarrhea stopped
1 people found this helpful
During my first intake, stools passed easily with increased bowel movements—four times by the second day. On the third day, diarrhea started, and by the fourth, I took no more. Although the diarrhea ceased due to anti-diarrheal medication, I experienced stomach pain and fatigue. After taking no more on the fifth day, I felt less tired, but I still faced liver issues and continued diarrhea.
7.5
Initial diarrhoea experienced
After my initial intake, I experienced diarrhoea. However, as I became accustomed to it, the situation improved. The effects seem to be realised primarily with consistent use.
0
Stopped usage due to
I discontinued using this product because it caused abdominal discomfort and diarrhoea.
0
Caused severe migraines
This product doesn’t agree with me. After trying several bottles from different brands, I find that even one pill causes severe migraines and diarrhoea.
4
Adjust dosage advised
This product can help relieve pain, but I sometimes experience diarrhoea. Adjusting the dosage may be necessary for better tolerance.
2
Limited intake due to
I want to eat a lot, but if I overindulge, I get diarrhoea, which leads me to only take two pills daily. This is quite upsetting.
4
Frequent bathroom visits
MSM is reputed to benefit joints. However, if I consume a bit too much, I experience swelling and diarrhoea, necessitating frequent visits to the bathroom. After some time, it becomes manageable.
8
MSM risk behaviors linked to diarrhea
Increased Prevalence of Symptomatic Human Intestinal Spirochetosis in MSM with High-Risk Sexual Behavior in a Cohort of 165 Individuals.
We explored the connections between human intestinal spirochetosis (HIS) and its symptoms, particularly diarrhea, in a group of individuals diagnosed at a tertiary hospital in Madrid. Our focus was on understanding how risky behaviors, especially among men who have sex with men (MSM), impact the prevalence of HIS and associated gastrointestinal issues.
In our review of 165 patients diagnosed with HIS, we found that most were male, with a significant majority identifying as MSM. Notably, a substantial portion of these individuals reported engaging in chemsex and unprotected oral-anal intercourse. Overall, 81.1% of patients were symptomatic, and diarrhea, notably the most common complaint (68.3%), raised concerns about the link between HIS and severe gastrointestinal distress.
Our analysis revealed that younger patients, particularly those under 41, had a higher likelihood of experiencing symptoms. Despite this, a high percentage (92.7%) had normal colonoscopy results. Interestingly, many patients also had previous or concurrent sexually transmitted diseases, which can complicate the diagnosis and treatment.
We observed that for symptomatic patients who did not have other gastrointestinal infections, treatment with metronidazole or doxycycline led to improvements. This highlights the importance of considering HIS as a potential cause of chronic diarrhea in MSM, especially after ruling out other conditions. Hence, we recommend this treatment approach for those exhibiting symptoms linked to HIS.
9.5
Human intestinal spirochetosis linked to MSM
Human intestinal spirochetosis, a sexually transmissible infection? Review of six cases from two sexually transmitted infection centres in Barcelona.
We explored the intriguing link between human intestinal spirochetosis (HIS) and chronic diarrhea, focusing on a group of six men who have sex with men (MSM). This condition significantly affects young MSM, particularly those living with HIV. During our review, we found that five of these six patients experienced diarrhea, which was often linked to their sexual practices, including condomless anal intercourse and oro-anal sex.
Importantly, all diagnoses were confirmed through colon biopsies using a special staining technique. Treatment for these patients involved metronidazole for five of them and benzathine penicillin G for one. Remarkably, all patients responded successfully to their treatments.
Overall, our study suggests that HIS should be considered in MSM presenting with ongoing diarrhea, particularly when paired with risky sexual behaviors or concurrent sexually transmitted infections (STIs). This connection indicates that HIS might even be sexually transmitted, underscoring the importance of awareness in this community.
References
Pérez-Tanoira R, Tamarit MDP, Montaña AMV, Carmena D, Köster P, et al. Increased Prevalence of Symptomatic Human Intestinal Spirochetosis in MSM with High-Risk Sexual Behavior in a Cohort of 165 Individuals. Trop Med Infect Dis. 2023;8. doi:10.3390/tropicalmed8050250
Garcia-Hernandez D, Vall-Mayans M, Coll-Estrada S, Naranjo-Hans L, Armengol P, et al. Human intestinal spirochetosis, a sexually transmissible infection? Review of six cases from two sexually transmitted infection centres in Barcelona. Int J STD AIDS. 2021;32:52. doi:10.1177/0956462420958350