<s>[INST] Hi, my name is Marie, I have been having these symptoms for quite a while and no one seems to know the answer. I will get the erge to have a bowel movement and then once in the bathroom the erge turns into severe abdomnal cramps, my heart starts to pound, I feel lightheaded, break out in a cold sweat and become very weak. When all starts to disapate I`ve had a large loose movement and I am so weak and lightheaded that I can hardly walk the 10 feet to my bed only to colapse and sleep for about an hour or so. For several days after my sbdomanal muscles are sore and I am very weak. I am 65.7 yrs. old. Thank You for any help or advise tyou can give. [/INST] HI Marie Madam. The urge-ramps- weakness, sweats and associated symptoms-large loose motion - very weak-all are suggestive of the following. Severe form of Enterocolitis. In this the symptoms are classical as you have. I would advise :::To get admittedComplete investigations including that for diabetes, kidney function tests. Stool tests Ultrasonography of abdomen Intravenous fluids and antibiotics. Colonoscopy, biopsy. CT scan abdomen if required. You have to get treated and investigated simultaneously so that you are cured. </s>