Dear Sir Assalamnu Alikum Hope Sir Hope You Will Be

Posted on Thu, 16 Apr 2020

Question: Dear Sir Assalamnu alikum hope Sir hope you will be fine iam deeply sorry to be disturbing you again Sir Dear Sir for the last two days iam taking ezium before breakfast 30-45 minutues and librax after breakfast when i take it with in 15-25 min i have a bowel movement which is loose stool my symptoms which iam facing are following
1.morning when i wake up and iam brushing I throw up white phlegm with Nauseous and Hunger felling
2. Spitting mostly white sometime yellow phlegm
3.sometime i have to take breath by mouth which is now better
Sir iam also having honey at night and using steam aswell
As my previous experience Esomeprazole always given me issue sir kindly Recommended me how to proceed further
my doctor is treating my frequency of bowel movement and anxiety with librax it doing good but due to the lockdown. my activity has gone alot less

Answered by Dr. Shinas Hussain (2 hours later)

Brief Answer:
Anxiety might be the underlying cause.

Detailed Answer:
Walaikum.
Thanks for the query.
The symptoms you have mentioned most probably due to excessive and unwanted anxiety.
Thick sputum in the morning is quite common and may be due to minor sinus problems and can occur naturally. As you are asymptomatic no need to treat it vigorously.
The bowel symptoms are may be due to gastritis and anxiety may worsen the symptoms. You can continue esomeprazole(nexium). You have reduce the intake of spicy foods and include more fiber rich foods to your diet.
Avoid unwanted stress and anxiety. Relaxation techniques like yoga and meditation can help a bit.
Hope I have answered your query.
Thanks

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Shinas Hussain (21 minutes later)

should i keep using nexium as librax is given by my doctor and iam using it since 4 months

Answered by Dr. Shinas Hussain (1 minute later)

Brief Answer:
You can continue both.

Detailed Answer:
Hi,
It will be better to continue both until you make your next visit.
Thanks

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Shinas Hussain (18 hours later)

dear doctor is librax good to stop the frequency of bowel movement. and how many says it takes for nexium to work my appetite is better only in the morning i feel hunger but does not want to eat
i eat dinner at night around 8.30 pm sleep around 1am and wakes up around 10.15 am

Answered by Dr. Shinas Hussain (6 hours later)

Brief Answer:
You can try appetizers.

Detailed Answer:
Hi,
Librax is effective for irritable bowel syndrome and anxiety related bowel disturbances. It has to be taken regularly to be effective. Your appetite will gradually become normal with librax.
Over the counter available appetite stimulator syrups can be taken. You can also take pineapple which is a naturally available appetizer.
Hope I have answered your query.
Thanks

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Above answer was peer-reviewed by : Dr. Yogesh D