
Hi, Please Bear With Me For A Long Explanation. Within

Please bear with me for a long explanation.
Within the last two months 3 times after eating chicken (mainly outside) I had loose motion and also felt very hot from inside the body and weak but no fever in thermometer. I went to a general physician and he prescribed me ORNI-O for 3 days. I was ok.
I have been suffering from IBS for two years on & off and an alcoholic (every day). Currently, for the past month, I have cut down on my drinking habit and having it only 2 days a week. I now visited my gastroenterologist and explained the same and asked if it is due to some bacterial infection. He checked me and told that it could be because of some food additives and not a Typhoid infection.
Have informed my gastro that my IBS problem has been resolved after quitting alcohol. But he is some kind of weird guy always insisting me to go for colonoscopy because that's the only test I haven't done yet with him.
He insisted to go for CBC and Motion routine/occult blood test. Reports attached. OB was negative and Hemoglobin was 12 mg.
As I have been using pantoprazole for 10 years and 4 years back was having Vit B12 deficiency. I could relate that anemia is due to the VIT B12 deficiency and not due to any bleeding in the gastrointestinal tract as OB is negative.
He prescribed me SIBOFIX 550mg (2 weeks), Razo 20 (1 month), Orni 500 (5days) and Doxy-L (10days) yesterday.
Now today i had home-cooked lunch and felt the same hot feeling inside by body no fever. It lasted for nearly 4 hours making me feel weak and automatically subsided.
I do not have any problem with my appetite.
Now my queries :
1) Why does the body feel hot from inside but no fever in a thermometer?
2) Is it due to anemia?
3) Could it be due to any nutritional deficiency?
4) What another blood test should I take to rule out any major issues.
Please help.

Please bear with me for a long explanation.
Within the last two months 3 times after eating chicken (mainly outside) I had loose motion and also felt very hot from inside the body and weak but no fever in thermometer. I went to a general physician and he prescribed me ORNI-O for 3 days. I was ok.
I have been suffering from IBS for two years on & off and an alcoholic (every day). Currently, for the past month, I have cut down on my drinking habit and having it only 2 days a week. I now visited my gastroenterologist and explained the same and asked if it is due to some bacterial infection. He checked me and told that it could be because of some food additives and not a Typhoid infection.
Have informed my gastro that my IBS problem has been resolved after quitting alcohol. But he is some kind of weird guy always insisting me to go for colonoscopy because that's the only test I haven't done yet with him.
He insisted to go for CBC and Motion routine/occult blood test. Reports attached. OB was negative and Hemoglobin was 12 mg.
As I have been using pantoprazole for 10 years and 4 years back was having Vit B12 deficiency. I could relate that anemia is due to the VIT B12 deficiency and not due to any bleeding in the gastrointestinal tract as OB is negative.
He prescribed me SIBOFIX 550mg (2 weeks), Razo 20 (1 month), Orni 500 (5days) and Doxy-L (10days) yesterday.
Now today i had home-cooked lunch and felt the same hot feeling inside by body no fever. It lasted for nearly 4 hours making me feel weak and automatically subsided.
I do not have any problem with my appetite.
Now my queries :
1) Why does the body feel hot from inside but no fever in a thermometer?
2) Is it due to anemia?
3) Could it be due to any nutritional deficiency?
4) What another blood test should I take to rule out any major issues.
Please help.
Stop all antibiotics.
Detailed Answer:
Hello and thanks for choosing " Ask a Doctor" service for your query.
Have gone through your detailed explaination and I appreciate your concerns.
I would give point wise answers to your queries.
1)You Gastroenterologist had put you on heavy doses of 3 antibiotics at a time. Rifaximin 550 mg twice daily is a very high dose (maximum dose).On top of that doxycycline(I don't know why) and Ornidazole. The feeling which you describe as heat is basically severe gastritis and flux of acid into your stomach leading to a condition called Dyspepsia. Now as soon as you start eating; Food irritates the stomach lining which is already inflammed by large amount of preformed acid this causes the sensation which you describe as heat. Within 2 to 3 hours the ingested food moves from stomach to duodenum hence the burning sensation subsides.
2)No hemoglobin 12 is just mildly anemic. It has no relation to your problem.
3)No
4)Stop all medications. I can't understand why are you on such heavy doses of triple antibiotics at a time.
To relieve your gut take Esomeprazole 40 mg twice daily.
Take Digene syrup containing aluminium and magnesium hydroxide to soothen up your gut wall.
One the day you take alcohol take 80 mg Esomeprazole.
Only investigation I would suggest is Endoscopy to look for ulcers in stomach.
Drink one glass of chilled milk in morning.
Take food without spices for few days.
I don't know why your Gastroenterologist wants you to go for a colonoscopy. Even going for an Endoscopy makes sense to look for ulcers and condition of gut walls.
Stop all antibiotics.
Change your Gastroenterologist.
Hope I was easy to understand.
You can take a copy of this explaination and can question your gastro I would like to hear his side.
I really can't get role of colonoscopy in your case.
A simple case of gastritis and acid peptic problems being mistreated causing severe exaggeration.
Follow up with his reply.
Till then just follow what I suggested you.
You would start feeling better in 5 days.
Hope I was helpful.
Thanks.

Stop all antibiotics.
Detailed Answer:
Hello and thanks for choosing " Ask a Doctor" service for your query.
Have gone through your detailed explaination and I appreciate your concerns.
I would give point wise answers to your queries.
1)You Gastroenterologist had put you on heavy doses of 3 antibiotics at a time. Rifaximin 550 mg twice daily is a very high dose (maximum dose).On top of that doxycycline(I don't know why) and Ornidazole. The feeling which you describe as heat is basically severe gastritis and flux of acid into your stomach leading to a condition called Dyspepsia. Now as soon as you start eating; Food irritates the stomach lining which is already inflammed by large amount of preformed acid this causes the sensation which you describe as heat. Within 2 to 3 hours the ingested food moves from stomach to duodenum hence the burning sensation subsides.
2)No hemoglobin 12 is just mildly anemic. It has no relation to your problem.
3)No
4)Stop all medications. I can't understand why are you on such heavy doses of triple antibiotics at a time.
To relieve your gut take Esomeprazole 40 mg twice daily.
Take Digene syrup containing aluminium and magnesium hydroxide to soothen up your gut wall.
One the day you take alcohol take 80 mg Esomeprazole.
Only investigation I would suggest is Endoscopy to look for ulcers in stomach.
Drink one glass of chilled milk in morning.
Take food without spices for few days.
I don't know why your Gastroenterologist wants you to go for a colonoscopy. Even going for an Endoscopy makes sense to look for ulcers and condition of gut walls.
Stop all antibiotics.
Change your Gastroenterologist.
Hope I was easy to understand.
You can take a copy of this explaination and can question your gastro I would like to hear his side.
I really can't get role of colonoscopy in your case.
A simple case of gastritis and acid peptic problems being mistreated causing severe exaggeration.
Follow up with his reply.
Till then just follow what I suggested you.
You would start feeling better in 5 days.
Hope I was helpful.
Thanks.



Follow up.
Detailed Answer:
Hello again
1)For dyslipidemia- Tab Rosuvastatin 5 mg once daily for 3 month
2)For Iron deficiency anemia-Tab PP 26 (Iron polypeptides) 6 mg for 3 month once daily
3)For vitamin D deficiency -Sachet vitamin D 60 k once a week for 4 week.
4)For diabetes -Tablet Metformin 500 once daily before breakfast.
Rest all parameters are almost normal.
Hope I was helpful.
Thank you.

Follow up.
Detailed Answer:
Hello again
1)For dyslipidemia- Tab Rosuvastatin 5 mg once daily for 3 month
2)For Iron deficiency anemia-Tab PP 26 (Iron polypeptides) 6 mg for 3 month once daily
3)For vitamin D deficiency -Sachet vitamin D 60 k once a week for 4 week.
4)For diabetes -Tablet Metformin 500 once daily before breakfast.
Rest all parameters are almost normal.
Hope I was helpful.
Thank you.


Currently, I follow Nexium 40 mg morning and night (Before food). But after every meal I have the burning sensation in my stomach and chest, does that mean I have a lot of ulcers in my stomach.
What's the maximum dose of Nexium I can have in a day?
I have been already treated for H Pylori in 2017, Can it reoccur?
Is the gastritis high due to alcohol withdrawal?
How long should I continue the above dosages for a complete cure?
Can I take Librax in the night alone, how long should I take?
I am not getting enough sleep in maximum is 5 hours, does this cause acidity and loose motion? How sleep contributes to healing.

Currently, I follow Nexium 40 mg morning and night (Before food). But after every meal I have the burning sensation in my stomach and chest, does that mean I have a lot of ulcers in my stomach.
What's the maximum dose of Nexium I can have in a day?
I have been already treated for H Pylori in 2017, Can it reoccur?
Is the gastritis high due to alcohol withdrawal?
How long should I continue the above dosages for a complete cure?
Can I take Librax in the night alone, how long should I take?
I am not getting enough sleep in maximum is 5 hours, does this cause acidity and loose motion? How sleep contributes to healing.
Follow up.
Detailed Answer:
Hello again,
1)Nexium should be taken empty stomach. Minimum 30 minutes before taking any thing otherwise it won't have any effect.
2)I think very likely you are not using Nexium properly don't take any thing 30 min before and 20 minutes after having it. Whether they are ulcers or not can be determined only by endoscopy.
2)160 mg per day in two doses orally.
3) Yes it can. You can go for a breath test.
4)I don't think withdrawal would cause it rather taking alcohol cause severe gastritis.
5)Frankly gastritis can't be cured but can be fully controlled. Our aim is to keep patient stable on minimum doses.
6)lack of sleep can cause severe anxiety and IBS take xanac clonazepam 0.5 mg once daily for minimum of 21 days.
Hope I was helpful
Follow ups are welcome
Thanks

Follow up.
Detailed Answer:
Hello again,
1)Nexium should be taken empty stomach. Minimum 30 minutes before taking any thing otherwise it won't have any effect.
2)I think very likely you are not using Nexium properly don't take any thing 30 min before and 20 minutes after having it. Whether they are ulcers or not can be determined only by endoscopy.
2)160 mg per day in two doses orally.
3) Yes it can. You can go for a breath test.
4)I don't think withdrawal would cause it rather taking alcohol cause severe gastritis.
5)Frankly gastritis can't be cured but can be fully controlled. Our aim is to keep patient stable on minimum doses.
6)lack of sleep can cause severe anxiety and IBS take xanac clonazepam 0.5 mg once daily for minimum of 21 days.
Hope I was helpful
Follow ups are welcome
Thanks


Can I take eldoper when I Pass motion for many times? Dosage, please
Is there any side effects of taking Eldoper regularly?
Sometimes during IBS I pass undigested onion or cabbage in motion. Why is it so.

Can I take eldoper when I Pass motion for many times? Dosage, please
Is there any side effects of taking Eldoper regularly?
Sometimes during IBS I pass undigested onion or cabbage in motion. Why is it so.
Any symptom related to abdomen can be there in IBS.
Detailed Answer:
Hi there,
1)In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.
So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).
Some patients have symptoms of unformed stools some have bloating and some may have severe constipation. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same.No fixed symptoms are there presentation of every patient is different.
2)Yes you can take imodium upto a maximum dose of 16 mg in a day.For e.g 4 mg four times a day.
3)Not really but some times heavy doses results in severe constipation.
4)IBS means irritable bowel syndrome-Your bowel is not functioning properly that means digestion of food is not proper.This food may vary from patient to patient.Very likely chances are there that you intestines get irritated to the specific food you have mentioned and thats why it remain undigested.
Hope i was helpful,
Thank you.

Any symptom related to abdomen can be there in IBS.
Detailed Answer:
Hi there,
1)In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.
So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).
Some patients have symptoms of unformed stools some have bloating and some may have severe constipation. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same.No fixed symptoms are there presentation of every patient is different.
2)Yes you can take imodium upto a maximum dose of 16 mg in a day.For e.g 4 mg four times a day.
3)Not really but some times heavy doses results in severe constipation.
4)IBS means irritable bowel syndrome-Your bowel is not functioning properly that means digestion of food is not proper.This food may vary from patient to patient.Very likely chances are there that you intestines get irritated to the specific food you have mentioned and thats why it remain undigested.
Hope i was helpful,
Thank you.


Afterward, I get very tired and tensed as my mind is always thinking about how my gut would react after even drinking water. Have already tried RIFAGUT which some times work and some times don't. I need to stop this
2) Can I make my self sure that this is due to IBS and not any other disease as Occult Blood test performed twice in 2017 and 2019 shows negative? No weight loss too.
3) Somebody suggested me to take Librax. Is it good, does it relieve the symptoms? What should be the dosage and any side effect if taken with alcohol?

Afterward, I get very tired and tensed as my mind is always thinking about how my gut would react after even drinking water. Have already tried RIFAGUT which some times work and some times don't. I need to stop this
2) Can I make my self sure that this is due to IBS and not any other disease as Occult Blood test performed twice in 2017 and 2019 shows negative? No weight loss too.
3) Somebody suggested me to take Librax. Is it good, does it relieve the symptoms? What should be the dosage and any side effect if taken with alcohol?
Follow up.
Detailed Answer:
1) Cibis Tablet -contains Chlordiazepoxide, Clidinium Bromide and Dicyclomine as active ingredients either get it online or take these salts seperately. Have the tablet three times a day for control of symptoms.
2)No until and unless a colonoscopy is done no one could say that it's IBS. IBS is a diagnosis of exclusion. When nothing wrong is found despite of all possible measures and patient has symptoms we call it IBS.
3)You could add librax to the above mentioned medicine for a better effect. It relaxes nervous system and hence help to control symptoms.
It should not be taken with alcohol.
Hope I was helpful.
Thanks.

Follow up.
Detailed Answer:
1) Cibis Tablet -contains Chlordiazepoxide, Clidinium Bromide and Dicyclomine as active ingredients either get it online or take these salts seperately. Have the tablet three times a day for control of symptoms.
2)No until and unless a colonoscopy is done no one could say that it's IBS. IBS is a diagnosis of exclusion. When nothing wrong is found despite of all possible measures and patient has symptoms we call it IBS.
3)You could add librax to the above mentioned medicine for a better effect. It relaxes nervous system and hence help to control symptoms.
It should not be taken with alcohol.
Hope I was helpful.
Thanks.

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