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How Long Should Antibiotics Be Taken For Chronic IBS?

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Posted on Thu, 14 Jul 2016
Question: Please refer this ro Dr. Shoaib XXXXXXX ..Hi Doc, I am doing better, have not had any serious pain periods in over a week. Clearly your very restrictive diet has started a healing process, I am very grateful. Must say that I am going to cheat a little on the banned foods as have to have something to look forward to, also am going try alternating the meds you got me onto to every other day. If I start experiencing pain again I will promptly revert to your directions. Best regards, XXXXXXX in Oregon
doctor
Answered by Dr. Shoaib Khan (27 minutes later)
Brief Answer:
Strongly recommend against both those ideas sir, please read

Detailed Answer:
Hello once again Mr. XXXXXXX

That is indeed good news, so the diet is what was causing you most of the trouble.

Although, I do strongly believe that a healing or regenerative process will require more time, and would insist on avoiding cheating this early in the process of healing as it will only prevent adequate healing.

I would also like to share a fact with you; irritable bowel syndrome is divided into 2 conditions:

1. Crohn's disease (CD)

2. Ulcerative Colitis (UC)

Out of these 2 conditions, only Ulcerative colitis allows for regeneration of damaged tissue, or healing; but there is no chance or opportunity for the bowels to heal in Crohn's due to the more intensive development of the condition.

My views:

A. So, either way, I would recommend staying on the medications I recommended for at least a 3-6 month duration (way too early to wean off it now, so I would strongly recommend against trying now).

B. If you do have UC, then the healing process takes a minimum of 6 months, during which you will have to be asymptomatic; and as it has been only a few days since you have been feeling better, this is only just the beginning and I would strongly recommend you continue with my strict diet for at least 6 months and not try cheating at all during this period to attain the results you were seeking sir.

And if you have Crohn's disease, then it is more of a mandate to prevent cheating because your bowels would not have much time to heal either way because of the condition, and with you cheating this will only make things worse.

So in conclusion, I would strongly urge you not to try and make any changes to the regimen I have advised, and not to cheat, or reduce the pill dosage sir.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (1 hour later)
Allright, I will follow your directions, daily take the medication and hold to the diet.... XXXXXXX
doctor
Answered by Dr. Shoaib Khan (2 hours later)
Brief Answer:
I am sorry for being harsh, but I gain nothing from it - your well-wisher

Detailed Answer:
Hi sir.

I know you find my way to be most inflexible, but I say this not only as your doctor, but also as an IBS-sufferer, and trust me, you do not want those symptoms or episodes to recur.

They only result in worsening your physical and mental health. I have had to treat numerous IBS-patients not only for their physical health and requirements, but also because their health status has affected them so much over the years that they have developed severe depression that can be really challenging to treat. If I can in any way prevent that from happening to you, I shall work towards it.

"Eat food to live, do not live to eat" - someone wise

Best wishes. :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (3 hours later)
OK, I appreciate your guidance. Had 27 years of clinical depression earlier in life, sure don't want that again, but not a happy person and afraid will never feel really good again, not much to look forward to, but thanks. XXXXXXX
doctor
Answered by Dr. Shoaib Khan (11 hours later)
Brief Answer:
That completely depends upon you, and your approach to life sir

Detailed Answer:
Hello sir.

I am glad you understand what I don't wish for you to go through, just by avoiding a few things.

If you wish to, you can do many things and make life worth living. Finding the small joys in life can contribute a great deal, make friends, meet family, travel, and probably even find a partner. You are never too old, and it is never too late. Find your calling, and I am sure you will find the colour in your life once again sir.

As for your health, I am always here to help so do not ever hesitate to write to me.

Best wishes.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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How Long Should Antibiotics Be Taken For Chronic IBS?

Brief Answer: Strongly recommend against both those ideas sir, please read Detailed Answer: Hello once again Mr. XXXXXXX That is indeed good news, so the diet is what was causing you most of the trouble. Although, I do strongly believe that a healing or regenerative process will require more time, and would insist on avoiding cheating this early in the process of healing as it will only prevent adequate healing. I would also like to share a fact with you; irritable bowel syndrome is divided into 2 conditions: 1. Crohn's disease (CD) 2. Ulcerative Colitis (UC) Out of these 2 conditions, only Ulcerative colitis allows for regeneration of damaged tissue, or healing; but there is no chance or opportunity for the bowels to heal in Crohn's due to the more intensive development of the condition. My views: A. So, either way, I would recommend staying on the medications I recommended for at least a 3-6 month duration (way too early to wean off it now, so I would strongly recommend against trying now). B. If you do have UC, then the healing process takes a minimum of 6 months, during which you will have to be asymptomatic; and as it has been only a few days since you have been feeling better, this is only just the beginning and I would strongly recommend you continue with my strict diet for at least 6 months and not try cheating at all during this period to attain the results you were seeking sir. And if you have Crohn's disease, then it is more of a mandate to prevent cheating because your bowels would not have much time to heal either way because of the condition, and with you cheating this will only make things worse. So in conclusion, I would strongly urge you not to try and make any changes to the regimen I have advised, and not to cheat, or reduce the pill dosage sir. Best wishes.