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My Mother She Is 73 Years Old ,,she Has Type

Posted on Sat, 6 Apr 2019

Question: My mother she is 73 years old ,,she has type 2 diabeties since 7 years but in control ..she had severe stoamch gas issue ,she cant eat vegtable or fruit it gives alot gas even she getr fiber it gives gas too,,,dn dr said she might hav bactria over growth dn metrordizole 500 she took ,during taking flygl she was feeling good but when dose finish she feels same gas,,dn finally i gave her atrantil which herbal working for sibo bactia overgrowth it was helping alot,,but one year ago she went through hemorriods opn surgery after she got mild stenosis and scar tissue so ,,in morning now she goes for bolw movnet 5 to 6 times with small poop ,,before breakfast she straining sometiems poop com sometiemes after breakfast poop com but she goes 5 to 6 tiems ,,some days she feels bowmmovent during walk,,can you tell me it is contipation or not? this many tiems bowlmovemnt started after hemoids surgery ,,dr gastroentrologist did many tests everything fine ,,doctors does test only no cure,,now my concern how it can b possible because if she can go bathroom one time then there will b no burning ,,as rectal dr says if she goes one time dn no burning,,,still dont know if she goes bathroom many tiems it is ibs,contipation,,or reason surgery complication mild stenosis

Follow up: Dr. Ramesh Kumar (4 days later)

4 years ago before hemorroids surgery gastroenrologist dr did coloncopi and endoscopy,,result dr said litlle bit acid everything ok dn she dr joti prescribed pantroprozole bef eating meal ,,after still gas issue dn we went another gastroenrologist dr nadeem he did EMPTY STOMACH TEST dotn remeber full test name in this test he wants to check may b food goes slow but test was normal,,dr jati did cat scane it was fine but she said smal stones in gallblader,,, may b smal hiatal hernia,,,now doctor after hemorroids surgery she goes in moring for bowlmovement 5 to 6 times with smal poop,,,after hemorroids surgery we went again dr jaoti gastroentrologist she did stool test,she did blood tests,,and she said i want a test to see if there is infection in stomach or rectum ,,may i dont know she said infection in abdomen or rectum test but after test she said result is normal,,,now if my mother goes one time goes bathroom dn she can b fine dn no burning in anus side,,rectal dr biden XXXXXXX he said may b she goes many times it can b bc of mild stenosis ,surgery complication,,,in morning she has someties stomach cramps dn she goes bathroom,,,dr i want to know if she goes many times with smal poop is this constipation? yes i remebr dr joti said stop linzess bc my mother she was taking linzess,,dr said may she goes many times bc of laxatives but my mother stopd linzess still same condition,,,,

Answered by Dr. Ramesh Kumar (9 minutes later)

Brief Answer:
Follow up.

Detailed Answer:
Hello again,

No, it's not constipation.
Constipation is not defined as an urge to defecate again and again rather as suggested earlier it could be inflammation of the rectum.

Secondly, if it was constipation then stopping linzess would have shown some changes.

I would suggest her to take anti-inflammatory tablet Ibuprofen 400mg twice daily for 2-3 days after food with a broad spectrum antibiotic like Cefixime 400mg once for a minimum of 5 days (may require a prescription from the local physician).

Thank you.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ramesh Kumar (22 hours later)

Thanks alot dr but sorry i bother you again i will ask you one more last question,,,my mother wakes up in moring after it cramps start dn she goes to bathroom for bowlmovemnt but it is like one marble type poop may b half inch,,,dn i ask my mother why you staraining ,,you should go after breakfast,,she says its cramps,,but after taking wheat meal with dipping in tea she tries again dn she goes many times dn little bit soft and sometimes hard stool but it takes times she worryies bc it take tiem for poop plus cramps bother ,,so it is still constipation or no? i hav started isabgol last night one tea spoon in glass of water before going to bed....and yes dr she has already taken 7 months ago metronidzole flygl,,for two weeks,,,i m waiting now your answer we will do wtever you say,,,sorry many questions in gape i ask bc we r not live talking so things doesnt com in mind at one time,,,

Answered by Dr. Ramesh Kumar (5 hours later)

Brief Answer:
As per me it's not constipation sir. Some more details required.

Detailed Answer:
Hello again my dear patient and firstly I would like to assure you that you can ask as many questions you want. I can very well understand that only a patient and its attendants knows the plight of a problem.
It would be a pleasure to help you with any of your queries whether you feel they are relevant or not. So please don't hesitate.
Again symptom is suggestive of proctitis. Rectum of your mother is inflamed. During the night time patient is in resting state and the food digested starts to collect in rectum. As tiny parts of fecal matter starts to touch inflamed wall of rectum they stimulate it irritate it and cause an urge to defecate however as the amount is very small your mother needs to strain a lot at that time.
One table spoon isabghul won't do sir. 10 mg three times a day initially dipped in XXXXXXX warm water for 15 minutes. For taste you can add any flavour so that your mother could easily eat it.

Lastly I would like to know your location and whether you need prescription at that place or medicines are available without prescription.
My suggestion would depend on the fact that medicines would be available or not to your mother.
Waiting,
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ramesh Kumar (4 hours later)

Sir we live in XXXXXXX XXXXXXX usa,,,cefixime this medication i try if anyone com from pakistan dn they bring ,,it takes time may b recently no one is coming from pakistan,,,or i will talk to my dr about this medicines here ,,,so my should take ibfrufen two times in a day for 4 0r 5 days as you mentioned in first emails,,,and also with ibfrufen she should take cefixime antibiotic tablet ,,how many tablets in a day ? and for how many days?.....one more thing as you say take vsl3 ,,,my brother s friend he is gastroentrologist from new york he also told me to take vsl 3 but i was not giving bc my mother takes ATRANTIL herbal med for over bactria growth it was working good bf surgery still working but less after surgery ,,i didnt give bc the dr who invented this medicines in XXXXXXX he was writing that dont give probiotic with it so i didnt start,,bc i thought vsl is probiotic or prebiotic ,, sir if you hav time ,,you can read about atrantil herbal medicines and its ingriendents may b i had very less knowledge about it ,,sir i wanted to get apionmnt with ths dr here who invented ths atrantil med but they give appointment time after 6 months so its realy crazy,,,

Follow up: Dr. Ramesh Kumar (18 minutes later)

And sir before surgery atrantil herbal medicines work 80 percent now after surgery it works only 40 percent ,,i m confused why? dr who invented atrantil he says dont eat alot gluten ,,bc dn atrantil work less and gluten gives mor gas,,,as my mother doesnt eat fruit nothing suit her but she eats wheat meal two tiems a day ,,wheat meal has fiber,,she likes wheat meal,,and one time she eats juwar meal,,one thing i want to share ,,she has very smal gas in morning ,,after lunch she has smal gas issue,,but when she sleep and she wakes up 6pm after it she hungry dn she eats biscuits tea rusks ,,or bakar khari,,these r from XXXXXXX ,with tea,,after it she has severe or less dn severe gas ,,timing of the gas is only eveng ,,i hav no idea why,,,so i give her gas x tablet after when she finshes biscuits n tea,,, gas x works help mostly but sometimes no ,,long time ago she took isabgol for many years but now it gives gas too ,after dibetic

Follow up: Dr. Ramesh Kumar (9 hours later)

Sir my mother had surgery HEMORRHOIDETOMY ,,my friend told she suppose to do laser surgery dn may b no complication..but here dr dint tell these options

Answered by Dr. Ramesh Kumar (15 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hi dear,
Firstly don't panic.
Ask your friend to send you 14 tablets of
Tab Cefixime 200 mg
Tab Metronidazole 400mg 21 tablets.
XXXXXXX Econorm 21 sachets
Tab Signoflam(Acelofenac plus paracetamol plus seratiopeptidase)
Tab Rabeprazole 20 mg
He would get them at any shop in Pakistan.
Ask him to pack them and stick doctors prescription stamped one on the top of the envelope and send it to you.

Antranil is a herbal medicine not researches or reports of it's proven effectiveness are there any where on any authentic site except the manufacturers site.
See if you are making a product to sell it you would always say that I would help.If really the product is so effective then don't you think that big players in pharma companies would endorse the product.I have gone through the ingredients she can take it with modern medicines.
Get these medicines and we would start a seven day cause to see how she responds to it.
Give her Bel ka murraba(you must be knowing as you are from pakistan) daily along with isabghul.
Hope I was helpful,
sorry for a bit delayed response,
Thank you and feel free to clear any doubts.

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Above answer was peer-reviewed by : Dr. Kampana