Brief Answer:
Acute IBS-C with?GERD Burning tight Feeling / Under Evaluation of Treatment

Detailed Answer:
Brief Ans-
Acute IBS-C with?GERD Burning tight Feeling / Under Evaluation of Treatment

Hi,Dear,Thanks for your query to HCM.
Read and reviewed your query and health concerns.

-Percieving your Health Concerns-
Understood the disturbing cramps which increased after laxido and lactulose,where buscopan is not working.
From your submissions you seems to have Constipation with bloating causing tight feeling with it and severe burning in stomach,which is mostly from the reflux Gastritis and acidity.

-Assessing the Cause of Your GERD and IBS
Based on the facts of your query,You seem to have resistant type of IBS-C with GERD(Gastro-Esophageal Reflux Disease with Acid reflux).
Please confirm if the burning is in the Chest -IF its in Chest -GERD is the cause/

or Burning could be in the upper Stomach?- if its in stomach- its from Reflex Gastritis with accompanied -entero-colitis from changed bacterial flora,commonly seen with IBS-C and GERD.

and or if its in the Lower end-anal and rectal area-causing tight lower end with Bloated stomach from food fermentation in the obstructed Colon

-Causes-The most common are- the food Style for your age- Hotel and Street Fast food, for your active, travel related work life style.Spicy, Fried, fast food with beverages add much to your IBS-C with GERD
Stressful life/ late working hours/ alcohol smoking to relieve stress.

-Remedy Suggested -General Guide lines- as your lifestyle and food style is unknown from your query.-
Check up with Surgeon and with stool Ova /Cyst
Stop Street and hotel food
High fluid Intake.
Vegies high fiber diet/ reduce on beverages
Spinach Soup with Creame -x 2 times a day
Sporlac Sachets- x 2 times a day to stabilize the disturbed bacterial flora
Use evacuants if need be and reduce dependence on anti-spasmodics.
Stop Laxido and Laculose which have increased the current cramps.
Add antibiotics- Ciplox with Oz 1 x 2 time per day x 10 days
Continue with Clofac to control Cramps.
Butter Milk with black paper- x 2 times a day
Light Tea without milk- x 2-3 times a day
Treat by Deworming(With Wormin -x every 3 mths) and anti-amebic-with antibiotics- Ciplox with Oz 1 x 2 time per day x 10 days, whenever needed(Every 2 mths) medicines.
Treating the GERD- problem with PPI- with Esopahgeal motility regulators-Like- Veloz D- 1 x 2 times a day x 2 weeks
Surgeons Second Opinion to assess and treat the accompanied Proctitis and perianal Fissure / piles if need be
Stop Smoking / alcohol/ spicy and fried food excess

HOpe this would help you in the long run to recoup your disturbed GI system.
Only drugs for evacuation and painkillers are not going to help you.A Completer revamp in your diet and life style x for 3-6 weeks would regain the normal bowel functions in much disturbed and insulted GI system of yours, with inbuilt defects in the Large and small bowel motility and cerebral-intestinal axis of yours.
Keep Me updated if need be.

Welcome with more query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.

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