Brief Answer:
Depleted gut flora may be recurrent gastroenteritis.

Detailed Answer:
Hi,

As per your query regarding gastroenterology problem his over all digestion is poor.Digestion is the process in the alimentary canal by which food is broken up physically, as by the action of the teeth, and chemically, as by the action of enzymes, and converted into a substance suitable for absorption and assimilation into the body.
This digestion or catabolism is divided into two types –
1)the mechanical digestion of food that occurs in the mouth when it is physically broken up into smaller pieces.
2)chemical digestion that occurs in the gastrointestinal tract when the food is broken down into small molecules by digestive enzymes.This part is severely hampered in your case.

From swallowing to excretion every thing is a part of normal digestive process.

Now lets come to your problem one by one-

Our gut consists of communities of good bacteria responsible for proper fermentation and food digestion. However, when these good bacterias are destroyed, food is partially fermented causing the release of gases. Take a probiotic like vizylac daily.The pathophysiology of gas and bloating flatulence is complicated. Understanding gut microflora, gas production, intestinal transit, intestinal propulsion of gas, and sensory function within the GI tract are essential for understanding symptom generation.The term gut microflora or microbiota means hundeds of species of bacteria which lives in our intestinal tractintestinal tract.These bacterias and yeast are responsible for proper digestion and fermentation of food. Hundereds of species of bacteria and yeast re found in colon of human intestine.In the same way thousands of these species florishes in our gut these bacteria play a vital role in digestuion and absorption of food.Even minor disturbances in gut microflora can lead to significant changes in gut function, including gas production.
There are various mechanism that can be related to recurrent loose stools

As told above If this microbiota is disturbed food is improperly fermented causing production of large amount of gases in gut leading to severe flatulence indigestion and diarrhea.Hence most common cause in most of the cases is disturbed microbiota.

Small intestinal bacterial overgrowth (SIBO) refers to a condition in which abnormally large numbers of bacteria are present in the small intestine, and the types of bacteria in the small intestine resemble more the bacteria of the colon than the small intestines causing improper and disturbed food digestion.


Medication suggested-( you will get all of them on prescription)
Tab norflox TZ(antibiotic) 1 tablet twice daily for 3 days.(Some time patient is suffering from chronis recurrrent gastroenteritis it would help eradicate bacterial or protozoal infection).
Cap Vizylac twice daily for 14 days(probiotic)
Tab Spamindon(dicyclomine0 twice daily for 5 days (for spasmodic pain).
Syrup aristozyme(external digestive enzymes) 2tsf three times a day(to improve digestion).

Follow up after 7 days.

Test suggested are -
Stool routine and microscopy
Ultrasound of abdomen
Stool culture
Taking medicines with life style modification will help you a lot.As overall digestion would improve things would be better from gastroenterology side.
Hope i answered your query well.

For any other suggestions kindly message me his ekg 2d echo and other investigation reports.

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