Suggest Treatment For Constipation And Hard Stringy Stool With Mucus And Blood

Posted on Fri, 18 Sep 2015

Question: Please can someone help me with constipation and hard stringy stool with mucus and blood trait in it. I often feel pain in the lower side of my ribs cage with bit of lower abdominal pain which include my naval area, Am coughing as well with light headache... Am using pefloxacin for staphylococcus infection . Could Hepatitis B be the cause of all this. Please what can i do

Answered by Dr. Noble Zachariah (22 minutes later)

Brief Answer:
Hepatitis B is not likely to be the cause.

Detailed Answer:
Hello,

Welcome and thanks for your query.
I understand your concern.
Your symptoms are likely to be due to two factors.
1. gastric irritation caused by Pefloxacin and
2. Irritable bowel syndrome ( IBS) of the constipation type.
Gastric irritation may be reduced to some extent by taking a proton pump inhibitor 30 minutes before the Pefloxacin which is better taken after a bland meal.
Eat a wholesome meal which is rich in fiber, exercise at least 30minutes a day and manage your stress well with relaxation techniques and yoga. Avoid spicy and acidic foods, coffee, alcohol and gas forming foods like brocholi and pulses.
If the constipation is severe, you can use an osmotic laxative like movicol 2 sachets in 1 glass of water at bed time for about a week r so and it would help in most cases.
Take care,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (9 minutes later)

Thank you sir, could this also cause body twitching and joint pain

Answered by Dr. Noble Zachariah (11 minutes later)

Brief Answer:
Unlikely

Detailed Answer:
Joint pain can be caused by Hepatitis B if you have an active viral infection. Was your liver function test normal?
Body twitching can be due to a number of causes like electrolyte abnormalities, neurological diseases, anxiety etc. The commonest cause is myokimia which is benign and does not need treatment.
Best wishes,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (1 hour later)

Yes my liver is normal and am on liv 52 to help it more. I also use splina chlorophyll to help more with it
Should i continue with the pefloxacin or stop using it

Answered by Dr. Noble Zachariah (54 minutes later)

Brief Answer:
Better if it can be.

Detailed Answer:
If you were given the medicine for cough and you have taken it for 5 days, you can stop it.
If you still have cough, you can take a medicine like Augmentin or Zinnat which are less likely to produce gastric irritation can be used.
Wish you a quick recovery.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Noble Zachariah (1 minute later)

Thank you sir

Answered by Dr. Noble Zachariah (12 minutes later)

Brief Answer:
Welcome

Detailed Answer:
Do get back to me if you have any further queries.

Have a good day

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar