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Suggest Treatment For Severe Fatigue In A Diabetic

Posted on Thu, 16 Feb 2017

Question: Hi,
I am unable to go proper motion in the morning, it is happening for many days now. I am also not feeling thirsty. So I don't drink enough water normally. I also feel very stressed. I also have diabetes problem. Please suggest me some remedies.

Answered by Dr. Amit Jain (11 hours later)

Brief Answer:
take lots of fibres in your diet

Detailed Answer:
Hello! Thanks for putting your query in HealthcareMagic. I am a Gastroenterologist.

Improper motion in a diabetic patient is common as diabetes itself effects gastrointestinal tract. Bacterial flora of the intestine get aletered leading to change in the bowel habits.
I will suggest you to take a course of probiotic I usually prefer probiotic containing saachromyces boulardii. Along with tablet rifaximin, it is a gut antibiotic that has minimal systemic absorption. Its dose is 400mg twice aday and take them for at least 2weeks. Take sufficient amount of fibres and fluids in your diet. I mean to say lots of fruits and vegetables. Other food items that have high fibre content are oats, whole wheat , ragi, barley, greens, beans, peas, lentils.

I hope I have answered your query and this will help you . Wish you a good health

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Amit Jain (4 hours later)

Hi doctor,
Sometimes i feel like i want to motion, but if i get there i do very small amount or sometimes only gas comes out. The tablet that you mentioned rifaximin is after food right?, it wont cause any side effects right? i am also taking insulin, thats why. What kind of fruits and vegetables can be specifically taken? (bcoz i am having diabetes)?

Regards,
Gokul

Answered by Dr. Amit Jain (40 minutes later)

Brief Answer:
yes rifaximin has no or minimal side effects

Detailed Answer:
Welcome back.

Yes rifaximin has no side effects and can ne taken after meals.

Fruits which you can take are guvava, apple, bowl of papaya, pears, peach strawberry. Fruits which you should avoid are banana grapes and XXXXXXX Vegetables are all good for you except potato.

The symptom of stool hesitancy will also improve after this treatment in my opinion.
Thanks and wish you a good health

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Amit Jain (41 minutes later)

Hi Doctor,
Sometimes blood comes out of my stools, what to do in those times? , is it related to same problem or some other issue. Loss of blood is a complicated issue. Can you please tell me how to handle those situations?

Regards,
Gokul

Answered by Dr. Amit Jain (16 minutes later)

Brief Answer:
please visit a Gastroenterologist and undergo sigmoidoscopyi

Detailed Answer:
Welcome back.

Blood in the stool is separate issue for which I will advise you to get a sigmoidoscopy by a Gastroenterologist. It may be hemorrhoids polyp inflammatory bowel disease etc.

Thanks and wish you a good health

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Amit Jain (2 hours later)

Hi Doctor,
I did the sigmoidoscopy 2 years back for the blood in the stools, but doctor told there is no problem, but mild hemorrhoids present near to the opening.

Answered by Dr. Amit Jain (2 hours later)

Brief Answer:
keep your stool soft by taking lots of fibres and fluid

Detailed Answer:
Welcome back.

So the cause of bleeding is hemorrhoids.
Most important step in management of hemorrgoids is to keep stool by taking lots of fibres and water or may be laxative. Medicines available for this are tablet like calcium dobesilate, tab diosmin.

Have you taken these medicines or not
If not then take them and keep your stool soft
Thanks wish you a good health

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Above answer was peer-reviewed by : Dr. Prasad