Suggest Treatment For Symptoms Of IBS
Need some details to guide you better
Detailed Answer:
Hello
My name is Dr Muhammad Ali Rauf & i will look into your problem.
I have gone through your query and would try to help you in the best possible way. I would be in a better position to guide you anything if you answer following questions please:
1. since when are you having pain?
2. Are you currently having diarrhea?
3. Is there history of incomplete emptying after you defecate?
4. any history of nausea, vomiting or fever?
5. Does stool appear as stringy ribbon like?
6. Does urge to defecate increases after taking meal?
7. are you on any medication other than mentioned?
8. any history of diabetes, hypertension or other illness?
9. any other symptom that you would like to share?
I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
2. No. Two or three times in last week
3. No
4. None
5. On occasions it does.
6. Not after every meal
7. Prescription Thyroid tablet. Supplements once per day including 80mg aspirin, Vitamin B12 Selenium Saw Palmetto, Calcium & Glucosamine/ Chondroitin
8. None
9. No
Most probably Irritable Bowel syndrome
Detailed Answer:
Hello
Thank you for writing back. I have gone through your answers. Provisional diagnosis in your case will be Irritable Bowel Syndrome(IBS) secondary to stress induced. IBS is mostly caused by stress & anxiety. There is absolutely no need to worry. As you yourself have observed that your condition aggravates after appointment or travel so you need to overcome this stress. Combine following general & medical measures for improvement:
1. General:
> Stress is in everyone's life but if it overpowers you then it will start causing problem. So try to remain calm and stress free.
> Go out for a walk in the evening. It will reduce stress and will keep you fresh.
> If stress is severe then you can visit a psychologist for "Cognitive behavioral therapy" who will guide you relaxation techniques.
2. Dietary Advise:
> Take high fiber diet (peas, beans, broccoli, etc) including psyllium (ispaghul hask)
> Avoid:
* fatty food & caffeine products
* Spicy food.
* Fruits & salads for the time being.
* Heavy meals at night
3. Medical Advise:
> Gaviscon Suspension has proven good results in heart burn. You can take 1TSF if heartburn occurs.
> Loperamide 2 mg orally incase of diarrhea
Hope I have answered your query. If you have any further questions I will be happy to help.
Wishing you good health !!