Brief Answer:
Further evaluation needed

Detailed Answer:
Hi.

Thanks for posting your query at HCM.

Noted your current presentation. However, further history and physical examination maybe required. Investigations are advisable.

In order to understand your problems better, I request you to answer the following questions.

Is the pain constant OR "on and off(colicky)"?
Are your bowel habits normal?
Has blood appeared in your stool today or last few days?
Are you suffering from constipation?
Have you experienced current symptoms earlier? if yes, when ?
Have you undergone an endoscopic examination in the past( sigmoidoscopy, gastroscopy, colonoscopy)



I look forward for your answers that will aid in offering you a better advise for your current presentation.

Thank you.
Regards,
Dr Tayyab Malik

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Brief Answer:
diet Modification advised

Detailed Answer:
hi.
thanks for your answers and getting back to me.

considering your presentation and history, symptoms are most likely related to change in eating and bowel habits. Therefore, i would advise you to follow the advise elaborated below for atleast 3 to 4 weeks. Hopefully, symptoms would subside.

However, in case, if no resolution of symptoms is observed, then further radiological and/or endoscopic examination maybe required.

OTC simethicone tablets maybe used to combat bloating (if present).
Chew food well and try not to talk/open mouth while chewing food ( as it causes air to enters stomach and may lead to bloating).

Advice:
- thrice daily , take two tea spoon (or one big spoon) ispagula with 200 to 300 mL water ( when constipation is dominant - continue for 2 to days)

-warm water intake is recommended as much as possible
- eat small meals (rich in "fiber")
- eat plentiful "fresh oranges" and "pear "
- avoid COLD milk
- add plain yogurt to meals( preferably home prepared and without sugar) - - - - AVOID junk food(NO burger , pizza) altogether
- "mix few drops of lemon juice in warm water". Drink on empty stomach, early in the morning ( for two weeks)
- avoid beverages / alcohol/ soft drinks
- exercise (push-ups etc) early in the morning

any further questions are welcomed.
if no further questions, kindly close the dialogue box and rate the answer.
thank you.

hope to answer your concern.
wish you good health.

regards,
Dr Tayyab Malik

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