What Causes Pelvic Pain During Defecation?
It seems to be a serious disease, not merely a constipation.
Detailed Answer:
Dr. Hanif warmly Welcomes you to my virtual clinic HCM!
I have carefully worked through your case, and can realize your health worries. Being your physician, I will take care all of your medical concerns.
Don't ask here and there for treatments and home remedies for merely a constipation looking disorder. Your symptoms suggest more like you have (IBS-C) Irritable Bowel Syndrome-Constipation type.
It has the problems of:
Altered bowel movements, abdominal pain especially lower quadrants that typically is related to the bowel movements, Abdominal distension and farting, stools with mucous and narrow caliber stools.
Stress and anxiety also adds up to the problem. Yoga, meditation and Milder Gym activities (not vigorous ones that may drench all the water out of you.) are all great stress relievers.
Diagnostic tests:
Although in such cases history and examination is enough to diagnose, but we have to see other aspects of illness too. So I preferably advise you the following.
*Comprehensive Metabolic Panel.
Complete blood count with differentials.
*Stool complete examination.
Management:-
*Take plenty of fluids and avoid constipation. Use Citrucel and a plenty of clean water to drink. Citrucel will help improve the dietary deficiency of fibers. It is a must for you and it is a form of fiber that will not produce gas and flatulence.
*You will get benefits from cutting short the amount of coffee, soda, tea, caffeinated drinks, chocolates, alcohol, cigarettes etc. Avoid all.
*Prune juice, vegetables, plums, fruits like kiwi and avocado etc are good for you. No refined and junk foods from markets. They make constipation symptoms bad
*Take Lactulose syrup for constipation. Ask your treating physician for a prescription of Linzess and Celexa. These are for controlling constipation at the next level and to control your anxiety that exacerbates the disease in huge number of patients.
Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating and don't forget to close the discussion.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see any need to change the treatment options is very necessary. Keep a follow up some days after this visit session ends.
Regards!
DR. XXXXXXX HANIF
USA
No worries for that blood if this is crusted and little in amount.
Detailed Answer:
I am always here to welcome you with follow ups. Thanks for writing me.
It doesn't look to be a major issue if the blood is dry and crusted and there is no fresh streaks of large amounts of blood in nose. Don't pick your nose. Don't even touch it. Don't push so hard for phlegm. It will be fine soon.
No it isn't due to the constipation. It may have some reason like dryness in the nostrils or something else.
Now I come to remedy for you nasal problem. Please take normal saline drops OTC available and spray 3 times a day. Buy a warm mist vicks humidifier and put in the vicks pads in it and keep it in your room for getting an ease for nasal and airway passages to breath in. It will not let you dried up and will help for bleeding too.
Your second question:
Yes antibiotics also account for constipation. Many people in my clinic charts in patient data have reported getting constipation due to different antibiotics like Augmentin. But your case isn't like that. I know you were recently on antibiotics but this is not an issue. You Gastroenterologist will guide you better.
Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating and don't forget to close the discussion.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see any need to change the treatment options is very necessary. Keep a follow up some days after this visit session ends.
Regards!
DR. XXXXXXX HANIF
USA
You are welcome. Let me know if you need further assiatance anytime.
Detailed Answer:
I welcome you again. This means a lot to me when I listen thanks form my patients. I wish you a good health.
Let me know if you have any doubts/concerns. I am always there to help you.
Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating and don't forget to close the discussion.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see any need to change the treatment options is very necessary. Keep a follow up some days after this visit session ends.
Regards!
DR. XXXXXXX HANIF
USA
Not actually. It may rather cause more limb and lymphatic manifestations.
Detailed Answer:
I welcome you back and happily here to help you again. I appreciate the concerns you have.
No, Microfilariae usually causes lymphatic obstructions and manifests as limb and skin abnormalities. The constipation isn't related to the past episode and I also don't think so that you have got a relapse of that. You no more need Cenocide for this issue which is bothering you right now.
Yes it is good to stop antibiotics if the course is completed up til now.
I pray for a good health for you soon.
Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating and don't forget to close the discussion.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see any need to change the treatment options is very necessary. Keep a follow up some days after this visit session ends.
Regards!
DR. XXXXXXX HANIF
USA