Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours,You seem to suffer from-Nicotine withdrawal with IBS like complaints-where the for
stomach cramps you eat more,which is fermented more from the tight sphincteric dominance,causing IBS like symptom complex.
Dear this is not IBS,but IBS like condition caused from Nicotine withdrawl,which is sympathetic chemical and controls intestinal cravings-as it burns more calories to keep sugar-supplied to brain satiety centers-and hence maintains on low intake.
The withdrawal of
Smoking and so of nicotine- creates parasympathetic-/or spincteric dominance leading to bloating/ pains from excess bloated stretching and vicious cycle of -
dysbiosis,resulting due to these after effects of Nicotine withdrawal.
Other causes for IBS need to be investigations after detailed physical check and detailed history with its reviews.
Do's Suggested-
Change the pattern of diet timings-to satisfy the stomach cravings, with high fibers with vinegar spread outs,
Black tea helpings and low food loads,with supports from- antispasmodics and gastro-prokinetic like-
domperidone to smoothen the intestinal irritability.
Sporlac and thin butter milk, for controlling dysbiosis caused from withdrawal of
Nicotine withdrawal syndrome.
Antibiotics -and antiprotozoals, for controlling bouts of gastroeneteritis-due to food loads and over eating after Nicotine-withdrawal.
Vit B12 and
folic acid to -reduce mucosal stress ,which helps in fast recouping of Nicotine withdrawal with IBS like complaints.
Main factor and principle is to supply sugars,but with high fibres,which would mobilize sugar from bodies fat,but don't load with high carbo-sugar diets to reduce the food craving after Nicotine Withdrawal.
This plan would reduce your dilemma from withdrawal of Nicotine after quitting your long standing smoking habit.
Hope this would help you to plan further care of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS