Hi,
"As" per your clinical history is concerned do a clinical examination by your Doctor to know the cause of blood in stools and to confirm do a proctoscopy. For chest, burning do a clinical examination by your Doctor[Gastro] and to confirm do an
endoscopy and you can discuss with him regarding prescription medication like [Pantoprazole].
Regarding your urine problem do a urine test for bile salt and check your blood for serum
bilirubin. Do follow lifestyle modifications like this:
(1) Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your
esophagus. If your weight is healthy, work to maintain it. If you are
overweight or obese, work to slowly lose weight — no more than 1 or 2 pounds a week.
(2) Try to avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter.
(3) Avoid foods and drinks that trigger
heartburn. Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse. Avoid foods you know will trigger your heartburn. You can take OTC
antacid tablet for heartburn.
(4) Eat smaller meals. Avoid overeating by eating smaller meals. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed. Elevate the head of your bed.
If you regularly experience Heartburn at night or while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.
(5) Avoid
smoking and limit alcohol.
(6) Try to avoid drugs which affect oesophagal motility (nitrates, anticholinergics, tricyclic antidepressants, and NSAID).
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Uday Nath Sahoo,
General & Family Physician