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Good morning madam I am from CHENGALPATTU You can consult online for your problem

Assessment of vitamin d3 b12 t3t4tsh mg crp cbc esr. Tab nexpro RD40 ONE IN EMPTY STOMACH FOR ten days. Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to4 times.  Aristozyme gold tab o e hr before lunch n dinner for 2 weeks.

Likely ‘small bowel bacterial overgrowth’. Either: Take a 10 days course of Tetracycline 250mg capsules twice a day along with Metronidazole 400mg three times a day. Or: Breath test to confirm this and then take the antibiotics. All the best. WWW.JGSR-HEALTH-EDUCATION.IN

Please also get a Complete Health Checkup package done from a reputed Laboratory in your area and consult a General Physician with all the reports.

Your symptoms of persistent exhaustion, excessive gas with foul-smelling flatulence, and constant hunger despite normal endoscopy and colonoscopy suggest that the problem is more likely functional or metabolic rather than structural disease of the stomach or intestines. Common possibilities include: • Gut dysbiosis / IBS (Irritable Bowel Syndrome) – imbalance of gut bacteria can cause foul gas, bloating, and irregular digestion. • Carbohydrate malabsorption (like lactose intolerance or FODMAP sensitivity) which produces smelly gas due to fermentation in the colon. • Small Intestinal Bacterial Overgrowth (SIBO) – can cause bloating, fatigue, and excessive gas despite normal endoscopy. • Vitamin deficiencies (especially B12, Vitamin D, iron) which may explain persistent fatigue. • Blood sugar fluctuations or thyroid problems, which may cause excess hunger and low energy. Since your endoscopy and colonoscopy were normal, serious diseases like ulcers, tumors, or inflammatory bowel disease are less likely, which is reassuring.

Any family medical history of diabetes? Wat about food habits? Haemoglobin levels? Kindly consult with me on 94 two six eight six 78 nine six.

Due to mild gastritis. Take some soft and more fibrous diet .avoid spicy food  and drink more water.avoid street food as much as you can. Take ppi before food and consult me on practo for further management and evaluation.

Take small frequent meals,  avoid fatty,  spicy food,  take more of fresh green vegetables and fruits,  drink more water. Take syp Maalox plus, 5m.l. every 8hours for 10 days. Syp digeplex 5m.l. morning and evening for 10 days.

I understand your concern. However, giving specific medical advice without a proper evaluation may not be safe or accurate. A brief consultation will allow me to understand your symptoms, medical history, and any reports you may have, so I can guide you properly. Please feel free to consult me here and I’ll be glad to assist you.

Since your colonoscopy and endoscopy are normal, the fatigue may be due to causes like anemia, vitamin deficiency (B12/Vitamin D), thyroid issues, diabetes, or general weakness. It would be better to do some basic blood tests such as CBC, thyroid profile, Vitamin B12, Vitamin D, iron profile, blood sugar, LFT and RFT.

Avoid fried and spicy food Water intake more Do connect and consult

Possible Cause: Your symptoms of constant exhaustion, excessive gas with foul-smelling flatus, and frequent hunger despite normal endoscopy/colonoscopy may be due to functional dyspepsia, IBS, food intolerance (especially lactose/gluten), gut flora imbalance, or vitamin deficiencies (B12, Vitamin D, iron). Advice: • Eat small frequent meals and avoid overeating. • Reduce foods that increase gas (beans, cabbage, onion, carbonated drinks, excess dairy). • Try a low-FODMAP diet for some time. • Take a probiotic for 2–3 weeks. • Ensure adequate sleep, hydration, and regular exercise. • Check blood tests if not done: CBC, Vitamin B12, Vitamin D, Thyroid profile. Consult a doctor if symptoms persist, weight loss occurs, or there is persistent diarrhea/abdominal pain.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need a few more details please consult for further evaluation and treatment

Have bland diet