🔹 1. Reassurance
These symptoms are common and can occur due to functional bowel disorders like Irritable Bowel Syndrome (IBS) or sometimes due to dietary habits.
It is not life-threatening, but proper evaluation is needed to rule out other causes such as parasites, food intolerance, or colonic disease.
🔹 2. Investigations (if persistent >4 weeks or worsening)
Stool routine & ova/cyst test → to rule out parasites/worms.
Blood tests: CBC,
thyroid function,
vitamin B12,
Vitamin D.
UGIE/Colonoscopy → if symptoms are long-standing, severe, or associated with red flag signs (blood in stool, weight loss, persistent vomiting, night symptoms, family history of colon cancer).
🔹 3. Diet & Lifestyle Modifications
Eat slowly, chew well.
Avoid excess spicy, oily, processed foods, carbonated drinks, and artificial sweeteners.
Low FODMAP diet may help (reduce beans, cabbage, onion, garlic, wheat products).
Keep a food diary to identify triggers.
Drink 2–3 L water daily.
Regular exercise / brisk walk 30 min daily helps digestion.
Do not lie down immediately after meals; wait at least 2–3 hours.
🔹 4. Symptomatic Relief
For bloating/gas: Simethicone/activated charcoal (as advised by doctor).
For stool regulation: Isabgol (psyllium husk) or a high-fiber diet.
Probiotics may improve gut health.
If parasites are suspected, deworming with Albendazole 400 mg single dose (repeat after 2 weeks) may be prescribed after stool report/doctor’s advice.
🔹 5. Mind–Gut Connection
IBS-like symptoms often worsen with stress, anxiety, and irregular sleep.
Relaxation techniques (deep breathing, yoga, meditation) can help.
Adequate sleep is important for gut function and mood.
🔹 6. Red Flag Symptoms – Seek Immediate Care if:
Unexplained weight loss
Blood in stools or black stools
Persistent vomiting
Severe night-time pain or fever
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✅ Summary for patient:
Your symptoms are most likely due to a functional bowel disorder like IBS or minor parasitic infection. It is not dangerous, but since it has been persisting, stool tests and possibly endoscopy/colonoscopy are advised. Meanwhile, improving diet, hydration, exercise, and stress management will greatly reduce your symptoms.