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Frequent diarrhea, constipation, bloatin
A 62 year old man with controlled diabetis facing stomach disorders like alternate constipation and diarrhea, bloating, gases, unstable stomach and acidity from about an year.
A smoker (15/day) for about 40 years with symptoms of COPD.
No BP but pulse is on a higher side (110-120).
Regular walking & stretching exercises.
Leading a retired life.
Answers (17)
it may be IBS according to your history...diarrhoea or constipation which is predominent?
any anxiety?
details history required..
any alarming sign like fever,weight loss,per rectal bleeding etc?
Next Steps
investigations:
stool for R/E,M/E and C/S,CBC,S.Creatinine,usg of WA, LFT, TSH
RX:
1) if constipation-
cap.lubowel 24 mcg
OD
or, tab.pruvict 2 mg od
2) if diarrhoea-
tab.rifagut/rixmin 400 mg
BD for 14 days
plus cap.econorm 250
BD for 5 to 10 days
3) if anxiety-
tab.tryptomer 10 mg
ODHS for 3 months/continue
4) tab.pan 40 mg
odbbf-1 month
5) if antihelminthics not received in last 3 months,then
tab.mebex 100 mg
bd for 3 days
6) if any abdominal pain ,
tab.colospa retard/normaxin mb 200
bd for 15 days
hope it will help
Health Tips
for dietary advices of IBS-C/D,consult with a local dietician
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If your Diabetes is controlled then your symptoms can't be attributed to Diabetes. It should be a different problem most likely it originated in the intestine. Please seek a formal consultation with a General Physician.
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Ibs???
You need gastroenterologist.
Tab rifagut 400 two times a day after food for 2 weeks.
Enterogermina respule three times a day for three.
Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to 4times.
LISTEN
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
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Diagnosis:Inflammatory Bowel diseases with AE-Copd and Cor Pulmonale??
Esophageal candidiasis??
Next Steps
cbc/LFT/RFT/
2D echo
serum Galactomenon
stool sample for fecalysis
serum PSA levels.
Health Tips
stop smoking
drink plenty of water according to body weight .
further physical examination of chest and per abdomen.
avoid non veg and junk food.
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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
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