Let’s break it down 1. All your gut symptoms- you need a upper GI endoscopy and a colonoscopy to rule out any pathological factor 2. Start on pantos 40, once daily for next 2 weeks 3. Dietary modifications- avoid oily spicy food - eat bland during the course of pantop Also avoid milk since it seems like you are lactose intolerant 4. Quit smoking - worsens gastritis and upper Gi symptoms like bloating after food and pain in chest and epigastrium 5. Take high fibre diet for fissure in ano and get a per rectal examination done at your nearest hospital Start with ANOBLISS gel local application twice daily Start sits bath in lukewarm water for 15 mins

Quit smoking Lifestyle and dietary modification Consult nearest specialist

You have a number of complaints starting from gastrointestinal issues to psychiatric One.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

So many complaints, & so many complications are there in your life & you are trying to solve it via online advice - no way man . It is a psychosomatic pairing with puzzled cause & effect mystery. Entanglements in your psyche & physical sickness need to be resolved with utmost care . Better to consult an experienced physician & try to improve your lifestyle also .You need a Good luck.

You have both gastrointestinal and psychological issues Contact for further personalised assessment

1 # Eat a balanced diet Plenty of vegetables, fruits,        whole grains, pulses, nuts, and seeds. Limit ultra-processed foods, excess sugar, and excessive salt. Choose healthy protein sources and healthy fats. 2 # Stay physically active Aim for at least 150 minutes of moderate exercise per week. Include strength training 2–3 times weekly. 3 # Maintain a healthy weight Excess body weight increases the risk of many chronic diseases. 4 # Get adequate sleep Most adults need 7–9 hours of quality sleep each night. 5 # Stay hydrated Drink enough water throughout the day. 6 # Avoid tobacco and limit alcohol Smoking and tobacco use significantly increase disease risk. 7 #Manage stress Meditation, yoga, hobbies, social connections, and relaxation techniques can help. 8 # Practice good hygiene Wash hands regularly and follow food-safety practices 9 # Have regular health checkups Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.

Consult superspecialist like gastroenterologist/ psychiatrist. CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST OTHERWISE NO THERAPY GIVES U PROPER RESULT.

Treat your OCD will remove 50% of your problem. Then come back to Practo for further treatment.

Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

You should consult general surgeon and physicians and get yourself checked in first priority For now you should avoid smoking and start having healthy fibrous diet If there's blood in stools then you can do sitz bath in a tub of warm water Take who recommended ors two sachets per day

Chronic constipation and gastritis worsens your symptoms more severe.you need to change your dietary habits and lifestyle modifications strictly first.avoid street food as much as you can.take ppi drug like pantop dsr before food .about ocd you continue your psychiatrist's consultation.

I need more detail history so get the appointment in Practo

Need some more details kindly consult

Kindly consult for proper diagnosis and treatment.

Kindly consult with me on 94 two six 86 seven eight 96 for guidance and treatment.

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

For further evaluation and appropriate treatment, please consult a psychiatrist.

Needs evaluation Do consult

Avoid fried and spicy food Water intake more Green vegetables more Fiber meal Walk Do connect and consult Will help you

Consult a gastroenterologist and improve your life style. Consult psychiatrist for OCD as it can worse with time if not provided correct guidance.

I am an orthopaedic surgeon so u should definitely consult General surgeon

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

Its stress

Need few more details for further evaluation. Kindly consult