Recommended Investigations
Complete blood count
Stool routine examination
Colonoscopy to evaluate the colon
CT abdomen to rule out diverticulitis
Calprotectin levels to check for inflammation
Probable Diagnosis
The symptoms suggest several possible conditions:
Irritable Bowel Syndrome (IBS) with predominant constipation
Inflammatory Bowel Disease needs to be ruled out given the chronic symptoms
Next Steps
Given the chronic nature and recent perianal lesion, consultation with a gastroenterologist is recommended for proper evaluation and management.
Health Tips
Dietary Recommendations
Foods to Include:
High-fiber foods like whole grains, fruits, and vegetables
Probiotics through yogurt or fermented foods
Potassium-rich foods like bananas and avocados
Ginger and peppermint tea for bloating relief
Foods to Avoid:
Fatty and fried foods
Gas-producing foods
Spicy foods if they trigger symptoms