Key Clinical Summary: Onset: 3 weeks ago after starting high-protein, dairy-rich diet (vegetarian) Took Naproxen (NSAID) Symptoms: Altered bowel habits (type 5–6 stools alternating with constipation) Medication: Took Symbiolardi (probiotic) and Rifagut (rifaximin) for 2 weeks → improved Current labs: Normal CBC, CRP, electrolytes; ESR mildly raised at 30 No major symptoms during Goa travel Patient is anxious, appointment pending 📌 Differential Diagnosis (per Harrison’s guidelines): 1. Irritable Bowel Syndrome (IBS) – Mixed Type Typical features: Alternating bowel habits (constipation + loose stools) No alarm symptoms (weight loss, blood in stool, nocturnal diarrhea) Often precipitated by diet change, stress, or infection Improvement with rifaximin + probiotic supports functional GI disorder 2. Post-Infectious IBS or Food Intolerance Change in diet (increased dairy/protein) and possible NSAID-related gut flora disruption Naproxen can cause enteritis or low-grade colitis 3. Non-Specific Colitis or Low-Grade Inflammation Mildly elevated ESR can be non-specific or related to inflammation Normal CRP, CBC make IBD unlikely ✅ Recommended Next Steps: 🔍 Clinical Workup: Stool calprotectin or fecal lactoferrin (to rule out IBD vs IBS) Food diary to track symptoms vs diet If persistent: consider colonoscopy (if age >40, persistent symptoms, or family history) 💊 Symptomatic Management: Continue probiotics Use bulk-forming agents (psyllium) for stool consistency Avoid excess dairy or protein isolates temporarily 🧘‍♀️ Lifestyle: Hydration, physical activity Low-FODMAP diet trial if symptoms persist 🟢 Favoring IBS Over Organic Pathology: Normal blood work Good response to rifaximin No systemic symptoms Tolerated travel food without worsening 📘 References: Harrison’s Manual of Medicine, Irritable Bowel Syndrome: Symptoms include altered bowel habits with normal inflammatory markers.

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Hiii Loose stools may have many causes Not only disease but even stress have effects on our digestive system In order to explain ur disease in a better way N for proper treatment Have to know ur disease in a better way n Give u solution for this U can consult me over here

Hello, Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399. Thanks.

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Naproxen is an NSAID. So it will cause stomach upset. Symbulardi is a Probiotic. Rifagut is an Antibiotic. Given together the benefit of Probiotic will not be available to you. You should be prepared for an upper GI endoscopy. Let's see what diagnosis is given after that.

Donot worry about ESR,, it is not at all use marker. Regarding your symptoms it appears everything is due to high orotien diet causing indigestion, my advice would be to avoid high protien diet, have fasting and take water, if it due to food, than fasting will help you resolve your condition, if you want to have food than take rice as it is easy to digest, avoid , wheat, high sugar food and pulses as it can exercebrate your diarrhea.

Please share if any recent stressful event occurred and kindly consult

Please share more information. Do you remain constipated,  were the loose stools after 2 days or more constipa tion?Did you have heart burn as well? Share details. Then I can help you.

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Everything looks normal, Body requires little time to adjust to normal Just follow your regular routine and eat clean diet. I think you should not worry much;)

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Needs to be evaluated. Do consult.

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