Likely Causes
1. Acute infective gastroenteritis / food-related infection → since hostel food, loose stools.
2. Gastritis + Acid reflux (GERD) → burning, regurgitation, throat mucus.
3. Irritable Bowel Syndrome (IBS) → young age, stress (exams), loose motions + bloating.
4. Giardiasis / intestinal parasite → if persistent, metronidazole/nitazoxanide may help.
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✅ Management Approach
Diet & Lifestyle (most important):
Drink safe, boiled/filtered water.
Avoid hostel oily/spicy food, cold drinks, too much tea/coffee.
Eat light (rice, curd, khichdi, bananas).
Avoid lying down immediately after meals.
Medicines (general guidance, if no contraindication):
1. ORS (oral rehydration solution) after each loose stool – to prevent dehydration.
2. Pantoprazole + Domperidone (DSR) –
1 tab before breakfast, once daily × 7–10 days
→ for acidity, bloating, reflux.
3. Metronidazole 400 mg –
1 tab three times daily after meals × 5 days
(if stools are foul-smelling, frothy, persistent → suspect Giardia/amoebiasis).
*Nermetrozole seems like a brand – confirm exact molecule.*
Optional: Probiotic (Saccharomyces boulardii or Lactobacillus) × 5 days → helps restore gut flora.
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⚠️ Red Flags → Need doctor/hospital if:
High fever, blood in stool, severe dehydration.
Weight loss, persistent diarrhea >2 weeks.
Severe abdominal pain.
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👉 Summary
This looks like a mix of infective diarrhea + reflux (likely from hostel food).
DSR is useful for acidity/reflux.
Nermetrozole (metronidazole/nitazoxanide) is reasonable if stools are foul-smelling/persistent (protozoal infection).
Focus strongly on ORS + diet modification + hygiene.
Next Steps
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Seven Zero Four Eight One Eight Seven Seven Seven Six ( 704818777six )
I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.