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Doctor, for the last 6–7 weeks I have been having continuous problems with my stool. In the beginning, I was passing stool up to 18 times a day, often with only small amounts and with a lot of urgency. Now the frequency has reduced to about 5–6 times daily, but the stool is still not normal. Sometimes it is watery, sometimes soft or in small pieces. The color has been yellow most of the time, but occasionally green. Many times it contains mucus, and once after eating heavy fried food during travel, I passed about 2 teaspoons of fresh blood.
I often feel an urge to pass stool but very little comes out, and I don’t feel fully relieved. At times I also feel a needle-like pricking sensation on one side of the anus. After passing stool, I sometimes get a cooling sensation in the stomach. The smell of the stool is quite strong, especially after eating oily or rich food, while a bland diet gives some relief. I have not had much abdominal pain or fever. can you suggest medicine?? appetitewnl.
Answers (29)
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Your symptoms suggest chronic infection or irritable bowel inflammation, possibly post-infectious colitis. The mucus and occasional blood need stool tests and possibly colon evaluation before starting medicine. Avoid oily food, take probiotics, and stay hydrated. Please consult me online so I can assess your reports and prescribe the right treatment safely.
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Hello
Your symptoms suggest chronic infective or inflammatory bowel condition — possibilities include Amoebic colitis, Irritable Bowel Syndrome (IBS) with post-infectious component, or Ulcerative colitis (early stage).
Provisional Advice:
Investigations: Stool routine + occult blood + stool culture/sensitivity, CBC, ESR, CRP, LFTs, Ultrasound abdomen.
Empirical medications (under supervision):
Tab. Ofloxacin 200 mg + Ornidazole 500 mg twice daily after food × 5 days
Tab. Drotaverine 80 mg TDS for cramping (if any)
Syrup Lactobacillus (Econorm/Sporlac) 1 sachet twice daily × 5 days
ORS and soft diet, avoid milk, spicy, oily food for now
If mucus or blood persists, colonoscopy is essential to rule out ulcerative colitis or polyps.
Diet & Lifestyle:
Eat bland homemade meals, hydrate well, and avoid stress or outside food for a few weeks.
For a detailed review and personalized prescription based on your reports, you can consult me directly on WhatsApp at eight zero zero nine eight two one double three two for faster assistance and tailored treatment.
Take care — this can be managed effectively with guided therapy.
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Do stool analysis, CBC, LFT
C. Vizylac 1-1-1 for 5 days
T. Pantop 40 mg 1-0-0 x 5 days before food
Avoid spicy and oily foods ( outside foods)
Take curd in your diet
ORS after each loose stool
Do sitz bath twice daily—> so that the prickling sensation in ur Anus will get relieved
Consult gastroenterologist if symptoms persists
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Hi sir,
You need to do investigations
CBC
LFT
STOOL EXAMINATION
Next Steps
Kindly consult me on Practo with your reports
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Required complete evaluation with some investigations
Kindly connect with me on practo for complete treatment
Next Steps
Take
tab loperamide 6th hrly for 1to 2days
syp antacid 10ml-0-10ml 5days before food
Health Tips
Avoid spicy and oily food
Avoid eating outside or processed food
Keep hydrated
Follow healthy lifestyle and diet
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Avoid heavy fatty food and foods that produce much flatulence like cauliflower, broccoli.
Take more of fresh green vegetables, fruits particularly papaya, drink more water.
Take tablet oflox TZ one every morning and one evening for 5days.
Syp Mucaine gel 5m.l. every 8hours for 5 to 7 days.
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Hello,
You need a proper consultation and tests to be done and treated.
Please consult a gastroenterologist near you.
And till then avoid fried, oily and heavy food diet.
Only take light food like khichdi, dalia and all. Always increase your water intake.
Next Steps
Consult gastroenterologist
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