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Need Suggestions to weight gain
Hello Doctors,
After 3 weeks of my hommoroids surgery,
I feel abdominal pain and change in bowl habbit and constipation. Then I visited my operating surgeon and did some test.
Colonoscopy : ( Ceacum : few ersosions are noted with out any active oozing with normal vascular pattern of mucosa)
Fecal Cal protection: Less than 5 ( normal range 50 )
CRP: 1.25 ( normal range 5 )
ESR: 27 ( normal range 20 )
In a time span of just 14 days I lost 7 - 8 kg weight. Doctor prescribed it as IBS D.
I am taking normaxin at night.
How can I increase my weight and live a better life??
Answers (29)
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Hello !
Hello! It’s understandable to feel concerned after losing 8kg in just two weeks post-surgery.
Losing 7–8 kg in just 14 days is a significant "red flag" that requires careful investigation. While your Colonoscopy and Fecal Calprotectin results are reassuring, an IBS diagnosis alone usually does not cause such rapid weight loss. We must ensure there are no underlying metabolic issues or post-surgical complications affecting your nutrition.
Next Steps
A)Essential Tests: Please get a Thyroid profile (TSH), Blood Sugar (HbA1c), and Ultrasound of the Abdomen to rule out other causes of weight loss.
B)Follow-up: Share these reports here as soon as they are ready so we can adjust your treatment and diet plan.
C)Surgical Review: Since these symptoms started a
fter your hemorrhoid surgery, a quick follow-up with your operating surgeon is advised to ensure your recovery is on track.
Health Tips
A)Calorie-Dense Eating: To regain weight without stressing your gut, eat 5–6 small meals instead of 3 large ones. Add healthy fats like a teaspoon of ghee or olive oil to your meals.
B)Protein: Stick to easy-to-digest proteins like boiled eggs or well-cooked lentils.
WORD OF CAUTION : Seek immediate medical help if you experience a high fever, see blood in your stool frequently , or if your abdominal pain becomes severe.
Answered
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After surgery and IBS, some weight loss and bowel change can happen. Your reports look mostly reassuring.
Eat small frequent meals, soft home food, add protein like eggs/dal/curd, and stay hydrated. Please consult me for proper diagnosis and treatment plan.
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Dear patient
Your colonoscopy and reports (very low fecal calprotectin, normal CRP) do not suggest inflammatory bowel disease. Findings are more consistent with IBS, as advised.
However, 7–8 kg weight loss in 2 weeks is significant and should be monitored. If weight loss continues, we may need basic tests (CBC, thyroid, sugar, etc.).
For now:
• Take small, frequent, high-calorie meals
• Ensure good hydration
• Add soluble fiber (psyllium) if constipation persists
• Continue prescribed medicines
• Manage stress and maintain proper sleep
If you notice blood in stool, persistent vomiting, fever, or continued rapid weight loss, review urgently to surgeon.
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✅ Weight Gain Plan for IBS Patient
1️⃣ Small Frequent Meals (Very Important)
5–6 small meals/day
Avoid large heavy meals (trigger bloating)
2️⃣ Low FODMAP but High-Calorie Diet
Safe calorie-dense options:
✔️ White rice
✔️ Oats
✔️ Boiled potato
✔️ Peanut butter (if tolerated)
✔️ Banana (ripe)
✔️ Curd (if no lactose intolerance)
✔️ Eggs
✔️ Chicken (grilled/boiled)
✔️ Paneer (if tolerated)
Avoid: ❌ Onion
❌ Garlic
❌ Beans
❌ Fried food
❌ Excess tea/coffee
3️⃣ Add Healthy Calories
1 spoon ghee in rice
Peanut butter sandwich
Smoothie (banana + lactose-free milk + peanut butter)
Homemade protein shake (no whey if it worsens IBS)
4️⃣ Probiotics
Helpful in IBS:
Lactobacillus-based probiotic for 2–4 weeks
5️⃣ Stress Control
IBS is gut–brain related.
Advise:
Walking 20 min daily
Yoga
Proper sleep
⚠️ Red Flag Symptoms (Refer Immediately)
Blood in stool
Night diarrhea
Persistent fever
Severe anemia
Continuous weight loss
If present → urgent gastro referral.
If you want, tell me:
IBS type? (Diarrhea dominant / Constipation dominant / Mixed?)
How long weight loss happened?
I’ll give you a more specific diet chart.
You can contact me directly i will suggest you better plan
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Please share if you have loss of appetite?Commonly weight loss occurs after hemorrhoids surgery due to reduced food intake occurring due to fear of painful bowels movements, post operative pain,digestive disturbances, metabolic adjustments during healing.
Take a high protein, high carbohydrate diet, stay relaxed, stay active, avoid constipation. Gradually you shall gain weight.
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You are 3 weeks post hemorrhoid surgery and now have:
• Abdominal pain
• Change in bowel habits
• Constipation episodes
• 7–8 kg weight loss in 14 days
• Colonoscopy: few cecal erosions, no active bleeding
• Fecal calprotectin
Next Steps
✔ 1. Important: Reassess the Weight Loss
You need to confirm:
• Was this measured on same scale?
• Any fever, night sweats, blood in stool?
• Loss of appetite?
If weight loss continues → further evaluation required:
• Thyroid profile
• Serum albumin
• Stool occult blood
• Celiac screening
• CT abdomen (if clinically indicated)
Weight loss is the only red flag here.
⸻
✔ 2. IBS Recovery Plan
IBS after surgery is common due to:
• Gut-brain axis disturbance
• Antibiotics
• Stress
• Pain anticipation
Management includes:
• Continue Normaxin short term
• Add probiotic (multi-strain)
• Start soluble fiber (psyllium husk small dose)
• Gradual diet normalization
Avoid:
• Excess fasting
• Severe food restriction
• Google-driven fear diets
⸻
✔ 3. Constipation After Hemorrhoid Surgery
Common causes:
• Fear of straining
• Inadequate fiber
• Reduced mobility
Use:
• Warm water in morning
• Stool softener if needed
• Adequate hydration
⸻
3️⃣ How to Increase Weight Safely
Your weight gain strategy should be structured:
Step 1: Control Gut First (2–3 weeks)
Stable bowel habit → weight gain follows.
Step 2: Calorie-Dense but Gut-Friendly Foods
• Rice + curd
• Banana
• Boiled potatoes
• Peanut butter
• Eggs (if tolerated)
• Smoothies (banana + peanut + milk)
• Small frequent meals (every 3–4 hours)
Avoid high-fat heavy meals initially.
Step 3: Light Strength Exercise
Once pain reduces:
• Walking
• Gradual resistance training
Muscle mass recovery improves weight and confidence.
Health Tips
Your reports:
• Do NOT suggest Crohn’s
• Do NOT suggest cancer
• Do NOT suggest severe inflammatory disease
Low fecal calprotectin is highly reassuring.
Your biggest issue right now is likely:
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Balanced maintenance diet.. Take* high rich fiber *food contains like green leafy vegetables, fruits, drinks plenty of water to avoid constipation.. It's will resolve maintain high rich fiber balance diet..
*Avoid spicy food, fast food, outside food ..
Don't worry abt weight... It's will regain it
Do little walking avoid strenous activities
Take painkillers , continue with IBS D
If u have recurrent pain in abdomen take usg abdomen ..
Wait 1 month at least cure of operated area... If u have bleeding in stool, pain in operate area then consult immediately ur suregeon doctor..
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With normal fecal calprotectin,only minor erosion on colostomy,this look functional Ibs or post surgical bowel disturbance not cancer or crohn's
With diet,constipation control and gut medicine,weight usually comes back in 1 to 2 months
Next Steps
Since you are using Normaxin for gut spam focus on stool friendly and weight gain diet, instead of eating 3 big meals eat 5 small meals
Health Tips
If weight loss continues check hb,Stool routine,celiac screening. And see doctor..if pain worsen,fever,blood in stool,weight keeps falling despite eating
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Rule out other causes of weight loss
Get your thyroid profile,Blood sugar Usg abd and X-ray chest done to find out any other abnormality.
It above tests are normal then no need to worry.
Focus on diet.
Balanced meal will help you to achieve your goal.
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You may have post surgical pain,stress,anxiety which leads to reduced gut motility which causes low appetite which leads to reduced intake of food causing loss of weight.
Other parameters are normal except mild esr elevation which is non specific..Also there’s no signs of inflammation because fecal calprotectin is low
Symptoms you had mentioned are not typical of IBS
Next Steps
-Kindly update if there’s any loss of appetite,family history of cancer,smoking/alcohol habits,occupational exposure of dust or metals,fever
-Look for anemia(take cbc test),GI bleed,take thyroid tests,tablet loperamide BD if diarrhea is present
-frequently check your weight
-tab dicyclomin bd for 3 days which gives anti spasmodic effect
-eat proteins of 1-1.5g/day,dry fruits,nuts,green leafy vegetables,avoid caffeine,fatty foods,artificial sweeteners
-lower your stress levels by doing meditation,yoga
Health Tips
Contact me anytime via practo for further consultation
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Dear Patient,
Your reports are reassuring. Normal fecal calprotectin (<5) and CRP indicate no active intestinal inflammation, so serious diseases like IBD are unlikely. After hemorrhoid surgery, bowel habit change, abdominal discomfort, and weight fluctuation can occur due to stress, altered diet, gut sensitivity, and IBS-D. Rapid weight loss over 2 weeks is often due to reduced intake, anxiety, and fluid loss rather than true tissue loss.
What you should do to gain weight and improve IBS:
• Eat small frequent meals (5–6 times/day) instead of large meals
• Add calorie-dense but gut-friendly foods: banana, rice, curd, oats, boiled potatoes, peanut butter, ghee in small quantity
• Include protein: eggs, paneer, dal, chicken, whey isolate (if tolerated)
• Avoid triggers: very spicy food, excess tea/coffee, fried food, artificial sweeteners
• Continue Normaxin as prescribed (helps gut motility and pain)
• Probiotic daily for 3–4 weeks (like VSL#3 / Darolac)
• Manage stress — IBS strongly links with anxiety (yoga, breathing, walking)
• Light exercise improves appetite and bowel rhythm
Weight usually improves once gut symptoms settle. Monitor weight weekly, not daily.
Consult me if persistent severe pain, blood in stool, fever, or continued weight loss occurs.
For further guidance and treatment, text me on Practo anytime.
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