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Consistent Stomach pain , occasional loose stools and constipation suggesta IBS or SIBO or recurrence of H.pylori infection. Mebeverine is predominantly prescribed to manage symptoms of Irritable Bowel Syndrome (IBS). Please get your self evaluated from a gastroenterologist. He / she will advise whether you need  endoscopy or colonoscopy.  Diagnosis and proper management will help you relieve symptoms forever. Meet a gastroenterologist nearby at the earliest.

Avoid outside food Do stool routine examination Do exercise muscle pain due to lack of exercise .if symptoms persist despite these measures do a colonoscopy . avoid stress by meditating and yoga and breathing exercise

Do some lifestyle modifications Do exercise Avoid food that trigger gut issues Change in sleep cycle affect body

Have you ever excluded celiac disease. Visit a gastroenterologist.

CT ABDOMEN ADVISABLE. CHANGE LIFE STYLE N DIET PLAN DRASTICALLY.  ADD MILD EXERCISE. BREATHING EXERCISES. MUCAIN GEL 10ML WITHOUT WATER NOTHING BY MOUTH TILL 30MIN CAN BE TAKEN 3TO4 TIMES AS PER REQUIRED. ITS DIFFICULT  AS HISTORY IS SOO PROLONGED. DROTINE M SOS.

Your 15-year history of alternating loose motions and constipation, triggered by food/stress, responding to rifaximin and mebeverine — this is classic Irritable Bowel Syndrome (IBS). Night shifts, sedentary lifestyle, and stress are major IBS triggers. H. pylori treatment may have helped but IBS continues independently. Colonoscopy is reasonable to do once to rule out organic disease after 15 years.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

You need to improve your dietary habits and most important is lifestyle modifications. Avoid outside food as much as you can. First you consult with gastroenterologist.

Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

Thank you for sharing detailed history. Based on your symptoms ,chronic abdominal pain for 15 years, altered bowel habits (alternating loose motions and constipation), pain related to certain foods, and partial relief with antispasmodics like mebeverine this picture is most consistent with Irritable Bowel Syndrome (IBS), likely IBS-Mixed type (IBS-M). The fact that rifaximin and mebeverine have helped you also supports this, as these are commonly used in IBS management. That said, a few points need attention: 1 Right-sided/periumbilical pain of this duration should not be assumed to be IBS without ruling out other causes first especially since you haven’t mentioned any prior colonoscopy. 2 H. pylori treatment addresses gastritis/acidity but not bowel symptoms, so acidity and bowel issues may be two separate but overlapping problems. • Long-standing sedentary lifestyle and stress from night shifts can significantly worsen IBS symptoms.

If you’re suffering from this symptoms since 15 years , then it’s a chronic illness. Some times Gut issues show up due to life style changes, diet , sleep disturbances and psychological stress as well and we have to see if you are allergic to certain food items .

Drug history suggests you had IBS and H.PYLORI infection . And H.pylori infection is probably reactivated ..

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

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you