Consultation needed kindly do consultation

Google IBS safe food list and what food shouldn't eat in IBS and choose accordingly l. Add these multivitamin medicines Neurokind plus RF OD ,Probiotics od ,Protein powder (plant base) Omega-3 fatty acids Iron (if anemia)

Based on your description, weakness and fatiguebility may be due to anemia (caused by blood loss due to Heavy menstrual bleeding and bleeding per rectum) Antibiotics have no role in treatment of anemia and also weakness of any other cause. Gastric symptoms can also lead to loss of appetite and weakness. Thus complete physical examination and investigation are necessary for diagnosis and plan for further management.

Do some routine blood tests first cbc,B12,iron profile Maintain good hydration(3-4lt/day) and fibre rich diet avoid processed food and simple carbs Follow up with tests

You need some test before reach any conclusion...to check the reason for your weakness...like cbc, TFT, B12, VIT D3 Direct multivitamin didn't help in it without knowing the reason for you weakness... And for your other problem you need a few days treatment Consult for better and further treatment

If you want to discuss your problems, pls text me on whatsapp on seven two seven eight nine two seven six three eight, i will guide you step by step.

From what you’ve described, your weakness and sleepiness are very likely due to anemia (low hemoglobin) rather than only gastric acidity. Heavy menstrual bleeding over many months can slowly drain all the iron from the body and cause tiredness, headaches (especially before periods), dizziness, and low energy. Your bowel symptoms (hard stools with drops of blood at times) suggest constipation with fissure/hemorrhoids, which can also worsen weakness if there is ongoing blood loss. Repeated antibiotics are not helpful for this problem and can actually worsen acidity, gut health, and fatigue. It’s understandable that you’re frustrated ,,long-term antibiotics are not the solution here.

Focus more on healthy foods, drink more water. Get Haemoglobin, blood sugar,  thyroid function tests done and share results. Take proteinex powder, one to 2 tbsf morning and evening. Syp Haemophos 5m.l morning and evening. For excess bleeding, consult gynecologist. For chronic constipation,  get colonoscopy done.

Ideally you should consult a gastroenterologist in your area for a clinical examination and appropriate management,as you have these symptoms for more than a year

If all your blood tests, weight and eating are fine, then try to not worry too much. All the best. J G S R clinic

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion

SO IN NUTSHELL  U R FINE FOR SOME TIME  THAN RECURE, SO CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST WITH MEDICINE. TAB POLYBION LC SYR10 ML AFTER DINNER FOR 1 MONTH. TRINERGIC L ONE AT NIGHT AFTER DINNER FOR 1 MONTHS. CONSULT SUPERSPECIALIST LIKE GYNAC/ GASTROENTEROLOGIST.

Based on your symptoms and history, this is NOT an infection problem, which is why antibiotics help only temporarily. Your pattern strongly suggests: • Iron deficiency anemia → due to heavy periods • Vitamin deficiencies (B12, Vitamin D) → cause weakness, sleepiness, headache, low energy • Hormonal imbalance / PMS → symptoms worsen before periods • Gut dysfunction (acidity, constipation alternating with loose stools) → poor nutrient absorption • Repeated antibiotics → disturb gut flora, increase acidity, worsen fatigue

Your weakness is most likely due to anemia and hormonal changes, suggested by heavy periods, acidity, irregular bowel habits, and symptoms worsening before periods. Repeated antibiotics are not required unless there is clear infection.

Dear Patient In many women the real cause of weakness is • Iron deficiency due to heavy periods • Vitamin B12 or Vitamin D deficiency • Irritable bowel type digestion problem • Poor nutrition or stress That is why medicines help only for some time and symptoms come back. Get these tests done CBC hemoglobin Serum ferritin iron Vitamin B12 Vitamin D Thyroid profile For weakness • Eat iron rich foods like spinach beetroot jaggery dates black chana • Take enough protein daily milk paneer eggs dal soyabean or protein powder • Multivitamin once daily after food can help • Drink 2.5 to 3 liters water daily For constipation and bleeding • Continue isabgol • Eat fruits like papaya oats and salad • Hard stool can cause small cuts near anus which leads to bleeding drops For acidity • Avoid empty stomach tea coffee • Reduce spicy oily food • Rabeprazole in morning before food for 2 to 3 weeks can help Heavy periods can cause low iron so weakness will continue until iron is corrected. With proper diet and supplements you can feel normal without repeated antibiotics. For detailed diet plan supplement doses and treatment guidance you can text me on Practo anytime.

Need a few more details please consult for further evaluation and treatment

Need few more details for further evaluation. Kindly consult

Gastritis Avoid spicy foods Avoid coffee and tea in empty stomach Use more of curd and butter milk Drink plenty of water

Need some more details kindly consult

Yeah you can take

U need a proper consult with a specialist preferably md medicine I would suggest you a in-person consult with a doctor nearby your area. Don't look for answers here, it would do more harm than good

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