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Frequent diarrhea, constipation, bloatin
A 62 year old man with controlled diabetis facing stomach disorders like alternate constipation and diarrhea, bloating, gases, unstable stomach and acidity from about an year.
A smoker (15/day) for about 40 years with symptoms of COPD.
No BP but pulse is on a higher side (110-120).
Regular walking & stretching exercises.
Leading a retired life.
Answers (17)
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it may be IBS according to your history...diarrhoea or constipation which is predominent?
any anxiety?
details history required..
any alarming sign like fever,weight loss,per rectal bleeding etc?
Next Steps
investigations:
stool for R/E,M/E and C/S,CBC,S.Creatinine,usg of WA, LFT, TSH
RX:
1) if constipation-
cap.lubowel 24 mcg
OD
or, tab.pruvict 2 mg od
2) if diarrhoea-
tab.rifagut/rixmin 400 mg
BD for 14 days
plus cap.econorm 250
BD for 5 to 10 days
3) if anxiety-
tab.tryptomer 10 mg
ODHS for 3 months/continue
4) tab.pan 40 mg
odbbf-1 month
5) if antihelminthics not received in last 3 months,then
tab.mebex 100 mg
bd for 3 days
6) if any abdominal pain ,
tab.colospa retard/normaxin mb 200
bd for 15 days
hope it will help
Health Tips
for dietary advices of IBS-C/D,consult with a local dietician
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Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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If your Diabetes is controlled then your symptoms can't be attributed to Diabetes. It should be a different problem most likely it originated in the intestine. Please seek a formal consultation with a General Physician.
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Dr. Sharada sharma
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Mysore
Irritable bowel syndrome.
Diet changes
Lifestyle changes
Tab enterogermina tid 3 days
Tab omez 20 mg od for 2 months
Please consult a gastroenterologist
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Need further evaluation
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Ibs???
You need gastroenterologist.
Tab rifagut 400 two times a day after food for 2 weeks.
Enterogermina respule three times a day for three.
Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to 4times.
LISTEN
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
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Need few more details
Kindly connect.
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Diagnosis:Inflammatory Bowel diseases with AE-Copd and Cor Pulmonale??
Esophageal candidiasis??
Next Steps
cbc/LFT/RFT/
2D echo
serum Galactomenon
stool sample for fecalysis
serum PSA levels.
Health Tips
stop smoking
drink plenty of water according to body weight .
further physical examination of chest and per abdomen.
avoid non veg and junk food.
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life .
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Gastritis.
Avoid spicy foods.
Avoid coffee and tea in empty stomach.
Use more of curd and butter milk.
Drink plenty of water.
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Dr. Anmol Kudal
General Physician
5 yrs exp
Nashik
Hello kindly give Esomac 40 tablet on empty stomach or one hr before food
Econorm capsule 250 twice daily after food for 5days
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Dr. Sunil Nagar
General Physician
18 yrs exp
Rewa
Adv Gastrologist opinion
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start ivabrad
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need further evaluation.
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