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Irritable Bowel Syndrome
Went to a Gastroenterologist, these medicines : Secnil Forte + Nizonide gave huge relief but symptoms regained again post course. Doctor suggested Colonoscopy as I have incomplete feeling post bowel, and have to go frequently after every meal (almost an hour later post lunch). But i doubt if a colonoscopy is required hence went to another GI, and got prescribed Rifaximin, Sompraz 40 and IBSet (IBSet worsened my Gas & Flatulence). I have gas and flatulence dominant IBS.
Answers (11)
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✓Most likely IBS-D with gut dysbiosis as there is Urge to pass stool 30–60 min after meals and
Incomplete evacuation feeling
✓IBS is a functional + microbiome disorder, not a structural disease,Colonoscopy usually normal in IBS
✓Stool routine + ova/cyst test ,Fecal calprotectin test
to Rule out inflammation & infection ..
Next Steps
✓Colonoscopy is must if there is Blood in stool,Weight loss,Anemia
✓Family history of IBD/colon cancer
Health Tips
✓Temporarily reduce:
Milk
Wheat
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Yogurt / curd might help you some.because anything hard food ,nonveg.,spicy food and street food irritate your bowel more and more and worsen your symptoms.
Next Steps
curd is better solution with your medication.
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Based on your history and response to treatment, your symptoms are most consistent with IBS (Irritable Bowel Syndrome), gas- and flatulence-predominant, with a component of gut bacterial imbalance and altered bowel motility.
The significant relief you experienced with Secnil Forte and Nizonide strongly suggests that gut microbial imbalance or protozoal/bacterial overgrowth is contributing to your symptoms. The recurrence of symptoms after stopping these medicines is common in IBS because antibiotics temporarily reduce abnormal gut flora but do not correct the underlying motility and sensitivity issue. The feeling of incomplete evacuation and the urge to pass stool shortly after meals are classic features of IBS with exaggerated gastro-colic reflex, not necessarily a structural colon disease.
Regarding colonoscopy, in a 22-year-old patient with no alarm features such as weight loss, anemia, bleeding, nocturnal diarrhea, fever, or family history of colorectal cancer, a colonoscopy is not routinely mandatory. It is usually advised only to rule out organic disease when symptoms are persistent or when reassurance is needed, but clinically your presentation fits IBS rather than a serious colon pathology.
Rifaximin is an appropriate choice for gas-dominant IBS, as it targets bacterial overgrowth with minimal systemic absorption. Sompraz is useful if upper GI symptoms coexist. IBSet, which contains antispasmodic components, can sometimes worsen gas and bloating in gas-predominant IBS, so intolerance to it does not mean treatment failure.
Next Steps
Management should focus on gut flora modulation, motility regulation, and dietary trigger control, rather than repeated strong antibiotics or invasive tests. With a structured plan, IBS symptoms are very much controllable, though they may fluctuate.
Health Tips
If symptoms persist despite optimized medical therapy, further evaluation can be considered, but based on your current profile, this appears to be IBS with bacterial dysbiosis rather than a colon disease.
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Let me understand better..
Your primary complaint is feeling of incomplete passage of stools right?
1.Tell me since how much time u have this problem
2. Does it increases upon taking hish fat meal or high protien meal like chicken/meat
3. Colour of stools
4. Do u have any pain in abdomen, if yes then in which area
Connect me with these answers so i can advise u better
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
IBS
Consult gastro
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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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. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Fiber rich diet like green vegetables and fruit
Avoid fatty, fried and spice food
Avoid. Non veg also
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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