What is the treatment for constipation?
Hello doctor,
I have an anal fissure, internal hemorrhoid, SRUS, and constipation. One year ago, I was suffering from a hard stool that was difficult to pass. I went to a gastroenterologist, who did a colonoscopy and found that I had an anal fissure and internal hemorrhoid. He prescribed Sitcom Forte, Eldicet, Velgut, and Pankreoflat. He also gave me Sucralcoat Ano cream. However, every night I was in too much pain. So, early this year, I decided to consult an Ayurveda doctor who gave me some Kashayams and tablets. However, my pain did not subside. I used to evacuate the stools using my fingers. That eliminated the stools, but there was so much mucus released and extreme pain after motion. Two months ago, I went to a GP who gave me some antibiotics and painkillers for five days. During this time, I was always sleepy. I took leave from work and was always tired and fatigued. Earlier this month, I went to another GI specialist who did a sigmoidoscopy and said that it is SRUS. He said that I should not finger evacuate the stools and gave me liquid paraffin and LoX cream.
Now, my current situation is that it has been three days and I am very constipated and fatigued. The pain has subsided a little. However, I am not passing stools as I used to before. After I drink water or eat something, I get a vomiting sensation. I get anxiety and panic attacks as I am scared about my condition and do not know which doctor I should consult and what I should do. Is this condition serious and life-long? Will I ever be cured? Please advise on the correct medications (allopathy or ayurveda), lifestyle changes and other things to take care.
30 Apr 2024 - 1 min read
Which medicines treat vomiting after IV Methylprednisolone?
Hello doctor,
My wife is a neuro patient and a week ago she was given five days treatment of Methylprednisolone intravenous. After her discharge, she has been vomiting every now and then. The vomiting usually occurs whenever she tries to move about and travel in cars to see her neurologist. Although the frequency has slowed, it has not stopped. After her steroids treatment, the neurologist had suggested for Pan-D once every morning for three days. The neurologist has asked me to seek the help of a gastroenterologist because my wife needs to be administered with Rituximab injection at the earliest. Please suggest some medication as well as the diet she should follow.
Thank you.
24 Apr 2024 - 1 min read
How to manage mammary duct ectasia with chronic mastitis?
Hello doctor,
I am 33 years old female. Before four years, I had a baby girl but she never did breastfeeding on my left breast. Now before one month, I have noticed I have breast lump which is never painful for me. I had reduced my weight to 8 to 10 kg from last 10 months. That is the only symptom that matches here. The doctor suggested mammogram followed by biopsy but the result was active chronic mastitis with giant cell reaction. So, the doctor prescribed antibiotics but after 20 days lump is of the same size. The next visit she suggested was an excisional biopsy of the lump. So, finally, I did an excisional biopsy or removed lump with surgery and then now biopsy report says mammary duct ectasia with chronic granulomatous mastitis. There is no evidence of malignancy in the examined material. Now my doctor is confused about what kind of treatment has to be started here as disease says for chances of repeated again but what kind of treatment will be effective here. Can you please advice here, if possible?
24 Apr 2024 - 1 min read
Is Quinine safe in liver cirrhosis patients?
Hello doctor,
My husband has an advanced stage liver cirrhosis and gets muscle cramps in legs from time to time, at night time or when he wakes up in the morning. Other patients with similar issues recommend drinking tonic water that contains Quinine or taking Calcium Magnesium supplements. He has very low platelet count so is not Quinine dangerous for him? What supplement will you recommend against muscle cramps and in what quantities? Currently, I am taking Propranolol 40 mg and Omeprazole 40 mg daily.
23 Apr 2024 - 1 min read
What are the remedies for painful threadlike growth in anus?
Hi doctor,
I have a small threadlike protrusion near the opening of the anus. It is paining the whole day. There is no blood during defecation. Please give a remedy.
23 Apr 2024 - 1 min read
Surgical Gastroenterology