Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 37-year-old male who has recently been experiencing gastro issues. We have spent four weeks on holiday and I have had loose stools regularly, one bout of constipation, and some blood spotting on the toilet paper. I have never had the most regular bowels, with loose stool occurring semi-frequently for many (15+) years.
Can I put this down to travel tummy and expect it to get better now? Or could it be something else? For the record, I had a cycling accident ten months ago and had an abdominal CT done, and the comments at that time relating to GI were, “GI Tract is Unremarkable.” Please suggest regarding this.
Thanks.
Hi,
Welcome to icliniq.com.
Apparently, it looks like you have some stomach infection causing gaseous problems, constipation, and loose stools off and on.
In such a case scenario, I prefer to prescribe the following course of medication.
1. A combination of Pantoprazole and Domperidone once daily for around ten days.
2. A combination of Ofloxacin and Ornidazole twice daily for five days.
3. Any probiotic for ten days.
It would help if you see your doctor for getting a prescription,, and I do not find any reason to worry, as your CT was normal a few months back. I suggest you avoid spicy dairy products for a few weeks.
I hope I have answered your query.
If you have any further questions, please get back to me at icliniq.com.
Regards.
Patient's Query
Hi doctor,
Thanks for your response.
Because I am on holiday, getting a prescription is hard. Is just a probiotic like Yakult good enough, and can it still solve my problem? Also, how long should I wait if symptoms do not get better before getting it checked? Or are you confident symptoms will subside?
Hi,
Welcome back to icliniq.com.
You can have Yakult. It is safe. But take the prescribed medicines for 5 to 7 days, and I am sure you will be fine. If your symptoms do not settle with the medications, we will require some tests, and I will guide you further.
I hope my answer helps.
Regards.
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Internal Medicine
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