How to manage incomplete evacuation due to gut dysbiosis?

Hi,

Welcome to icliniq.com.

I understand your concern.

I am reviewing your case history and will get back to you in a while. Wait for my detailed response.

Regards.

Hi,

Welcome back to icliniq.com.

I understand your queries.

It would help to improve the gut microbiome. Rifaximin usually kills bad bacteria, and Librax (Chlordiazepoxide and Clidinium) improves gut sensitivity.

Wishing you excellent health.

Kind regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

So, the following are my suggestions for your problems:

1. Rifaxamin is a locally-acting antibiotic, one of its own kind. No specific alternative is available in this class of medicine. It is an FDA (Food and Drug Administration) approved medicine and is available globally. I am not sure why it is not available at your end. It comes in two strengths, 200 mg and 550 mg. You can get either if availability issues are there. 550 mg is otherwise an adult dose.

2. Librax is again a combination of medicine, one of its own kind. If it is not available, then you might need some dose of anxiolytic medicine to calm down your gut, but you would not be able to get it without a prescription. Tablet Alprazolam 0.25 mg after dinner improves sleep and general health anxiety and calms down your gut too.

3. Incomplete bowel evaluation with normal colonoscopy, an anxiolytic should be tried. Otherwise, you would be further investigated for pelvic floor dyssynergia.

4. There is no specific duration for a cure. You have to avoid thinking about it and do pelvic floor exercises, too (available on the web). Anxiety and overthinking would delay your recovery.

5. Antibiotics can disturb gut microbiota. On the other hand, antibiotics are used to treat dysbiosis or bacterial overload. No one can micromanage his or her microbiota.

6. You have to relax and avoid overthinking. Unfiltered information from the internet will increase your anxiety.

7. If you are not using Rifaxamin or Librax, even then, you have to relax and avoid micromanaging your gut microbiota, as no one on earth can do this.

Just relax and give your body some time to heal and correct its system on its own. You are doing the best possible lifestyle modifications and taking yogurt and probiotics. I feel it will take some time, but you will recover back to your normal health.

Wishing you excellent health.

Kind regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

So, incomplete bowel emptying is frequently associated with sensitive gut or anxiety, especially when you have documented evidence of normal colonoscopy. Pelvic dyssynergia, or pelvic floor dysfunction, is a functional disorder associated with anxiety and restlessness. In your case, you need to be relaxed and avoid overthinking and anxiety, and if you need to, you can try a simple small dose of anxiolytic, as I suggested. Pelvic floor dysfunction is not a very common disorder, so before going for further testing, the patient's counseling and anxiety management should be tried. Most people respond to simple medications, so nothing alarming if you already have a normal colonoscopy with you. Stay relaxed and calm.

Wishing you excellent health.

Kind regards.