Hi doctor,
I am suffering from irregular bowel. I feel burning sensation in the stomach and anus. If I eat anything spicy, I need to go to restroom immediately. My poop smells and is semisolid, sometimes watery but not like diarrhea. I am suffering with this condition for past one year. I am taking Clindamycin over a week now. What could it be? What can I do to improve my condition? Please help.
Hi,
Welcome to icliniq.com.
- You are suffering from a condition known as irritable bowel syndrome (IBS). Your history is a classical suggestive of that.
- However, IBS is a diagnosis of exclusion. So, we need to be sure it is not anything else like ulcerative colitis, thyroid disorder or autonomic neuropathy.
- Please answer few of my questions to help you better with accurate diagnosis and treatment plan.
- Is there any weight loss or abdominal pain or bloody stool?
- Do you have diabetes? Is there any history of reddening of eyes?
Revert back with the answers for the above questions to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
Hi doctor,
My eyes are mostly red. I used to sleep for 8 hours, still I feel tired and sleepy. There is no history of weight loss, abdominal pain, diabetes and blood in stool. I can here sounds in my stomach like burps. I feel bloating and also I am belching often.
Hi,
Welcome back to icliniq.com.
- Your history is suggestive of IBS only. In fact, your sleeping issues are also related to that, as IBS is mostly a functional disorder and is most commonly seen in anxious people.
- IBS is of three types which includes diarrhea predominant, constipation predominant and mixed variety. You seem to be suffering from IBS - diarrhea predominant.
- However, we investigate suspected cases of IBS with thyroid profile, fasting blood sugar and ultrasound abdomen. If all investigations are normal, then you are probably suffering from irritable bowel syndrome.
- In case you ever have had blood or mucous in stools, you are required to get colonoscopy to rule out any evidence of inflammatory bowel disease.
- I advice the following treatment for IBS:
- A proton pump inhibitor like Pantoprazole and Rabeprazole, which will help in neutralizing any acid if you have in stomach.
- You should avoid fat and spicy diet and prefer to take soft and bland diet.
- You can take smooth muscle relaxant like Mebeverine for stomach pain, in case you have.
- In refractory cases drugs like Chlordiazepoxide and Clidinium bromide can be used, if the condition is not responding.
For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
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