Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) is a group of chronic disorders that affect the large intestine. It causes abdominal pain, gas, bloating, diarrhea or constipation, and mucus in stools. IBS increases the risk of colorectal cancer.

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What does symptoms like loose stools, abdominal pain and stomach grumbles indicate?

Query: Hello doctor, I am 18 years old. This all started two weeks ago. I started to have some loose stools, abdominal pain (lasts about two seconds, it comes and goes almost twice a day) and grumbling in the stomach. My doctor gave me a three-day course of Buscopan, charcoal, and Apo-ranitidine after whi...  Read Full »


Dr. Happykumar Kagathara

Medical Gastroenterologist, Surgical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Occasional abdominal pain, loose stool, urges for toilet all suggest that you might have irritable bowel syndrome. This is a chronic condition. If you experience worsening of symptoms, change in consistency of stool, any episode of any amount of bleeding along with stoo...  Read Full »

I pass stools several times a day. Is this a serious problem?

Query: Hello doctor, I am 23 years old. I weigh about 70 kg. I usually pass stools several times a day. That means after wake up at 6.15 AM I pass stools then again after break fast at 6.45 AM, then I pass again at 9.00 AM, then again after lunch and once in the evening at 6 PM. I have a stooling sensatio...  Read Full »


Dr. Babu Lal Meena

Child Health Specialist, Family Physician, General Practitioner, Medical Gastroenterologist, Paediatrician

Answer: Hi, Welcome to icliniq.com. Frequent passing of stool is definitely abnormal. But the cause depends on the consistency of stool. If it is loose then we need to be worried. I need some information and would suggest a few investigations. What is the consistency of stool? Is there any blood or mucus...  Read Full »

Will Rabeprazole help in improving the symptoms of IBS?

Query: Hi doctor, I am 51 years old with a complaint of bloating, loose stools, burning sensation in the abdomen 15 years back. I managed two years without medicine. I was advised to use Rabeprazole to which my symptoms subsided a little bit. From then I cannot tolerate spicy foods, fruits, caffeinated dr...  Read Full »


Dr. Klerida Shehu

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. I reviewed all your medical reports (attachment removed to protect patient identity) and I can say as follows: First of all, you need to be examined with upper endoscopy and colonoscopy plus abdominal ultrasound. Your symptoms may be related with Gerd and hiatal herni...  Read Full »

Is any surgery needed for painful stomach cramps?

Query: Hi doctor, I am having really painful stomach cramps. I do not know whether it is a symptom of pregnancy. Will I need any surgery? Do I need a scan to see any damage in my stomach? I am suffering from constipation, headache, earache and dizziness along with this.  Read Full »


Dr. Tim Evans

Family Physician, General Practitioner, General Surgeon

Answer: Hi, Welcome to icliniq.com. You are describing some very common symptoms. However, you also ask the question as to whether you are pregnant or not. This is the first and most important point to determine. This can easily be done in confidence either with an over-the-counter test from the su...  Read Full »

I am diagnosed with IBS-D with blastocystis hominis. What is the treatment?

Query: Hello doctor, I was diagnosed with IBS-D five years ago. This month tests have identified high levels of blastocystis hominis in my stool as well as yeast and imbalance in gut flora. I am traveling away and I am wondering what the best course of action for me is? I have done comprehensive stool an...  Read Full »


Dr. A V Hussain Shihaz

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Blastocystis hominis does not usually require treatment unless there is a co-pathogen (they were none found in your stool study) or if the individual is immunosuppressed. The other issue is your SCFA (short-chain fatty acid) and but the rate are a bit on the lower side...  Read Full »

What is the possible cause of diarrhea with blood in stool?

Query: Hello doctor, I am a 22-year-old female. I have been having some symptoms for two years. It started with noticing some blood on the toilet paper, went to my GP and he said probably hemorrhoids nothing to worry about and then, I started having diarrhea with blood on the toilet paper again. Then I ...  Read Full »


Dr. A V Hussain Shihaz

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I have gone through your query in detail. A few details which could be helpful are, have you lost weight? Do you have anemia or any abdominal pain? Have you had a fecal calprotectin done? Apparently, your symptoms have been going on for close two years and specifica...  Read Full »

Which is the best probiotic for acid reflux?

Query: Hi doctor, I have acid reflux since 10 years. My H.pylori test is negative. I already overused Pantoprazole and it caused side effects like vitamin B12 deficiency, muscle weakness, etc. So, I would like to discontinue it. I heard that probiotics may heal my problem. Can I use probiotics? If so, th...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. Your symptoms are suggestive of irritable bowel syndrome. Yes, probiotics play a wonderful role in this. In fact the famous probiotic for this purpose available in market are Darolac-IBS and VSL-3 (lactic acid). You can take them twice a day. For further ...  Read Full »

What causes constipation and floating stools?

Query: Hello doctor, I am a 25 year old who weighs 75 kg, and my height is 165 cm. Seven years earlier, I had a fever and constipation for three straight days. The fever resolved but since then, I have abnormal bowel movements. I also had a distended liver, but that is normal now. My stools always seem gre...  Read Full »


Dr. Babu Lal Meena

Child Health Specialist, Family Physician, General Practitioner, Medical Gastroenterologist, Paediatrician

Answer: Hello, Welcome to icliniq.com. Your reports look fine, except for the vitamin deficiencies. When the work up is not guiding us to a particular direction, then we should consider a functional disorder like irritable bowel syndrome. In IBS, there is constipation with discomfort. In such a si...  Read Full »

Can a CT scan miss appendicitis?

Query: Hi doctor, I was in an emergency last night because of 48 hours of pain that moved to my right lower abdomen. Also, I am not eating, and I have severe diarrhea if I do. They said my white blood cells were a bit elevated. The CT scan without contrast did not show an inflamed appendix. Now it is the...  Read Full »


Dr. Salah Saad Shoman

General Medicine Physician, Internal Medicine Physician

Answer: Hi,Welcome to icliniq.com.CT scan could not miss a case of appendicitis unless the medical personnel who viewed the CT scan were not qualified enough for correct interpretation of the scan.However, the other causes of right lower abdomen pain may be any one of the following. It could be due to irrit...  Read Full »

Are migrating motor complex and fasting with IBS related?

Query: Hello doctor, Will fasting help with irritable bowel syndrome? Why fasting may help IBS? Why fasting may not help IBS? What is migrating motor complex, and how is it related to fasting with IBS?  Read Full »


Dr. Babu T G

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Fasting is not better for IBS (irritable bowel syndrome). Fasting in IBS causes hypoglycemia, and further causes giddiness, so it cannot favor IBS. MMC (mucosal mast cell) is associated with IBS with autonomous dysfunction. Factors that reduce the IBS are stress redu...  Read Full »

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