MBBS MD DVL
Family Physician, General Practitioner
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As per the history you have provided, it seems like irritable bowel syndrome. Firstly, you would need to rectify your diet by cutting down on too much fibres, gluten, too much starch, spicy foods or junk, alcohol, caffeine. Increase intake of water, soups, detox drinks, fruits and vegetables and do not over eat or skip meals. Start tablet Pantoprazole 40 mg once daily for a month, tab Vitamin C chewable 500 mg twice daily for one month only after food. Start tablet Dicyclomine once daily for one week and then only when required. Continue with the probiotics. You may stop Rifaximin until you finish the course of the medicines I just mentioned. Lastly and most importantly get a gut investigation done at a hospital. Above all, keep a positive mind and do not worry about it as a problem as there is always a cure for everything. Do follow up and stay healthy.