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
Hello doctor,
I am a 20-year-old male facing persistent constipation and gas issues for approximately one and a half years. I have sought advice from several doctors, who usually recommend digestion tonics and tablets. One of them advised me to engage in regular exercise and morning walks, but it has not had a significant impact. I have been strictly avoiding junk and street food for the last six to seven months. During this period, my weight has not increased substantially, but I have noticed fat accumulation in my abdominal area. My primary concern is the constipation problem, which includes infrequent bowel movements and, at times, no motion for two to three days. Additionally, I often experience stomach bloating. Some other issues I face in my daily life are acidity or acid reflux, constant fatigue, decreased motivation to work, dry skin, hair dandruff, and hair fall. Occasionally, I also feel drowsy, and there is occasional joint and muscular pain. Seven months ago, I had a kidney stone that was successfully removed through surgery using the PCNL technique. Furthermore, four years back, I underwent an appendicectomy. Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and understood your concern. You appear to be experiencing symptoms consistent with irritable bowel syndrome (IBS). IBS has three types: diarrhea-predominant, constipation-predominant, and mixed variety. In your case, it seems to be IBS-constipation predominant. However, IBS is a diagnosis of exclusion. To confirm the diagnosis, I suggest you undergo investigations such as a thyroid profile, fasting blood sugar test, and ultrasound of the abdomen. Assuming these investigations have been performed as part of your medical history, if they all come back normal, it is likely that you have IBS. If you have ever had blood or mucus in your stools, I suggest you undergo a colonoscopy to rule out any evidence of inflammatory bowel disease. For the treatment of IBS, I suggest you follow the below instructions:
In cases where the condition is not responding well to the above treatments, I suggest you take drugs like Chlordiazepoxide and Clidinium bromide may be used as an alternative. I hope this has helped you. Kindly follow up if you have more doubts.
Thank you.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Regarding follow up
Patient's Query
Thank you for the reply doctor,
I consulted a doctor, and he suggested to have an Abdominal Ultrasonography (USG). Everything was normal in the ultrasound, except my liver, which was mildly enlarged. My doctor then advised me to have Liver Function Tests (LFT). Following were the results:
Can you please explain if anything is abnormal in my reports? Kindly provide your insights.
Hello,
Welcome back to icliniq.com.
I read your query and understood your concern. I have reviewed your reports (attachments removed to protect the patient's identity), your reports are entirely normal. As previously discussed, your symptoms are indicative of IBS (irritable bowel syndrome). I suggest you consult a specialist and initiate the treatment after discussing with your doctor. It will be beneficial for you. I hope this has helped you. Kindly follow up if you have more doubts.
Thank you.
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Internal Medicine
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