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What are the reasons for digestive health issues in males?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 44 years old male. I have a good diet. I have been taking good care of my health for the past 20 years as my digestive tract is bad for many years.

Can you review my medical records from July and compare it with my CT scan done yesterday?

One thing which is confusing me is the prominent lymph nodes in the paraaortic region. I could say neither stress alone is the cause for all my health problems, nor old age.

Please help.

Thank you.

Answered by Dr. Babu Lal Meena

Education:

MBBS

Professional Bio:

Dr. Babu Lal Meena is a Pediatric Hepatologist specializing in the diagnosis and management of liver-related conditions in children. He provides comprehensive care for a range of hepatological disorders, focusing on accurate diagnosis, effective treatment, and long-term management. With a patient-centered approach, he emphasizes compassionate care, preventive strategies, and improving overall health outcomes for his young patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

The paraaortic lymph nodes mentioned in the report (attachment removed to protect patient identity) is almost in normal limit. The enlargement will become significant only if you have pain in the abdomen or fever or weight loss.

There could be many causes for bowel disturbance example: IBS (irritable bowel syndrome), IBD (inflammatory bowel disease) or reflux of the gastric content that would also cause burning of the chest. In your case, it appears to be benign. We need more information about your bowel habits such as whether you have constipation or not.

Stress is a very important cause of bowel disturbance, one should alleviate all kind of stress to get rid of these problems.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Patient's Query

Thank you doctor.

Should I have an ERCP test? When I eat a good diet my bowel function will be good and if I eat wrong foods I used to be constipated. I drink a lot. I also do one coffee enema a day.

I have a lot of stress, as my mother just passed away. To be honest I do not know to manage the stress. I do not have abdominal pain or fever or weight loss. I got a fever after my CT scan. I did lose some weight since my mother's death.

Please help.

Thank you.

Answered by Dr. Babu Lal Meena

Education:

MBBS

Professional Bio:

Dr. Babu Lal Meena is a Pediatric Hepatologist specializing in the diagnosis and management of liver-related conditions in children. He provides comprehensive care for a range of hepatological disorders, focusing on accurate diagnosis, effective treatment, and long-term management. With a patient-centered approach, he emphasizes compassionate care, preventive strategies, and improving overall health outcomes for his young patients.

This doctor is not available for online consultations on the platform anymore.

Hi,Welcome back to icliniq.com.

Now we reached the root of the cause. It is all because of the IBS, that is irritable bowel syndrome. It is directly related to stress and with confidence. One should have adequate confidence in passing stool in a nice way. This is only possible with a sound mind. You have to get rid of all the stress problem.

Do some mental stability exercise like yoga or play some games that can distract your anxiety.

We need to give stool softener also for some time with a high fiber diet. You also need to take some antianxiety drugs for some days. ERCP (endoscopic retrograde cholangiopancreatography) is not required.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 13, 2015
Reviewed At June 25, 2026

Education:

MBBS

Professional Bio:

Dr. Babu Lal Meena is a Pediatric Hepatologist specializing in the diagnosis and management of liver-related conditions in children. He provides comprehensive care for a range of hepatological disorders, focusing on accurate diagnosis, effective treatment, and long-term management. With a patient-centered approach, he emphasizes compassionate care, preventive strategies, and improving overall health outcomes for his young patients.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Babu Lal Meena is a Pediatric Hepatologist specializing in the diagnosis and management of liver-related conditions in children. He provides comprehensive care for a range of hepatological disorders, focusing on accurate diagnosis, effective treatment, and long-term management. With a patient-centered approach, he emphasizes compassionate care, preventive strategies, and improving overall health outcomes for his young patients.

This doctor is not available for online consultations on the platform anymore.

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