WHAT MAY BE THE DIAGNOSIS OF THIS CASE???

A FEMALE PATIENT AGED ABOUT 58 YEARS C/0 OF DISTENSION OF ABDOMEN FROM 1 YEAR SOMETIMES ASSOCIATED WITH PAIN IN LEFT HYPOGASTRIC REGION RELIEVED BY PASSING FLATUS FEELS BURNING SENSATION IN THROAT AND ABDOMEN 1 HOUR AFTER EATING DIFFICULT IN PASSING STOOLS FROM 6 MONTHS STITCHING TYPE OF PAIN DURING AND AFTER PASSAGE OF STOOLS DURING PASSAGE OF STOOLS HARD STOOLS COMES FIRST THEN SOFT STOOLS COMES THEREAFTER NO PASSAGE OF PUS OR BLOOD HISTORY OF DIFFICULT IN DEGLUTITION AFTER SURGERY PATIENT IS DIABETIC AND HYPERTENSIVE AND USED STEROIDS FOR RHEUMATOID ARTHRITIS FOR 3 YEARS AGO.USING MEDICATIONS FOR ASTHMA. PLEASE SUGGEST THE DIAGNOSIS AND RELATIVE PATHOLOGY????

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Signs and symptoms indicate 1.GERD - gastroesophageal reflux disease 2.Abdominal bloating, dyspepsia? Constipation- favour colitis , Irritable bowel syndrome. 3.Get an upper G.I endoscopy and H- pylori testing and if H.P positive- H.P kit indicated . 4.A colonoscopy may be needed to rule out inflammatory bowel disease 5 Anxiety disorder seems to be associated 6.DM and HTN needs control 7.Rheumatoid arthritis needs non - steroidal treatment
Thank you doctor
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* Irritable bowel syndrome ** Inflammatory bowel syndrome Needs further investigation and evaluation to conclude.
Thanks Dr Pushkar Bhomia
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SUGGESTIVE OF ORAL STEROIDAL INDUCED... GERD. AND I. B. S....
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SAiO n dyspepsia Second option is as Dr yograj suggest
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Hyper acidity & Colitis
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GERD.... DD...IBS..
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