WHAT IS BEST TREATMENT OF IBS
A 35 year male patient complaint hyper acidity, gas, constipation and mucus in stool last a week. Patient always suffering from this type of problem last 15 years. Please give best Rx.
??? IBS ?? Ulcerative Colitis. ? Crohn'S Disease. Adv:- CT abdomen. CBC,Stool exam. Endoscopy if needed. Meanwhile treat symptomatically . Rx. Probiotic Cap bd. Rabikind-LS OD. Sucral-0 susp 10 ml bds. Ranidom plus 10 ml bd.
Hyperacidity and constipation are two sides of same coin, or two ends of same stick Constipation is caused by decreased intestinal movement, in the same manner decreased movement of stomach and incomplete clearance of bowel causes good to stay in stomach for long time, Accumulation of food in stomach causes increased acidity Therefore, treatment of acidity without treatment of constipation will lead to incomplete or no response to treatment I usually use motility agent in addition to proton pump inhibitors for treatment of such a condition, usually with good result Adv C. Esoz D 40 mg (Combination of esomeprazole + Domperidone) once daily Tablet Itopride 50 mg one tablet three times a day Huskolax - Isapgol powder - 3 TSP twice a day Cremaffin syrup - 3 TSP at night time
? ENTERITIS.. ? IBS .. ? AMOEBIC CYST ..COLITIS.. NEED'S.. STOOL EXAMINATION..C AND S EXAMINATION.. COLONOSCOPY.. CTCE STUDY ABDOMEN..
Red flags for investigating the case would be anemia and weight loss. Just confirm if any red flag is present You can advise double dose PPI(Morning and Night) if needed with prokinetic like Cinatipride, For constipation, you can advise tab prucalopride 2mg OD along with laxative Syp Cremaffin 10ml HS
Antiamoebic and Antacids to be given with bland diet. He should avoid curry and food causing hyper acidity
Dear Doctor please ask for USG of whole ABDOMEN CBC ESR Blood SUGAR LFT RFT RE URINE T3T4TSH RE STOOL ' Mountux test ' and IBS IS NONCURABLE .ONLY ASSURANCE CAN GIVE LOPRAMIDE TRANQUILIZERS AND DIET CONTROL
IBS. Itopride. Cremaffine pink suspension. PPI . Sporolac TDS. Reassurance and counciling required. Avoid oily spicy and fast food.
Counselling.treat cause as t2dm,anxiety,depression.pre and probiotics.rifagut(400)1 t.idx14 days.
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