Concluded Case

Frequent defecation

A female of around 50 yrs complaints of frequent stool since 4 days she says it started after eating spicy things Stool on first days was loose and with mucus which turned to be hard on next day and now on 4th day it is again semisolid with mucus with around frequency of 5 times/day There was slight abdominal pain in starting No H/o fever No H/o vomiting No any comorbidities She has taken tab cyclopam and tab lactolac in past 3 days Please guide regarding the diagnosis and management

(Edited)

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Concluded answer

? DYSENTERY.. ? ENTERITIS.. NEED'S.. O2.. RIFAMAX.. PROBIOTICS.. ORS..

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Please start her on following medications - Please inquire past history of similar symptoms in like last 6 months or 1 year Tab Rifaximin 550mg TDS Cap Meva C TDS for 3 days Cap Vizylac Rich once daily Rest continue for total of 14 days

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Stool RT sos culture and sensitivity Oflox ornidazole bd5 days Deponrm bd 5 days No relief i bs

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? DYSENTERY.. ? ENTERITIS.. NEED'S.. O2.. RIFAMAX.. PROBIOTICS.. ORS..

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History suggest gasteroenteritis landing in IBS Rx tab Rifaxygyl-M 1tds for 5days Tab ofloxacin 400mg 1bd for 5days Tab meftalspas 1x3 times Tab ondestron 4mg 1bd before meals

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Change d eating habits of child,drink plenty of water and avipathikara choorn with lukewarm water at bed time is enough.

ORS as adv Tb norflox TZ Tb meftal spas Cap edilac 1 tds Cap ritodril 1 tds Cap pan 40

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Irritable bowel syndrom Rx start . Fluxetine imepara

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This is only IBS

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