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Cure for high digestion and bowel movement problems - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I will try and be brief. Since birth, problems with digestion. Constipation, never been officially diagnosed with IBS but I seem to have the symptoms. Sensitive to vegetables, salads, hot sauce which cause gas, stomach gurgling. Recent symptoms of concern: Daily stomach bloating, 99% can't have a bowel movement without straining, pushing. Constant urge to have a BM, stomach gurgling. Gas. My stools range from short, cut off incomplete, soft, hard. Hard stools one minute, loose stools the next. At first, Lower right abdominal pain that is relieved temporarily with flatulence or bowel movement. Internal rectal pain. Now pain on both left and right. No visible blood in stool or on toilet paper. Stools brown not black.
Doctor :   hi
Doctor :   Dr.xxxx here
Doctor :   please let me read what you have typed
User :   Hello. Finally have a response after almost 4 hours. wow.
User :   ok
Doctor :   I am sorry, I did not understand? I saw your chat request just now, and I clicked on it
User :   ok
User :   should I explain my symptoms?
Doctor :   yes it would help if you could explain in detail
Doctor :   since birth what problems have been identified?
User :   well nothing major other than acid reflux.
User :   lactose intolerant.
User :   but right now. I'm concerned with the following: Doctor :   ok.
Doctor :   are you on any medications for your symptoms?
User :   My stomach is bloated almost every day. I'm having trouble with my bowel movements.
User :   NO I havent seen a doctor yet.
User :   because I always have stomach issues but now I'm having abnormal bm
Doctor :   since when do you have the present symptoms ?
User :   Off and on for 2 months
User :   short stools, constant straining.
User :   even with soft stools.
Doctor :   ok
Doctor :   ok. then I would suggest you to go ahead with following steps.
Doctor :   1) a stool culture sensitivity test to rule out any infection
Doctor :   2) a consultation with gastroenterologist along with colonoscopy to rule out IBS (inflammatory bowel syndrome)
Doctor :   3) a barium study to confirm IBS (if suspected after examination)
Doctor :   4) start with Tab Omeprazole 20 mg daily on empty stomach in mornings
Doctor :   5) stick to having bland diet with no spice, oil
Doctor :   6) do not leave stomach empty for more than 3 hours except when you are sleeping
Doctor :   the stool test will also rule out blood present in it
Doctor :   since you are having brown color stools
User :   ok
Doctor :   have you followed what I have said?
User :   leaving my stomach empty does aggravate the pain actually so I try not to.
User :   Yes
Doctor :   is there anything else I can help you with?
User :   I was just concerned that I might have a blockage since my bowels are not emptying normal. could this be a possiblity?
Doctor :   no, not actually, you will fail to have bowel movement and have bloating and severe cramps
Doctor :   which might be associated with vomiting
Doctor :   if you had bowel obstruction
User :   I do have bad pain and bloating but no vomiting
User :   I do have bowel movements daily
User :   but they are short
Doctor :   go ahead with an examination and further tests with a gastroenterologist for finding out exact cause for your symptoms
Doctor :   ok
User :   ok
User :   well thank you. is my time up?
Doctor :   no, not yet. you can log out if you are done with your queries. you have another 4-5 hours to log back in and chat again
Doctor :   since a 24 hour package was given to you
Doctor :   as you were not able to chat immediately after your payment
User :   I only paid for 15 minutes.
User :   how much will I be charged for 24 hours?
Doctor :   in case you have further queries, you can log back in
User :   4-5hours?
Doctor :   you will not be charged anything now for 24 hour package
Doctor :   it is free, in place of 15 minutes package that you paid and could not use
User :   Just to ease my mind a little, may I ask a couple more questions
Doctor :   yes, please go ahead
User :   I seem to get the cramping and urge to use the bathroom but the problem is that I have to push even though it's sitting right there if you will, could it be a rectal condition as well since I do have pain, not during but through out the day
User :   I have used natural laxatives and they work but then I still have to strain.
Doctor :   it could be related
Doctor :   more to IBS kind of problem in which colon or rectum is involved
Doctor :   laxatives used might give some releif
User :   IBS sufferers can have rectal pain as well?
Doctor :   but not always
User :   Can IBS sufferers have the rectal pain and short stools?
Doctor :   yes they can have
User :   I see.
User :   well I'm done for tonight. Need to sleep. Thank you for your help.
Doctor :   is there anything else I can help you with?
User :   that's it thanks.
Doctor :   thanks for consulting me. bye for now.
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