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Medication and dietary advice for a patient with Inflammatory bowel disease - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: IBS(Irritable Bowel Syndrome)
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3353 Questions
Doctor :   Hi
Doctor :   How can I help you
User :   Hi
User :   My wife is having digestive problem
Doctor :   ok.
Doctor :   since when and What type of problem is she Having
User :   since last 8months & loose motion problem
Doctor :   dose she have it every day or is it alternating with constipation too
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
User :   every day
User :   Age-30, Female, Housewife, Married & Dependent on me
Doctor :   What is the Consistency Watery or Semisolid or associated with any Bad odor or Some Different Color
User :   semi solid
Doctor :   Yellowish or Green and Any bad smell when she has it..
User :   Yellowish with bad odor
Doctor :   Does she Have Any Constipation..
User :   from last five days, it is watery & moring twice in a day
User :   no
Doctor :   Have you had Consulted any Gastroentrologist in that Regard..
Doctor :   and had any investigations done Like Stool culture and have ruled out Worm infestations..
User :   consulted with gastrologist & conducted gastroscopy also....Also taken treatment
Doctor :   does she have any other symptoms other than the Once you have told and
User :   no
Doctor :   Ok with the History that you have Provided..
User :   Medicine given is Cremadiate
Doctor :   I can Suspect a few things like
Doctor :   Inflammatory bowel disease
Doctor :   Crohn's disease
Doctor :   Irritable Bowel Syndrome
Doctor :   Celiac disease
Doctor :   Ulcerative colitis
Doctor :   these are the subdivisions in Inflammatory bowel disease
User :   weight is also not increasing due to this problem
Doctor :   Inflammatory bowel disease the immune system attacks the gut (intestine). .
Doctor :   Yes any Chronic Disease will cause a significant Loss in Weight]
Doctor :   The most important thing that needs to be ruled out would be her Immune Status..
User :   What is solution for this & how can we recover weight
Doctor :   Solution will be to Bring about a change in the Dietary habits she
Doctor :   will need to eat Regular small meals and every 3-4 hours once
Doctor :   take less of Liquids and Fluids as a part of the Diet
User :   doctor told us to avoid spicy foods
Doctor :   Yes that are few changes that can be introduced in the diet
User :   when she is having above medicine then she feel relax...but after stoping above medicine again problem starts
Doctor :   Avoid the high Fiber Diet too
Doctor :   Well with that i think of the Inflammatory Bowel disease to be the Cause A Colonoscopy to find out the disease will be needed..
Doctor :   since there are many types of IBD
User :   what is your advise for increasing the weight....any tonic or medicine....
Doctor :   avoid apple and pear juices until you feel better
Doctor :   Avoid caffeine and alcohol. Eating gelatin may also help.
Doctor :   Avoid dairy products, fatty foods, high-fiber foods or highly seasoned foods for a few days.
Doctor :   Has she completed a course of Anti-Diarrhea Drugs
Doctor :   Like anyAntiBiotics
User :   yes
Doctor :   ok.
Doctor :   Eat hot, well-cooked foods. Avoid raw fruits and vegetables unless you can peel them yourself. Also avoid raw or undercooked meats and dairy foods.
Doctor :   Please fill the feedback form say done when done while I type the information you needed.
Doctor :   Have you done the Lactose tolerance test.
User :   no
Doctor :   That will be needed since Lactose intolerance can also lead to Chronic Diarrhoea..
Doctor :   Is there any thing else that I could help you with?
User :   what needs to be done for this...shall we approach doctor for this or we approach laboratory directly...
Doctor :   not the lab Get to the Gastroentrologist. and Discuss the disease in entire detail he would ask for these investigations..
User :   do you feel that advise from diaetation will help...
Doctor :   It will at a later date when you know the exact cause for the Inflammatory Bowel Disease.
Doctor :   As i have listed out the causes above
Doctor :   after that the dietitian will be able to list out the diet chart for you.
User :   ok thanks doctor...
Doctor :   You are Welcome
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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