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Suffering from gastric problem, indigestion and constipation. Suggest the remedy - Online Doctor Chats

Date : 27-Nov-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:My wife suffers from gastric problem, indigestion, acidity, constipation followed by loose stool after 2-3 days gap. Please advise the remedy.
Doctor:can you give me a few minutes, because I am on a call
Doctor:will be back with you shortly
User:sure sir
Doctor:I am sorry
Doctor:I would like to know a few more details about your wife's problem
Doctor:can you elaborate a little bit
Doctor:are you there?
User:sorry went out
User:May I know your name please
Doctor:no problems
User:Ok sir...
Doctor:Can you please tell me since how long your wife is having the problems you described?
User:What would you like to know about my wife's problem sir?
User:Past 10 yrs
Doctor:Hmmmmm, that is quite a long time
Doctor:have you consulted any doctors for this issue?]
User:yes sir
Doctor:when was the last time you consulted the doctor and what type of doctor was he/she?
Doctor:and what did the doctor say?
User:went for homeopathy and it was useful til she continued with the course of medication. You know it rquires time and patience with homeopathy
Doctor:What I know about homeopathy is that it is useless
User:She was a homeopathic doctor and told that its a gas problem
Doctor:anyway I don't want to burst your bubble
User:OK please advise us then
Doctor:Have you consulted any gastroenterologist?
Doctor:okay, you have mentioned that your wife has acidity, and gastric problem and indigestion
Doctor:can you explain what you exactly mean by these terms?
User:Acidity - " Burning of chest"
User:Gastric problem - "local pain in chest and stomach due to gas"
User:Indigestion - "vomitting tendency and before going to sleep some semi solid food particles come back in moth through the oesophagus"
User:constipation - "irregular bowel movement due to which alternation in constipation and loose stool tendencies"
Doctor:By constipation do you mean hard stools for two or three days
Doctor:or complete inability to pass stools for two or three days?
User:Yes this also...sometimes blood also comes due to local injury
Doctor:I want to know if she passes stools every day or not
User:"Yes - complete inability to pass stools for 2-3 days"
Doctor:May I know your wife's age
Doctor:How many children do you have?
Doctor:and both were normal deliveries?
User:no cezerian
Doctor:okay, what is the age of your younger child?
User:4 yrs
Doctor:From all this history I can say that your wife is suffering from acid peptic disease(Includes hyperacidity in the stomach, eosophageal reflux -- that is regurgitation and vomiting sensation, burning in the chest, pain the chest and tummy)
Doctor:All the above symptoms are a part of one disease complex
Doctor:we need to identify the exact cause for the acid peptic disease in your wife's case
Doctor:the commonest causes in such long standing cases are
Doctor:1. H-Pylori infection
User:Pls advise some medicines
Doctor:2. hiatus hernia
Doctor:3. Gastrinomas
Doctor:4. faulty diet habits
User:Yes you are right at point no 4..."Faulty Diet Habits"
Doctor:I want you to understand one important thing
Doctor:this is an online forum, so I don't have the advantage of examining the patients
User:She quite often bunks her breakfast and irregular sleeping habits
User:what important thing are you refering to which i need to understand?
Doctor:that means It is not ethical to advice you medicines
Doctor:now coming to what you can do about your problems what do you advise finally...? do we need to go and XXXXXXX a doctor physically?
Doctor:1. Check the diet
Doctor:that means, you need to make sure she does not eat fatty
Doctor:and spicy foods
Doctor:she should avoid oily and fried foods
User:ok sir...
Doctor:she should also avoid eating junk foods
Doctor:like burgers
User:no junk food is consumed here...
Doctor:and fast foods
User:she likes outside chinese...
Doctor:next thing is incorporate plenty of fresh fruits and fresh vegetables in the diet
Doctor:Avoid chinese foods also
User:ok sir...
Doctor:she should eat plenty of green leafy vegetables
User:ok sir...
Doctor:and she should eat at regular intervals
Doctor:maintaining timing and a routine is very important
Doctor:she should eat small meals but more frequently ant regular intervals
User:she does not sleep properly at night which she compensates by getting up late and sleeping during day time...this leads her to skip her breakfast more iften than not..
Doctor:for example, instead of three large meals
Doctor:she should eat 5 or 6 small meals at an interval of 4 to 6 hours
User:ok sir...
Doctor:this will help in digestion and also keeps her stomach healthy
Doctor:next step is to consult a gastroenterologist
Doctor:She may need to undergo some basic tests like blood tests
User:we stay in south delhi and will try to fix an apointment with some doctor...can we fix an appointment with some doctor through this online portal called healthcare Magic?
Doctor:breath ammonia test and an endoscopy to see if she has developed any ulcers in the stomach or any changes in the esophagus
User:ok sir...
Doctor:If you have the option of "fix an appointment" on your dashboard, then yes you can ask the customer care team to help you with fixing an appointment
User:Thanks so much for your advise...Yes I do have this option on my dashboard
Doctor:Once you get these basic tests done to find out the exact nature of the disease an appropriate medicines or any other method of treatment can be decided
Doctor:finding out the exact cause of the problem is the most important thing in treating any disease
Doctor:so please follow all the dietary recommendations I made
User:This is my first chat on this portal...pls advise if this chat will be automatically saved in my profile or else do I need to save it, if yes then please suggest how?
User:Sure...Thank You Sir
Doctor:and then follow it up with a consultation with a gastroenterologist
User:Sure Sir...
Doctor:The chat will be automatically saved
Doctor:but you can just copy paste the entire thing for your reference
User:Thanks so much...
Doctor:You are most welcome
User:Sure Ill do it
Doctor:Is there anything else I can help you with?>
User:One last question...where are you from...i mean where are you at present?
Doctor:I am from Karnataka, I work and live in Bangalore at present
User:Thank you so much Mr. XXXXXXX for ur advises
User:My name is XXXX XXXXXXX and I am working with XXXXXXX Lang LaSalle a construction management group...
User:Gud Night SIr...Bye
Doctor:I am a doctor, and thank you XXXX for chatting with me.
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