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Suggest treatment for Irritable Bowel Syndrome - Online Doctor Chats

Date : 08-Apr-2014
User rating for this question
Very Good Posted in: IBS(Irritable Bowel Syndrome)
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:
Please proceed with your query
User:1. Doctor, I have to go to the toilet frequently. 12 times in a day – Every 1 hour or 2 hour almost. Especially after meals. I have to run to the toilet immediately after meals. Lunch Breakfast Snacks or Dinner. Also I am unable to control bowel movement. I need to run & go. Else I spoil my underwear. This causes problems when I am outside. As a result of which I am unable to Also I am not able to differentiate between a gas discharge & stool discharge. There might be an unexpected stool discharge along with gas or while I am urinating. Also it foul smells. Smells like fermented curd discharge. Bowels are also foul smelling. After using the toilet also the smell remains. Anus gives a strange smell, due to which it becomes very embarrassing in the office. I also experience pain on the left side of my lower abdomen & I am unable to sleep on my left side. I have to either sleep straight or on my right side. I have been diagnosed with Irritable Bowel Syndrome. Is there any remedy / permanent cure for this ? Please suggest remedy / medicines. 2. I am also suffering from acidity & indigestion. I feel like a burning sensation in my throat while eating / swallowing food, even fruits or banana or even water. I also feel like a burning sensation in my throat for most part of the day, for many hours after eating. 3. I am suffering from bleeding from my anus in & after passing of tools. I have been diagnosed with Proctitis & Piles. Is there any remedy / permanent cure for this ? Please suggest remedy / medicines.
Doctor:Let me read your query for few minutes to be able to have a good discussion here.
Doctor:Your symptoms fit into Irritable Bowel Syndrome
Doctor:it is a disease of lifestyle mostly influence by stress and diet
Doctor:Are you there>
Doctor:?
User:Yes
Doctor:ok
Doctor:Is there any remedy / permanent cure for this ? - answer is No
Doctor:there is no permanent cure for this
Doctor:treatment is through Dietary Measures
Doctor:Psychological Therapy
Doctor:Long-term Monitoring
Doctor:medicines are
User:Are there no medicines ?
Doctor:there are but these are for symptomatic treamtent
Doctor:Didnt your doctor prescribe you any medicine?
Doctor:TCAs like amitryptaline
Doctor:Loperamide
Doctor:Dicylomine
Doctor:several others
Doctor:depending on the patients symptoms can be used
User:Symptomatic Treatment means ?
Doctor:based on symptoms - like for you
Doctor:you have
Doctor:frequent stools
User:My Doctor had prescribed
User:Drotin 40 mg Rinifol Dipep Capsule
Doctor:for you loperamide would work better as it slows the peristalsis and decreases the intestinal movements
Doctor:all three are the right drugs for you
Doctor:They would help you
User:But they are only vitamins & digestive enzymes
User:After taking which I feel burning sensation in my throat & chest
Doctor:No
Doctor:Drotin is anti-spamodic
Doctor:it helps in relieving the pain and urgency
Doctor:Rinifol is lactobacillus
Doctor:helps to restore intestinal flora
Doctor:Dipep is for digestion, yes, I agree
User:So which ones should I take ?
Doctor:you should be taking all 3
Doctor:It has to be decided by your treating doctor
User:I didnt quite benefit by them
User:Rather felt sleepy & tired throughout the day / office
User:He had prescribed 3 doses of each medicine a day
Doctor:Please get back to the doctor and request a re-examination of you
Doctor:Probably you would need other drugs
Doctor:Re-evaluation
Doctor:How long have you taken these medicines?
User:For 10 days
Doctor:oh no
Doctor:You need to take the medicines for at least 2 weeks minimum to see the benefits
User:Okay
User:What about Loperamide Dicylomine
Doctor:They are antispasmodics like Drotin
User:Okay so should I take them or not ?
Doctor:Discuss with him whether you can change over to this
Doctor:You should consult your doctor physically before taking them
Doctor:The prescription medicines are given after the cause is exactly made out. Since I haven't physically examined you, it is inappropriate and unethical to prescribe you scheduled drugs. Hence see the doctor for the medicine that you require.
Doctor:You may discuss about the options that I have mentioned
Doctor:okay?
Doctor:Do you have any more queries?
User:He hasnt examined me physically either
User:Just discussed with me orally.
User:What about medicines about the other 2 problems ?
Doctor:I am also suffering from acidity & indigestion. I feel like a burning sensation in my throat while eating / swallowing food, even fruits or banana or even water. I also feel like a burning sensation in my throat for most part of the day, for many hours after eating.
Doctor:This is your second query right?
Doctor:I usually prescribe my patients Capsule Pantodac DSR on empty stomach early in the morning for a minimum of 3 weeks
Doctor:3. I am suffering from bleeding from my anus in & after passing of tools. I have been diagnosed with Proctitis & Piles. Is there any remedy / permanent cure for this ? Please suggest remedy / medicines.
Doctor:This is your 3rd query
Doctor:For this
Doctor:I prescribe Anovate cream to be applied around the anus twice daily for this
Doctor:Also, 20 mins before passing stools
Doctor:You can use piloseal ointment as well
Doctor:Permanent cure is by surgery for this
Doctor:Hope all your queries are answered
User:Yes
User:Annovate Cream was prescribed by my doctor as well
User:But it didnt help out much.
User:Piloseal Ointment is what? How is it supposed to be taken ?
Doctor:It is ayurvedic from himalayas
Doctor:It is an ointment to be used like anovate into the anus
Doctor:are you there?
Doctor:are you there?
Doctor:I have to close the window as you are not responding. Please chat with our doctors for medical queries or use 'ASK A DOCTOR' option
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