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Treatment for intestinal hypermotility - 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 : 2155 Questions
Doctor :   Hi
User :   Hello Doc
Doctor :   How can I help you?
User :   Good morning ..
Doctor :   Good morning to you too.
User :   iam having some problem in my stomach for the past few weeks
Doctor :   Please explain.
User :   the moment i complete my food .. i feel like gng to the loo
Doctor :   Ok
User :   or if i skip my food.. i feel like going to the loo
Doctor :   Do you mean passing stool?
User :   yes
Doctor :   Ok
Doctor :   Is the stool watery in consistency?
Doctor :   Do you pass watery stool?
User :   no
User :   but i pass it atleast 3 to 4 times a day ..
User :   and some times iam constipating
Doctor :   Do you get campy abdominal pain when you pass stool?
Doctor :   *crampy abdominal pain?
User :   not really on the stomach ...but i have a slightly itching or burning sensation through the outer place.. while passing stool
Doctor :   Ok
Doctor :   Do you have any other associated symptoms such as acidity problems, nausea, vomiting?
Doctor :   Are you there?
User :   ys ..iam having a vomitting ..sensation....but not able to vomit
User :   getting too many burpe
Doctor :   Ok
Doctor :   May I know your age and gender?
User :   31 and male
Doctor :   Is there a change in a place of eating?
User :   yes
User :   i used to bring food from home.
Doctor :   Ok
User :   but nowadays having outside food
Doctor :   Ok
Doctor :   Are you losing weight?
User :   no .. iam cautios on my weight .. i do my exercises regularly .. and anyways i eat a lot..
User :   my weight is constant
Doctor :   Ok
Doctor :   Do you have on and off fever recently?
User :   i had a fever about a month before .. but then it was just for a day ...had a crocin and then the fever flewed away
Doctor :   Have you had similar symptoms in the past?
User :   normally .. i dont get any illness..
User :   except for headache
Doctor :   Ok
Doctor :   Do you smoke or consume alcohol?
User :   no
Doctor :   Do you have history of diabetes/hypertension/thyroid problems?
User :   No..
Doctor :   Ok
User :   but my parents are diabetic patients
Doctor :   Let me brief you.
Doctor :   Your symptoms are consistent with features of intestinal hypermotility conditions.
User :   iam not clear on this .. can you explain in detail please
Doctor :   Let me explain that to you.
Doctor :   The most common cause of intestinal hypermotility are Irritable bowel syndrome, infections.
Doctor :   Presence of infection can only be determined by stool examination.
Doctor :   Let me suggest you the measures that you can follow to counter this problem.
User :   yes please
Doctor :   1. Infective conditions need proper antibiotics,
Doctor :   since there is a recent change in eating place, infection needs to be ruled out.
Doctor :   hence get a stool test done.
User :   ok ..then
Doctor :   If there is presence of amoeba, ova or cyst in the stool, you will need appropriate antibiotics.
Doctor :   If there is no infection, then its probably the second, that is irritable bowel syndrome that is causing the symptoms.
Doctor :   Irritable bowel syndrome is a chronic condition, which can be kept under control by dietary and stress modifications.
Doctor :   Hence if the stool tests are normal, then you the following steps applies
Doctor :   1. Be regular with your diet, if possible avoid eating out.
Doctor :   Your gut is adjusted to home food, its probably the out side food that is inducing the hyper motility.
Doctor :   2. Include plenty of fibers in your diet.
User :   ok,then
Doctor :   Plenty of vegetables and fruits are essential.
Doctor :   Restrict consumption of pulses and legumes.
Doctor :   3. Drink plenty of water.
Doctor :   4. Restrict caffeine consumption(coffee,tea or other beverages.
Doctor :   5. Stress at work and home can precipitate the symptoms(apart from your eating habits)
Doctor :   hence manage your stress adequately,
User :   ok
Doctor :   this can be achieved by proper sleep, physical exercise, yoga and meditations.
Doctor :   6. Avoid junk foods, hot spicy foods.
Doctor :   7. Certain food allergies can induce similar symptoms.
Doctor :   Hence watch out your food. if you find that your symptoms are prominent after certain type of food products,
Doctor :   you are probably allergic to it.
Doctor :   Avoid such food products.
User :   ok
Doctor :   Commonest food allergies known are milk and diary products, fish, wheat and so on.
Doctor :   Check them out.
Doctor :   8. Intestinal hypermotility conditions such as irritable bowel syndromes are chronic conditions
Doctor :   meaning that these conditions can only be prevented, and not completely cured.
Doctor :   These measures help checking this conditions.
Doctor :   If you get acute attacks of these symptoms, then
Doctor :   you can consider the use of drugs such as Tablet lomotil one or two tablets a day during those episodes.
Doctor :   *Use of these drugs are only after ruling out the infections\.
Doctor :   These drugs can induce harm if there is an infective focci causing the symptoms.
Doctor :   9. Symptoms of hyperacidity such as upper abdominal pain and nausea are part of this condition.
Doctor :   You can use antacid syrups such as Syp Gelusil 1tsp before your meal thrice a day for the next one week.
Doctor :   Have you followed what I have suggested?
User :   ys . i follow
Doctor :   Finally, if your symptoms are persistent inspite of ruling out infections and these measures as suggested, consult a gastroenterologist.
Doctor :   You may need a colonscopy to look for specific inflammation of the gut.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   no doc .. this should do .. may be i will first take a stool test and check if things are normal.. then i will follow the next steps
User :   thanks for the advice ..
User :   just for my reference .. can i know your name
Doctor :   I am sorry. I am Dr XXXXXXXX here.
Doctor :   Thanks for consulting me. Bye for now.
Doctor :   Have a great day!!
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