Brief Answer: You can safely consume coconut water Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear XXXX Irritable bowel syndrome (IBS) is term used for any abdominal symptoms which does not have a organic cause . It's due to alteration in motility of the intestine or inappropriate reaction to some of the food stuff consumed. You seem to be having symptom of bloating and fullness after eating food. It's likely to be due to sudden distension of stomach or intestine after consuming liquid or food. You can consume taking coconut water and continue exercising if it's within tolerable limit. Also I would advise you to consume small quantity of meals ir liquid which will prevent bloating and fullness. Also avoid food stuff which cause or aggravate symptoms. It's hence advisable to maintain IBS regimen for as long as possible. I would advise you to wear a pant which is 1 size bigger than your normal size. It will definitely help. . Also would suggest you to consume plenty of oral fluids, high fiber diet and avoid constipation causing diet. Rest be assured that there is no cause for concern. In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Surgeon

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Brief Answer: Both the drugs can be taken together Detailed Answer: Hi Greetings Many of the individual who have constipation are benefited by consumption of lukewarm warm water as it promotes bowel motility and causes evacuation of stools by causing gastro-colic reflux. The increased frequency of motion should not be a problem as long as there is no malabsorption or loss of weight. The frequency of bowel habits varies from person to person, it should not be a problem as long as it is not affecting nutrition and daily routine. Mebiz SR is Meperidine and is an antispasmodic which has beneficial role in managing intestinal colic especially in Irritable Bowel Syndrome. Vizylac contains lactobacillus which is a probiotic which acts by colonising the gut with useful bacteria which prevent infection with pathogenic that is disease causing organism. It is especially helpful in empirical management of loose stools. Both these drugs have got different mechanism of action and can be used together as they aim at different symptoms. Mild pain in left testis and while ejaculation could be unrelated . I have seen many patients presenting to me with similar complaints. On examination and further work up I have not found any problem with the testis or genital. These kinds of pain are more common in individual having IBS. If the lie and location are normal and there is no size discrepancy as compared to opposite testis than there seems to be no cause for concern. . Do get a routine urine examination also done. Your early morning urine complaint require no further evaluation if your urine examination report and ultrasound of abdomen and scrotum are normal. Rest be assured there is no cause for concern. Take care Best Regards Dr Deepak Kishore Consultant Surgeon

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