Suggest Treatment For Diarrhea And IBS
Irritable bowel syndrome...advice as following...
Detailed Answer:
Hi XXXXXXX
I have gone through your medical history carefully and understood your concern.
I am sorry for the health problems you are going through. You are too young to refuse social works just because of your stomach issues.
Please keep in mind that there is always a solution for the things that are happening in our life although sometimes we can think that there is no solution and get depressed.
After reviewing your case, I admit that your problems have started when you followed such drastic diet 4 years ago. Your stomach has got a tough time if you have skipped your meals.
The most important step toward the solution in your case is dominating Stress. This is a negative factor for all your actual problems; I can say it will aggravate or reverse your health problems for worst.
If you cannot control stress on your own, ask your family member to support you. If not, then, psychotherapy can help.
Next, another important step is toward reducing your actual stomach problems like gas, bloating, etc. Apart PPIs as you are taking now Rabeprazole, and antacids, and diet changes (less lactose foods), I advise to :
- have your meals regularly, do not skip them
- take probiotics to stabilize intestinal flora
- get a stool sample culture for candida overgrowth to treat it adequately
- a stool examination for ova/parasites is also recommended
- increase fluids intake
- avoid drinking fluids with straw
- chew up food slowly and well to avoid swallowing too much air
Hope it was of help! Let me know if you have further queries.
Dr.Albana
Following answers to your questions....
Detailed Answer:
Hi dear XXXXXXX
Thank you for writing back.
You can take a probiotic containing various strains of normal intestinal bacilli like L. acidophilus (the most important strain responsible for absorption of dairy foods and all the nutrients); B. longum (helps cleaning the intestines from all types of toxins); B. bifidum (for digestion of dairy foods and breaking down the complex carbohydrates, fat, protein in smaller components).
So, just read the labels of the probiotics you find at your local drug store and choose those containing one or all these strains of intestinal bacilli.
Colonoscopy won't reveal anything about parasites or candida infection. Send your stool at your local lab to get further examined for ova/parasites and culture for candida; these are golden tests to determine these 2 diagnosis.
Colonoscopy will give information regarding the colon mucosa and lumen.
Hope it answered to your queries. Let me know if I can be of further help.
Dr.Albana
Typical clinical presentation of irritable bowel syndrome
Detailed Answer:
Hi back XXXXXXX
Thank you for following up.
If you get gurgling more if you wake up earlier from sleeping, this is related to low stomach pH and hyperstimulation of the nerve responsible for the hyperacidity of the stomach.
It's typical clinical presentation for irritable bowel syndrome in your case explaining nothing abnormal has been found during colonoscopy.
Dominating stress is important in reducing such symptoms together with diet changes to stabilize stomach pH.
Hope this answers your question.
Dr.Albana