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Suggest Treatment For Incomplete Bowel Movement And Chest Pain

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Posted on Fri, 5 Aug 2016
Question: I have this digestive problem and its been really really disturbing me for years and not getting a solution...before i was living with it thinking it is normal and thats the way i am.i wake up in the morning wait for around 10 mins in the loo so that i have a bowel movement which is never the same anyday...then after 20 mins i have to go again and i never felt like its out all..but then i have to go to work..so sometimes it feels that ill be fine and somedays i feel uncomfortable....then in the evening around 5pm my whole abdomen feels burning...like its on fire...and when i reach home i force myself to have a bowel movement and thats when i feel okay..went to many doctors said everythgs fine...
Now i have been coping with that till now that the problem is somewhere i cant manage...disturbs my life..3 months ago i was infected with hpylori and i had gastritis...so i took the medicines and it was gone...but since that time my problem has been worse...accompanied by the incomplete bowel movement i feel like my chest is soo cold...and some pain in the upper middle abdomen area...i also feel like my throat is on pressure....and i dont remember last when i had a normal stool...
The first bowel is hard..and in small pieces...
Then the second bowel movement is very soft and accompanied by chest pains and burping...though it is loose i still feel its not all out...and i have to go for the third time which is more loose but smaller in quantity....during the bowel movement..when i try to get whats remaining...i also hear roaring noises from stomach or i dont know wether its the intestines when i inflate or pressurise my stomach....now i have almost 4 bowels a day....and the evining ones are accompanied by feeling like acid or gas pains
The cold burning effect in my chest is usually accompanied by a lot of burping.....
So now...what is all wrong with my body..
Every doctor has a different say...one said dyspepsia...another said ibs...another said it cant be ibs ...and m not getting any help
Or is it that watever i ear doesnt get utilised in my body and just goes as waste..
Because i have tries eating alot sometimes and it troubles me..causes more bowel problems....is there a solution to all this...
Any advise would be very helpful
doctor
Answered by Dr. Suresh Heijebu (7 hours later)
Brief Answer:
Possible H PYLORI Gastritis Relapse with C-IBS

Detailed Answer:
Hello, Madam

I can certainly understand your concern.

I have worked through your query in detail.

As per your symptoms, you possibly seem to have Acid re-flux disease complicated by H pylori and Constipation predominant IBS/C-IBS(Irritable bowel syndrome).

The H pylori seems to have relapsed in your case.At this point I advise you to get an upper GIT endoscopy and a biopsy for H pylori for RUT(rapid urease test)

Based on the test results, a 21 day course with 3 drug regimen against H PYLORI has to be started instantly.

Now with regards to constipation predominant IBS (all your bowel symptoms quite characteristically point to IBS). A NEGATIVE Ultra Sound ABDOMEN WOULD HELP TO CONFIRM THE ITS DIAGNOSIS.

For C-IBS, I advise you to take oral pills of LUBIPROSTONE 8 mcg q12hr for 2 weeks.Further dosages will depend on the response to initial drug regime.

This drug will cause excellent resolution of symptoms in your case.
Please check with your physician if he shares my view and if can prescribe these pills to you.

Post your further queries if any.
Thank you.






Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (5 hours later)
I am a male,22 sorry for not mentioning...
I recently last week had stool test done and hoylori was absent...the issue is the bowel movements which make me feel bloated and the burping gas reflux whatever...
Its usually diarrhoea like but still feels incomplete...
Or should i say constipated diarrhoea ..i dont have specific words..because i also strain sometimes...
Never really had a normal stool since the last year...i dont knw what a normal poop is...
And is there any possibilty ever that i will have normal bowel movements like other...1-2 times a day... Without any straining or loose stool...because i have an uncomfortable tummy everyday...and i have been really disturbed
doctor
Answered by Dr. Suresh Heijebu (5 hours later)
Brief Answer:
IBS can be fluctuating in intensity and nature.

Detailed Answer:
Hello, Sir

I Can certainly understand your concern.

Stool test is not sensitive or specific for H pylori.

Its very important to eliminate H pylori as it relapses frequently.

Hence I advise you to go for Upper GIT endoscopy and RUT.

With regards to your bowel symptoms, IBS often changes in severity and form from diarrhoea and Constipation and vice versa.

So LUBIPPROSTONE pill will help you and make this differentiation.

Based on the response after 1 week, further management can be planned.

You can certainly have normal stool WITHOUT STRAINING soon.

IBS can be well controlled through medications, Daily exercise and intake of daily fruits.

Please check with your physician and take your pill.

Post your further queries if any.
Thank you.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (8 hours later)
Isnt lubiprostone for women.
Or could u suggest someone which will solve the incomplete bowel and not cause me diarrhoea
And help in gas and bloating
doctor
Answered by Dr. Suresh Heijebu (6 hours later)
Brief Answer:
LUBIPROSTONE is not a hormonal agent used by women.

Detailed Answer:
Hello, Sir.

I can certainly understand your concern.

LUBIPROSTONE is not a hormonal agent used by women.

Its a prostaglandin derivative and a chloride channel activator in the gut used in the treatment of C-IBS in adults.

In case if your want me to to suggest you a concerned physician/doctor who can solve your issue, I request you to kindly provide me your residential area address.

Post your further queries if any.
Thank you.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (1 hour later)
Actually i am from a local town in kenya..
So i dont knw if i cn be helped with that.
And lubiprostone i hope it wont cause me diarrhoea while tryng to heal incomplete bowel...
doctor
Answered by Dr. Suresh Heijebu (14 hours later)
Brief Answer:
Take the drug at once daily dosing initially

Detailed Answer:
Hello Sir

I can certainly understand your concern.

You can start LUBIPROSTONE at 8 mcg once a day initially at bedtime for 1week.

Based on the response you can titrate it upwards by twice a day frequency.

Such scheduling can minimize the side effects.

Its advisable to go visit an expert Gastroenterologist for further management.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (4 hours later)
Any other alternative?
I cant find lubipristone anywhere around here
Looked for it alot
doctor
Answered by Dr. Suresh Heijebu (11 hours later)
Brief Answer:
Try ISPHAGULA HUSK powder.

Detailed Answer:
Hello Sir

I can certainly understand your concern.

Until you find LUBIPROSTONE, I advise you to take ISPHAGULA HUSK POWDER
(available in various brands one such is FIBROGEL or LACTIFIBER )

Mix two spoons of this powder in 200 ml of water and take it at bedtime for 2 weeks.

Post your further queries if any.
Thank you.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Treatment For Incomplete Bowel Movement And Chest Pain

Brief Answer: Possible H PYLORI Gastritis Relapse with C-IBS Detailed Answer: Hello, Madam I can certainly understand your concern. I have worked through your query in detail. As per your symptoms, you possibly seem to have Acid re-flux disease complicated by H pylori and Constipation predominant IBS/C-IBS(Irritable bowel syndrome). The H pylori seems to have relapsed in your case.At this point I advise you to get an upper GIT endoscopy and a biopsy for H pylori for RUT(rapid urease test) Based on the test results, a 21 day course with 3 drug regimen against H PYLORI has to be started instantly. Now with regards to constipation predominant IBS (all your bowel symptoms quite characteristically point to IBS). A NEGATIVE Ultra Sound ABDOMEN WOULD HELP TO CONFIRM THE ITS DIAGNOSIS. For C-IBS, I advise you to take oral pills of LUBIPROSTONE 8 mcg q12hr for 2 weeks.Further dosages will depend on the response to initial drug regime. This drug will cause excellent resolution of symptoms in your case. Please check with your physician if he shares my view and if can prescribe these pills to you. Post your further queries if any. Thank you.