Brief Answer:
Need specialist advice
Detailed Answer:
Hello
Thanks for the query
I understand that you have
constipation and feeling of heaviness.
You have two separate issues. 1. GERD due to
hiatus hernia 2. Irritable bowel syndrome
For the GERD I recommend you use an
antacid and pro motility combination like
Pantoprazole with
domperidone one a day before food. I also suggest the following
1. Do not sleep immediately after dinner, wait for atleast 2 hours before getting to bed after dinner
2. Avoid spicy food
3. Is you are symptomatic, you have pain abdomen or feeling of reflux avoid bending exercises
4. Avoid caffeine, alcohol and smoking when you are symptomatic. Other times it should be in moderation
Your second issue is Irritable bowel syndrome, here the stools are usually small and sparse. I see that you are confused about the tight rectum, I would like to add here that Obs/gyn are not specialist in treating this condition and not trained as well, I strongly suggest you to meet a gastroenterologist or a
general surgeon instead. Its been several years since your
colonoscopy and even the previous one was not successful. Here is what I suggest to you
1. Continue taking the laxative
2. Drink plenty of water as it helps preventing hardening of stoolss
3. Add bulk to your food in the form of vegetables and fruits
4. Ispaghula husk 2 tsp added to water three times daily and consumed also helps in the formation of stools
I hope I was of help, if you have any further queries please get back to me
I wish you good health
Regards
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