Brief Answer: Change in dieatary habit, and some investigation Detailed Answer: Hi XXXX ! Good evening. I am Dr Shareef answering your query. I would like to know if you eat frequently from outside. If you do, you are advised to avoid this habit as infection could travel into your intestines possibly from unhygienic way of cooking food outside your home. If I were your doctor, I would go for a routine stool test to exclude any ova, and cyst. If amebiasis is diagnosed, a course of metronidazole along with a probiotc and a proton pump inhibitor would relieve you of your symptoms. If there was bacteria in the stool, a culture sensitivity of the stool would determine about the antibiotic to be started. To these medications, I would also add an anti emetic, and a bland diet with freshly made curd. If you eat from outside specially fast food, I would also exclude gluten sensitivity due to the intolerance to gluten found in such food. This has to be further investigated by a gastro enterologist, and a dietician, by a trial of excluding such diet from your routine food habits, and assessing the effect. I would diagnose you then as a case of Irritable bowel syndrome only when these aspects are excluded by clinical examination and investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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Brief Answer: Symptoms in IBS could be confirmed by exclusion on Detailed Answer: Hi XXXX! Good morning. Regrets for the delay in responding as it was wee hours of the night in this part of the globe when your query was mailed. Any kind of symptoms relating to the gastro intestinal tract specially the intestinal hurry, bloating, etc as in your case could ofcourse be related to the IBS as diagnosed by your doctor sometimes back. However, as I already told you, I would diagnose an IBS only after excluding other organic causes after a detailed investigations by a gastro enterologist like a upper and lower GI endoscopy specially with a history of acid reflux, and a trial exclusion of some constituents of your diet in consultation with the dietician. I would not be reluctant to go for a thyroid function test and would like to exclude any anxiety or stress factor in your case. Till then I would advise you to add fresh curd/ a probiotic to your regular diet and consult on these aspects with your treating doctor. Good luck and take care.

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