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Had constipation, piles, fissures, gas, bloating. Colonoscopy done. Advised dietry changes. Suggestions?

I am 42 , male , got colonoscopy done in Oct'12 , normal except some step formation in colon, Dr advised fibre food etc, since last 3-4 months have lost around 3-4 kgs. Have had constipation problem since long , this aggrevated during Feb'13 last week which led to waekness and feeling of shrinking. Vit D low at 4 , Vit B12 low at 259 . Had piles,fissure in March'13 , bleeding now stopped but pain and burning persist , also gas and feeling of bloating. Advise pl
Asked On : Thu, 25 Apr 2013
Answers:  1 Views:  27
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
With the available describes symptoms, there appears to be high possibility of hypothyroidism.
Presence of constipation, bloating suggests the diagnosis.
You should consult with internal medicine specialist/ general surgeon and should go for thorough check up.
You should also go for complete blood count, blood sugar, serum electrolytes, and thyroid profile.
You should take plenty of water, high fibre diet and laxatives containing lactitol and isapgula.
You should perform increased physical activity to maintain gastrointestinal mobility.
You should also go for endoscopy for better clarification of upper gastrointestinal tract.
You should also take proton pump inhibitors along with prokinetics.
Take care,
Dr. Mayank Bhargava
Answered: Thu, 25 Apr 2013
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