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IBS. Has stomach pain, limbs pain, stressed. Endoscopy, blood and urine test, BMFT normal. Reason?

Hi,My nephew 13y has been facing IBS for the last 6 months and not going to his school.We visited local hospitals and found that endoscopy ,endoscopy,blood, urine ,BMFT and stool test reports are normal.he does not lost any weight.As per gastroenterologist s he used the medicine.Later he visited psychologist once.Still he is not cured.please see few more inputs about the issue. -He goes to toilet soon after he take some food every time. -He gets stomach pain after taking food and he relieves from pain after come back from toilet. -He gets legs and hands pain after come back from toilet. -It is true that he is having personnel/family pressure/stress due to economical,health and other issues of family. thanks,neelakantm
Asked On : Sat, 16 Feb 2013
Answers:  1 Views:  25
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Gastroenterologist 's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
I appreciate your concern regarding your nephew. Just relax because IBS will never harm in any way even if persists for whole life.

From the symptoms you have mentioned it seems that he is also having IBS-D, dyspepsia, gastrocolic reflex and stress.

So I will advise him to take a proton pump inhibitor like rabeprazole,antispasmodic agent like mebevarine, course of pre and probiotic and tablet amitryptilline 10mg at night. See whether dairy products worsen the symptoms then please avoid it.

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
Answered: Fri, 4 Oct 2013
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