Brief Answer: Symptoms are typical of irritable bowel syndrome. Detailed Answer: Hello XXXX Thanks for writing to HCM Your symptoms are typical of irritable bowel syndrome(IBS). Your doctor has prescribed right medicines but probably he didn't counsel you well. You need few investigations to exclude other causes.Investigations include stool examination (routine and microscopic) LFT(Liver function test),ultrasound of abdomen,upper GI endoscopy.Further investigations can be done if needed. Irritable bowel syndrome is a disease associated with large intestine and exact etiology is not known. There is no specific treatment of this disease. It can be controlled by altering diet pattern,psychological therapy and medicines. For gas problem Rekool-L and and Adiza is very good.You should continue it. You should avoid hot and spicy food. You should take plenty of fibres in your diet in the form of salad etc. You should do regular exercise and if there is any stress factor,try to reduce it. You can also take tablet loperamide SOS. You should avoid cold drinks and high gas forming vegetables like cabbage and cauliflower. You may need psychological counselling if needed. You should take anti hypertensives regularly. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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