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How to treat gastrointestinal problem of abdominal pain, foul stool and gas?

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Gastroenterologist, Surgical
Practicing since : 1989
Answered : 883 Questions
respected sir i have gastrointestinal problem since last seven the first time when i was 17th year old i had been reported with bacterial infection as i used to pass stool six to eight time a doctor prescribed antibiotics and the problem had been resolved. but after that gastric problem started with gas ,whiteness in stool three times a day .as the time passed this problem became common. after one or two month frequently stool with muscuos and bad smell .doctor usually prescribed antibiotics. one month ago a doctor said that it is ibs and given normaxin with probiotic .this medication give result but one week ago upper abdominal pain with irritation and folly stool again started and doctor prescribed oflaxacin and ornidazole composition as he said it was not ibs but SIBO.THIS medication give some effect but gas and scattered stool two to three time is consistent. sir i am unable to find out what's the problem .my weight is also decreasing . i am 28th now.stool test show no cyst .please give your valuable advise. tnanks
Posted Fri, 3 Jan 2014 in Digestion and Bowels
Answered by Dr. Ketan Vagholkar 40 minutes later
Brief Answer: Drugs ,diet and exercise will help Detailed Answer: Hi, Thanks for writing in. From the description which you have given it appears to be a case of malabsorption syndrome due to persistent infection. I would suggest the following investigations and then therapeutic measures which may be helpful to you. Investigations advised. 1. Stool examination (routine as well as for fecal fat estimation) 2. Liver function tests 3. B12 estimation in blood. 4..CBC General therapeutic measures> 1. Stop all previous antibiotics or probiotics. 2. Stop outside foods and even water. 3. Consume only cooked food and clean and potable drinking water. 4. Avoid alcohol . 4. Antibiotic course specifically of the following drugs a T.ciprofloxacin 500mgms 1-0-1 x 14 days (after meals) b.T metronidazole 400mgms 1-1-1 x 14 days (after meals) c.T ranitidine 150mgms 1-0-1 x 14 days (before meals) After completion of this course you need to start the following 1. Econorm sachets 1 XXXXXXX /day in the morning mixed with plain water on empty stomach x 10 days 2.Glutamine sachets. Half XXXXXXX per day with water at bed time x 10 days. In case there is any abnormality in the investigations then prompt correction of those abnormalities is necessary. Regular exercise, diet rich in foliage and adequate volume of at least 2 litres of water is also essential. Yoga or meditation may be useful adjuncts as well. I am sure these guidelines will surely help you out of this problem. Regards
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