Hello! Thanks for putting your query in XXXXXXX I am a Gastroenterologist (DM).

I think you are suffering from IBS-D (Irritable bowel syndrome- diarrhoea predominant)

However such a significant weight loss can not be explained by IBS. But as endoscopy, colonoscopy and CT scan all are normal. So I think organic cause are almost ruled out. Moreover I think you must have restricted your diet and that can explain such weight loss.

Few things to know about IBS:
1. Is a chronic disease which has relapsing and remitting course
2. It will never harm you even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms
4. Intestine becomes hypersensitive so even discomfort is perceived as pain
5. Increase gas production leading to abdominal fullness and bloating

So what all you have to do is:
1. Take a proton pump inhibitor along with a prokinetic agent in morning empty stomach
2. take antispasmodic like mebeverine like colospa thrice a day
3.Avoid milk and milk products if it is worsening the symptoms
4. Avoid fatty meals and instead take high protein diet like pulses, soyabean and if you are non vegeterian then take eggs (take white portion only) or chicken
5.Cap Gasex tds by Himalaya company (an ayurvedic medicine)
6.Tablet loperamide sos for loose stool

I hope I have answered your query and this will help you. Remain in touch and get-well soon.

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Hi,

Sorry for the delay and thanks for the feedback and query.

Proton pump actually are present in stomach which results in secretion of hydrogen ion which when combine with chloride ion leads to the formation of acid hydrochloric acid which helps in digestion of food by making the food acidic. This acid is normally secreted in our body. This is this the acid when there is imbalance may lead to the symptoms like upper abdominal pain, dyspepsia, and reflux symptoms. So when we take proton pump inhibitor acid production is decreased and we get relief from the symptoms

Prokinetic agents are those medications which increases the motility of gastrointestinal tract some may increase the motility of stomach only and others may be of whole of the gastrointestinal tract. So when the motility of the gastrointestinal tract is decreased food and normal digestive juice normally produced in our gastrointestinal tract, stay for longer period of time which may lead again to above mentioned symptoms. So prokinetic agent s lead to increase in the motility of GI tract and helps in relieving the symptoms

You can increase your weight by taking high protein diet. If you are vegetarian take pulses, cheese, and soyabean and if you are non vegetarian also take chicken which is roasted and white part of egg (avoid yolk).

Remain in touch. Thanks.

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