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Suggest remedy for urge to defecate and intestinal gas

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Posted on Fri, 20 May 2016
Question: For example he last 6 months I have been feeling like I have the urge to go to the bathroom all the time but especially when I am nervous and around people! It feels like I have gas even after I just go to the bathroom! I have had an e cessive amount of gas lately and I don't know what's going on.....
doctor
Answered by Dr. Muhammad Sareer Khalil (5 hours later)
Brief Answer:
Explained

Detailed Answer:
Hello and welcome

I appreciate your concern

Based on the history and description it appears to be irritable bladder syndrome or overactive bladder (OAB) in association with anxiety and GERD (Gastroesophageal Reflux disease ).

In case of OAB, causes like urinary tract infection and urinary tract stone disease should be looked for and ruled out first as they are the common correctable causes especially if the presentation is acute/ short lived.

If none of the infectious or kidney stone causes appear then anticholinergic meds like solifenacin with escitalopram (to counter social anxiety disorder ) can be advised in consult with your doctor.

let me know if you have any query

Wishing you best of health

Thanks

please consult your doctor before taking any further course of action

Dr M.S Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Muhammad Sareer Khalil (6 hours later)
Its not my bladder it is my bowels
doctor
Answered by Dr. Muhammad Sareer Khalil (4 hours later)
Brief Answer:
Explained

Detailed Answer:
Hello again.

If its the bowels that make the trip to bathroom recurrently then its likely to irritable bowel syndrome.

Rifaximin , mebeverine and sucralfate are initial options for treatment. As per response these medications can be changed.

Anxiolytics like bromezepam, levosulpride, eucarbon containing activated charcoal and fiber supplementation are also used as part of treatment.

You may discuss these options with your doctor.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2914 Questions

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Suggest remedy for urge to defecate and intestinal gas

Brief Answer: Explained Detailed Answer: Hello and welcome I appreciate your concern Based on the history and description it appears to be irritable bladder syndrome or overactive bladder (OAB) in association with anxiety and GERD (Gastroesophageal Reflux disease ). In case of OAB, causes like urinary tract infection and urinary tract stone disease should be looked for and ruled out first as they are the common correctable causes especially if the presentation is acute/ short lived. If none of the infectious or kidney stone causes appear then anticholinergic meds like solifenacin with escitalopram (to counter social anxiety disorder ) can be advised in consult with your doctor. let me know if you have any query Wishing you best of health Thanks please consult your doctor before taking any further course of action Dr M.S Khalil