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Suggest Treatment For Irritable Bowel Problem

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Posted on Mon, 15 Dec 2014
Question: Sir,

I am suffering irritable bowel problem since long. Bowel is not clearing properly and its takes more that 20 minutes time in toilet. But there is no costipation. Usually I am going to toilet more thatn 2 times a day but still my bowel not clear. My belly is becomes tight usually in evening and sometime i feel high acidity.
Please suggest.

Regards,
XXXX
doctor
Answered by Dr. Bhagyalaxmi Nalaparaju (3 hours later)
Brief Answer:
Need details

Detailed Answer:
Hello XXXX
I can understand your concern.
According to your history it seems like Irritable Bowel syndrome with Constipation.
I would like to inform you that constipation means not only straining at stool, incomplete evacuation (Not clearing properly) is also called as constipation.
I would like to know which laxative and other medications you are taking currently. So I can help you for further management
Are you taking any fiber supplements? Like ispaghula husk, Fiber all.
Do you feel any stomach cramps, bloating?
Do you have any other medical history?

Kindly get back to me with details.
Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Bhagyalaxmi Nalaparaju (1 hour later)
Hi,

As required please find below the details:

1. For the last one year I have not taken any laxatives as it was not effective for me.
2. Currently I am taking Softovac and isabgul at bed time(each of one teaspoon).
3. For getting relief from acidity I used to take homoeopathic medicinne or zintac 150
4. Yes I feel stomach bloating / ballooning (usually after having lunch) in the evening.
5. Milk or any kind of milk product is not suited for me. Immediately I feel stomach ballooning and forms acidity after having such product.

6. My blood sugar level is normal.

Thank you,
XXXX


doctor
Answered by Dr. Bhagyalaxmi Nalaparaju (1 hour later)
Brief Answer:
Try alternative medication and diet

Detailed Answer:
Hello XXXX
Thanks for your information.
I can understand your concern.
Actually there is no definitive treatment for IBS with constipation. I would try to help you my best.

This is good that you are taking fiber supplements. If you are not feeling good with these supplements you can try other fiber supplement like Fibercon.
But I would like to say when you have complaints like abdominal bloating; tightness all would not decrease by fiber supplements. For these symptoms you need to take antispasmodics and antacids.
You should continue antacids for 4-6 weeks. You should take 30 minutes before food.
You have told that Laxatives do not suit for you.
Anyways laxatives are used for short term since it can cause diarrhea.
You have to take 50 gm fiber per day. You have to eat fruits, vegetables, whole grain bread, and dried beans.
You should drink plenty of water.
You should do regular physical exercises.
There are some medications those are used for treatment of IBS constipation.
Lactulose laxative may help you it is much safer than other laxatives. If you have already tried it then better go for other option.
Linactolide: It is used for chronic constipation. It may help you by increase bowel movements and also decrease your other symptoms like feeling of incomplete evacuation.
But every medication has some side effects like diarrhea, it may cause mild diarrhea.
Anti depressant will help you.
Pre and probiotics like Vibact DS, Bifilac, Enterogermina will help you.
Discuss all about this with your doctor (Gastroenterologist)Type of treatment will be decided by your doctor.
Since you feel bloating after taking milk I suggest you get lactose intolerance test done to confirm it


In IBS with constipation along with medication diet, physical exercises and managing stress is most important thing. You have to manage stress by doing relaxation exercises or yoga.
Here for your knowledge purpose here I have given link regarding treatment of IBS.
http://www.webmd.com/ibs/treating-constipation
I guess you already know all these.

If you have any queries I will be happy to help you.
Thank you.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Bhagyalaxmi Nalaparaju

General & Family Physician

Practicing since :2007

Answered : 492 Questions

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Suggest Treatment For Irritable Bowel Problem

Brief Answer: Need details Detailed Answer: Hello XXXX I can understand your concern. According to your history it seems like Irritable Bowel syndrome with Constipation. I would like to inform you that constipation means not only straining at stool, incomplete evacuation (Not clearing properly) is also called as constipation. I would like to know which laxative and other medications you are taking currently. So I can help you for further management Are you taking any fiber supplements? Like ispaghula husk, Fiber all. Do you feel any stomach cramps, bloating? Do you have any other medical history? Kindly get back to me with details. Thank you.