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Suggest Treatment For Persistent Stomach Problems

Posted on Tue, 18 Nov 2014

Question: I am XXXXXXX from XXXXXXX I am suffering from stomach disorder since 2003.I had gone under endoscope and colonoscopy twice.In 2004 the impression was gastritis and non specific mild proctaties.Again I went the test on XXXXXXX 2011.the report was gastritis and normal colonoscopy.I went under the barium x Ray and all the blood test like LFT and thyroid etc in XXXXXXX 2014.all report were normal.I am suffering from cramps in the lower right side right illiac region continuously.Improper evacuation.semi solid stool formation (quantity is more).i am taking rebeprazole and mebebrivine. Sometimes mucus is also present in stool.kindly suggest me future Course of action.I had taken econorm for one month earlier.

Answered by Dr. Dr Samir Patil (46 minutes later)

Brief Answer:
rifaximin

Detailed Answer:
Hello,
I have gone through your history,

Your symptoms and investigations seem to indicate that you have IBS (irritable bowel syndrome). I would suggest you start drotaverine for your pain and take rifaximin for a month. I would advise you to continue isapgulha and rabeprazole. In case the symptoms still persist you might need tricyclic compounds or SSRI drugs to help with the sense of incomplete evacuation.

Hope this helps
Do get back in case you have further queries

Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr Samir Patil (14 minutes later)

Dosage for both the medicine

Answered by Dr. Dr Samir Patil (4 minutes later)

Brief Answer:
rifaximin

Detailed Answer:
You can take 550 mg of rifixamin.
Sorry!
I can't prescribe SSRI or tricyclics on this fourum As the forum rules forbid it.
I would advise you to consult your doctor to get a prescription
Hope you understand

Regards
Dr Samir XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr Samir Patil (30 minutes later)

One last suggestion
Gastroenterologist under whom I was under medication also categorise my case as IBS.As I ha've shifted to New city I am not being to meet him personally.Kindly suggest me that is there requirement for fresh investigation like upper and lower GI as I had under went for same On 2004 and2011.I had gone for barium xray,LFT,stool, thyroid, sugar,'re/me on 2014

Answered by Dr. Dr Samir Patil (3 minutes later)

Brief Answer:
repeat testing not required

Detailed Answer:
Hello,

I don't think you need repeat endoscopy colonoscopy or other blood tests and barium. They won't add any thing to your current diagnosis and will not change the treatment plan

Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr Samir Patil (4 minutes later)

Thanks a lot for valuable advices.

Answered by Dr. Dr Samir Patil (4 minutes later)

Brief Answer:
my pleasure.

Detailed Answer:
Take care

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Above answer was peer-reviewed by : Dr. Vaishalee Punj