Answer given below
Sorry for the delay in replying.
In this era of internet people try to get more information than they need to know and eventually get confused. So sometimes a short and sweet reply is more appropriate than a long exhaustive answer which may confuse the customer.
Since you expect lot of details, I am giving the all the information you want.
In your first post you asked three questions.
Though the first part suggests more of irritable bowel syndrome
, there are three points against it -
1. Blood in stool
2. Weight loss
3. Fecal incontinence
( soiling of your undergarments).
Blood could be due to piles. But takinga ll the other information together, IBD has to be ruled out. You have mentioned you have proctitis. Proctitis could be a part of IBD. IBD means inflammatory bowel disease
. It is not the same as IBS which is irritable bowel syndrome. For diagnosing IBD you need to undergo colonoscopy
You asked whether there is a permanent cure for IBD and also said if there is no permanent cure there is no need to get a colonoscopy done. It does not work like that. For example diabetes does not have a permanent cure. But still you need to treat it to prevent complications. Similarly acid reflux
does not have any permanent solution and can recur many times. But still you need to treat it as it affects the quality of your life.
So you need to treat IBD also even if there is no permanent cure. Because it can affect quality if life and can lead to complications. It can assciated with other symptoms involving the joints, eyes and skin and treatment would control this. Also there is a long term risk of malignancy.
Now if you ask me why you need colonoscopy -
Bleeding from any site is a red sign. Since you have bleeding per rectum you need to get colonoscopy to rule out IBD as said though you have piles also.
Colonoscopy will help to confirm IBD if it is the cause for your symptoms. The doctor would do biopsy to confirm the finding. Moreover there are two different types of IBD- Crohn's disease and ulcerative colitis
. The treatment is different for these two. If you suffer from IBD colonoscopy will help to know which of these two you have.
I told you to take Nexpro-L for acid reflux and you asked how it is going to help.
Normally acid is secreted in the stomach for digestion of food. But this has to go in the downward direction. If it goes upward in the opposite direction, it will enter the food pipe and cause symptoms like heartburn which you have. This is called the acid reflux.
In the stomach, there are microscopic structures called proton pumps which are responsible for acid secretion. nexpro-L contains medication called esomeprazole
which blocks these proton pumps. This leads to decrease in the acid secretion. So less or no acid gets refluxed in to the food pipe and you get relief from acid reflux/heartburn.
You said I asked so many questions . I asked these questions to analyse your symptoms.
I asked about the stool test to know whether you have any infection as infection can cause some of the symptoms you have mentioned. Your stool report says you leak blood in stool. Other than that everything else in stool test do not reveal anything significant.
I asked whether colonoscopy was done just to make sure whether IBD was ruled out and I have discussed about it detail above.
Then I asked about diabetes because diabetes and some of its medications cause some of the symptoms you have. You yourself said you are not a diabetic. As per the report you do not have diabetes.
I asked about medications to know whether you take the right medicine. So I suggested Nexpro-L. None of medications you take cause any of the symptoms you have.
So in the end I tell you once again what I told you in the previous post -
Since you have bleeding per rectum I would advice you to get a colonoscopy to find the cause. Though piles can cause bleeding a colonoscopy has to be done to rule out other cause like IBD.. You can get it done under sedation and you will not feel any discomfort.
For the acid reflux, you can take Nexpro-L once a day before breakfast for 8 weeks.
Let me know if I can assist you further.