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What Causes Stomach Ache, Bloating, Gas And Stiffness Along With Tight Stool?

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Posted on Mon, 9 Mar 2015
Question: I am feeling quiet uneasy with my stomach with a little stomach pain and heavy stiffness, bloating, gas formation. Stool has become tight (toothpaste consistency but lot denser) and hard to pass through (no pain though i.e., no fissure). No visible mucus is seen by me in stool nor stool have any abnormal smell.

I am using 'O Orni' 500mg for the past 5 days (1-0-1) + Duphalac tonic which eased my motion to a great extent. But still I am not 100% normal wrt my stool consistency and I still fell stiffness and bloating in my lower abdomen.

My question is

1. Can I extend using antibiotic 'O Orni' 500mg for 5 more days. Please advise.
2. Before meeting a doctor I prefer to get Stool culture and Stool Sensitivity test done. Is there anyother tests you would suggest i.e., like blood test?
3. This kind
doctor
Answered by Dr. T Chandrakant (48 minutes later)
Brief Answer:
Change to another- Prepro HS- and other care.

Detailed Answer:
Hi XXXXXXX
Thanks for your query and an elucidate history.

Nice to know that your fissure got healed up on medical management only.

Read and understood your p[resent problem of feeling uneasy with stomach with little stomach pain, heavy stiffness, bloating, gas formation, tight stool- hard to pass- no fissure, no mucus, no abnormal smell - Using Orni- O and Duphalac- still not normal and bloating and stiffness in lower abdomen.

I would answer your queries and try to explain at the same time :

1. There is no point in extending the same medicine after 5 days of the course. It is better to change to another antibiotic after 5 days if there is no complete response and you do not need the Ornidazole part of the Orni-O as there is no mucus.
I would advice you to take another antibiotic under the prescription of your local Doctor.

2. It is OK to get stool culture and sensitivity. Other tests I would suggest are :
Blood- CBC, ESR, Sugar, creatinine, Widal .
Blood culture helps in some cases.
Urine - Routine and microscopy
Ultrasonography of the whole abdomen, helps in ruling out ,many problems and may get an odd diagnosis in a few patients.

3. This kind- I could not understand

** I would like you to take / continue the probiotic as you took Providac or Prepro HS. Activated Charcoal tablets like Flatuna.
Avoid all the beverages and foods which you know increase your problems.
Plenty of oral fluids, Boiled and cooled water, Home-made fresh food only, strictly.

I hope this answer helps you, please feel free to ask relevant questions if you need to or if you feel that there is a gap-of-communication.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (45 minutes later)
Hello Doctor,

Thank you for your valuable suggestions. Requesting to kindly help me with few more clarifications.

1. You have mentioned about having 'Ultrasonography' test .
May I request to also kindly advise me on 'Endoscopy' & 'colonoscopy', if it might help in pinpointing the issue I am facing.
** I am facing this stomach infection 3rd time in the past 1.5 years.

2. You have mentioned about Providac or Prepro HS.
As advised, I shall start using either of this as dosage 0-0-1 perday. Kindly suggest the number of days I shall continue this.
Also, I would like to ask if 'Yakult probiotic milk' can help improving my Lactobacillus bacteria. Can I use this 'Yakult probiotic milk' as an alternative to the above mentioned tablets.

3. Flatuna tablet
Requesting you to kindly mention the dosage & number of days to be taken.

Once again, I thanks a lot for your valuable suggestions.

Regards,
XXXX
doctor
Answered by Dr. T Chandrakant (52 minutes later)
Brief Answer:
As Explained.

Detailed Answer:
Hi XXXX.
Thanks for your appreciation.
Sure, you are most welcome.

If there is no acidity issue, Upper GI Endoscopy may not be of any help.
Colonoscopy: Yes may help, at least if it is normal you are certain about no serious issues.

Your suffering from the intestinal issues may be due to water or food- borne infection. Tackle this and you may not have any problems in future.
And I would like to know if your Widal test for Typhoid is positive or negative.

Yes, the Probiotic once a day. Yakult probiotic milk contains lactic acid bacteria that the capsules already contain. It is better to use the Medicines as they have been observed not to cause any problems till now. Frankly speaking I have no exposure and experience related to the Yakult Probiotic Milk.

Flatuna can be taken 2 tablets three times a day. You may please continue till you are alright.

Please feel free to ask for further relevant query or give any information that can help our discussion.

You may please rate this answer before closing and use the bellow link if you would like to contact me in future.
http://bit.ly/askdrtchandrakant
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Stomach Ache, Bloating, Gas And Stiffness Along With Tight Stool?

Brief Answer: Change to another- Prepro HS- and other care. Detailed Answer: Hi XXXXXXX Thanks for your query and an elucidate history. Nice to know that your fissure got healed up on medical management only. Read and understood your p[resent problem of feeling uneasy with stomach with little stomach pain, heavy stiffness, bloating, gas formation, tight stool- hard to pass- no fissure, no mucus, no abnormal smell - Using Orni- O and Duphalac- still not normal and bloating and stiffness in lower abdomen. I would answer your queries and try to explain at the same time : 1. There is no point in extending the same medicine after 5 days of the course. It is better to change to another antibiotic after 5 days if there is no complete response and you do not need the Ornidazole part of the Orni-O as there is no mucus. I would advice you to take another antibiotic under the prescription of your local Doctor. 2. It is OK to get stool culture and sensitivity. Other tests I would suggest are : Blood- CBC, ESR, Sugar, creatinine, Widal . Blood culture helps in some cases. Urine - Routine and microscopy Ultrasonography of the whole abdomen, helps in ruling out ,many problems and may get an odd diagnosis in a few patients. 3. This kind- I could not understand ** I would like you to take / continue the probiotic as you took Providac or Prepro HS. Activated Charcoal tablets like Flatuna. Avoid all the beverages and foods which you know increase your problems. Plenty of oral fluids, Boiled and cooled water, Home-made fresh food only, strictly. I hope this answer helps you, please feel free to ask relevant questions if you need to or if you feel that there is a gap-of-communication.