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What Do Heat Sensation In Abdomen Along With Weight Loss And Constipation Suggest?

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Posted on Mon, 11 May 2015
Question: Doctor/Sir,

I had heating senstion,weight loss, constipation and bloating in my abdomin and Doctor adviced me to take Blood test first Where only ESR was found 44 and later he decided for MRI CT scanning of abdomen, but nothing abnormal were found. Later after 1 months again I checked the blood report when ESR report was 6 . Tumar marker test is normal.
Now recently, I had taking Providac capsule and Pantodac tab where my stool became white with mucus . My body become hot very easily.

Does MRI ct scanning detect detail fault of Intestine?

What should be the problem and solution for this ?

doctor
Answered by Dr. Prasanna Heijebu (2 hours later)
Brief Answer:
Possible IBS? Responds to conservative measures .

Detailed Answer:
Hi Sir.

I understand your query and concern.

You probably seem to have Constipation dominated Irritable bowel syndrome-C/IBS.

For this MRI and CT scan are not the first line of investigations.

They cannot diagnose functional disorders of the intestine like IBS.

For this I advise you to have a complete stool examination plus Complete blood counts CBC.

ESR is not required initially.

Your problem will respond well to dietary intake of oatmeal daily for breakfast and bedtime.

This should be coupled with intake of 3-4 liters of water a day.

One spoon of Lactifiber powder taken in a glass of water at bedtime is needed in your case for 15 days.

Intake of fruits like apple and oranges daily is also advocated for your case.

90% cases respond to these measures in 3-4 weeks of time.

Drugs like lubiprostone/amitizia 8mcg per oral can be taken once a day for 5 days to have supplementary dramatic relief.This drug has to be taken only under strict medical prescription.

Providac and Pantodec can be discontinued at the moment for 2 weeks or so.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Prasanna Heijebu (51 minutes later)

Dear Doctor,

Yes I had a Stool test twice The 1st one was showing color:Dark, RBC : 3 - 4 /hpf pus cell: 2-3/hpf, Reaction Acidic ph 5.0 and rest all nil. The 2nd one (Yesterday) was showing color:Brown, RBC : Nil pus cell: 2-3/hpf; Reaction Acidic ph 5.0 and rest all nil.
But i was on Ayurvedic medicine during both the test (does it make difference?).

The 1st Blood test 2 months before: Haemoglobin: 16.1 Total WBC count:7900 RBC count: 5.73 Platelet count :293000
The 2nd Blood test 2 weeks before: Haemoglobin: 15.6 Total WBC count:7700 RBC count: 5.47 Platelet count :280000
Now I feel Pain under my leg while walking too muchv and lips are looking pale.

Now just today i stopped taking Ayuvedic medicine (consisted: Spirulina, Kravyadi, Bell and amla juice)

Can i take Spirulina with providac capsule,Rifugut and Pantodec ? It,s having good supplement feel very energetic after having. Does it conflict with Probiotic and Pantodac ?
Also in the Stool i have seen many white tissue like coming 2 days before. What is that?
doctor
Answered by Dr. Prasanna Heijebu (2 hours later)
Brief Answer:
Stop Ayurvedic supplements.

Detailed Answer:
Hi Sir.

I understand your concern.

I have gone through your stool reports.

You possibly seem to have stool for occult blood positive.

This should be initially presumed to be an anal or rectal source of bleed.

Initially antibiotics like Orni-O has to be taken twice a day for 3 days.

Following this I advise you to have a repeat stool test for Occult blood.

I advise you to stop all the ayurvedic medications and supplements.

Many of them have interactions with Pantodec and Providec.

White tissue could possibly be the degradation digestive products of the ayurvedic products.

Post your further queries if any.

Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Prasanna Heijebu (42 minutes later)
Dear Doctor,

ok
Right now my medicine are Providac, Pantodec an Refugat 400, with lactifiber of isafgol.

regards
doctor
Answered by Dr. Prasanna Heijebu (14 hours later)
Brief Answer:
Go with the medicines you mentioned.

Detailed Answer:
Hi Sir.

Okay you can go with all the medicines you mentioned.

Thank you.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Prasanna Heijebu (1 hour later)
Dear Doctor,

Can you expalin all 4 Medicine's benefit : Providac capsules, Pantodec tab an Refugat 400, and lactifiber of isafgol. Any addition Multivitamin and Mineral syrup can i get for you side?
are these safe? My stool motion became yellow today.
Also I visited clinic yesterday since I started feeling acidic reaction in my body, they gave me injection for that. Secondly if I travel by vehicle and also If I do a stool I feel like fever in my body around 98.5 F.

Does these medicine will reduce inflammation and infection? how long it take to recover?


doctor
Answered by Dr. Prasanna Heijebu (10 hours later)
Brief Answer:
You can recover in 4-6 days completely.

Detailed Answer:
Hi Sir.

Povidac is used for restoring the normal bacterial flora of the gut.

Pantodec is used for suppressing excess acid in the stomach.

Lactifiber is used for improving the stool output.

Refugat is an immune booster.

Add Multivitamin like Supradyn one tab daily for 60 days.

In take of cold foods like bowel of ice cream daily before bedtime can help to reduce the overall body temperature.

These drugs do not reduce inflammation and infection.

You can recover in 4-6 days.

Post your further queries if any.

Thank you.







Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prasanna Heijebu (15 hours later)
Dear Doctor

In previous 2nd stool report The Occult blood is nil (4 days before report).

I get fever (98.5) like sensation when I eat or after stooling; After taking Refugat and Providac I feel somewhat Ok. It's like Immune disorder like feeling. I don't gain weight more. Weight loss is still their.

Abdomen part remain tight and bloating always. Stool is Yellow by taking Lactifiber but no blood sign. Last week I had blood due to piles.

It is something Leaky gut and IBS symptoms, Acid reflux ?
How there is weight loss? There is no pain but tight and hard Abdomen.

Thanks and waiting ............


doctor
Answered by Dr. Prasanna Heijebu (10 hours later)
Brief Answer:
This is possibly IBS.

Detailed Answer:
Hi Sir.

I understand your concern.

As earlier said your symptoms are possibly related to IBS.

Due to differences in appetite,and digestion,there can be weight loss for sometime.

Immune disorder ,Acid reflux are unlikely possibilities in your case.They can be reasonably ruled out.

Regular physical exercise like Brisk walk for 20min a day for 5 days a week will help.

Intake of high protein food like milk,eggs and fish will help you to gain weight rapidly.

Thank you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Prasanna Heijebu (11 hours later)


Dear Doctor,

I want to ask if there is a Rectum or Anal bleeding there is bloating sign in intestine? 2 months before I had Rectum bleeding and Last week Piles twice.

2 months before there was a rectum bleeding and i thought it would be about piles.
Does anal fissure and rectum bleeding make IBS problem?
and Due to Infection did I lost my weight?

Today I feel little Ok according to my Immune. But my weight is not increasing.Does intestine slower it,s functioning during this problem?

Thanks and waiting..........

doctor
Answered by Dr. Prasanna Heijebu (20 hours later)
Brief Answer:
Dietary management is important.

Detailed Answer:
Hi Sir,

Welcome again..

Yes, bloating is common with hemorrhoids(piles),there could be weight loss due to malabsorption secondary to infection.

Dietary management with exercise will be the mainstay of treatment along with drugs.

So do not worry,Eat high fiber diet;fruits,salads.

It takes minimum 3 months to put on weight,so continue with your medication and diet.

Post your further queries if any,

Thank you.



Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Prasanna Heijebu (2 days later)
Dear Doctor,

I visited the Doctor where he changed the medication :
Normaxin tab : twice daily
Providac cap :twice daily
Panlipase 25000 : twice daily
lactifiber Isapgol husk granules
and Absolut suspension syrup: twice

What are benefits of these?

I feel relax and feeling of heat is no more. The Abdomen became soft, no pain but it is bloating still.
Secondly I feel slight weakness. Earlier I was having Spirulina tablet (during Ayurvedic treatment) as an Antioxidant where it was giving some boost in my body.
As an addition Can i take spirulina or will it suit with the above medicine? Any idea about spirulina with providac ?

Thanks and waiting..........



doctor
Answered by Dr. Prasanna Heijebu (19 hours later)
Brief Answer:
Take Spirulina and providac separately.

Detailed Answer:
Hi Sir.

I understand your concern.

The drugs prescribed to you act as antiulcerant and ,antidiarrhoeal improving the stool output with good consistency and establishing the normal gut flora.

Yes you can take Spirulina if needed.

Its advisable to take spirulina and providac separately.

The bloating will improve sooner.

Thank you.
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Prasanna Heijebu (2 days later)
Dear Doctor,

How long Normaxin tab can be taken? Doctor has given it for 5 days. It is over now.
Also I can see my intaken food similiar in my my stool clearly (not properly digested).

I became thin (54 kg 167 cm) again and my pale lips are getting dry , some weakness is there.

My Intestine is not absorbing food properly ; Will this Medicine(Normaxin tab Providac cap, Panlipase 25000, lactifiber Isapgol husk granules
and Absolut suspension syrup) can heal the intestine? or I require other extra for it?

thanks and waiting...........
doctor
Answered by Dr. Prasanna Heijebu (3 hours later)
Brief Answer:
If you were in my clinic, I would recommend the following

Detailed Answer:
Hi Sir.

I understand your concern.

If you were a patient in my clinic, I would strongly suggest stopping Normaxin .

Indigestion can be a side effect of this drug.

Yes all these medicines will absolutely work well to heal your intestine.

But they take sometime to have full effect.

Again, if I were the prescribing doctor, then I would recommend that you continue all drugs except normaxin for 3 months.

To gain weight I advise you to have oatmeal and pomegranate each day.

Also Protein X powder daily taken in milk will help you to have rapid weight gain.

Post your further queries if any.
Thank you.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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What Do Heat Sensation In Abdomen Along With Weight Loss And Constipation Suggest?

Brief Answer: Possible IBS? Responds to conservative measures . Detailed Answer: Hi Sir. I understand your query and concern. You probably seem to have Constipation dominated Irritable bowel syndrome-C/IBS. For this MRI and CT scan are not the first line of investigations. They cannot diagnose functional disorders of the intestine like IBS. For this I advise you to have a complete stool examination plus Complete blood counts CBC. ESR is not required initially. Your problem will respond well to dietary intake of oatmeal daily for breakfast and bedtime. This should be coupled with intake of 3-4 liters of water a day. One spoon of Lactifiber powder taken in a glass of water at bedtime is needed in your case for 15 days. Intake of fruits like apple and oranges daily is also advocated for your case. 90% cases respond to these measures in 3-4 weeks of time. Drugs like lubiprostone/amitizia 8mcg per oral can be taken once a day for 5 days to have supplementary dramatic relief.This drug has to be taken only under strict medical prescription. Providac and Pantodec can be discontinued at the moment for 2 weeks or so. Post your further queries if any. Thank you.