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What Do These Following Lab Reports Indicate?

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Posted on Mon, 15 May 2017
Question: last time when I consulted you, the symptoms were diary product allergy, moderately loose stools and gas trouble. I Have recovered from diary product allergy. Now I am able to drink milk and milk products. The current problem is inconsistent bowel movements, poorly formed stools,gas and mild nausea. The stool is moderately loose most of the times. Sometimes stool is very thin. Most of the days , I have two bowel movements. one in morning and the other in afternoon.since last two weeks I am having a mild nausea. I am not able to concentrate much and work on computer.
I consulted another doctor . he is thinking that I have acute gastritis.
So he gave me Superia DSR (Domperidone(30mg),Rabeprazole(20mg))(1--0--1)Daily. I continued it for 1 week without any benefits. So doctor gave me another capsule in addition to 'superia DSR' called Mebeverine 200mg. when I started taking mebeverine , it gave me watery stools. So I stopped mebeverine.
I don't know what to do now . In the biopsy report done 2 months back , its suspected that I have chrons disease or some inflammation in the intestine.
PS: I haven't completed the H.Pylori eradication course because after 6 days , I started having dizziness and nausea due to high dosage of antibiotics.
what is the ideal value of CRP. I am having 5.4 in the report
I have started taking Digestive enzymes.
The name of the brand is AristoZyme syrup.
Since i started taking this medicine,my stools are well formed.
right now i don't have gas trouble too.
I am having only one bowel movement per day.
I don't know whether this will cure the underlying cause.
what do you recommend?
doctor
Answered by Dr. Ramesh Kumar (56 minutes later)
Brief Answer:
Most likely irritable bowel.

Detailed Answer:
Hi
Firstly thanks for choosing HealthcareMagic for your query.
Have gone through all your reports in details.You have been thoroughly investigated and on the basis of these reports the most likely possible cause for all your symptoms is irritable bowel.
Response to aristozyme( Basically external digestive enzymes also shifts the diagnosis towards it.).Irritable Bowel Syndrome (IBS) is a diagnosis of exclusion where symptoms include chronic abdominal pain, discomfort, bloating, and alteration of bowel habits dyspepsia etc.Its not necessary that everyu patient has all symptoms. IBS patients usually experience frequent change in bowel movement patterns, frequent occurrences of gas, diarrhoea or constipation, accompanied by tenesmus (a constant urge to evacuate the bowels), chronic fatigue and even sexual tension.

My first suggestion to you is don't panic.Because anxiety will increase your symptoms.Don't be concerned about your CTscan it will turn up normal.
Suggestions-
-Start taking a probiotic(VSL#3) twice daily,Probiotics contains lactobacillus. These are good bacteria's help in proper digestion of food and will help to revive your depleted gastric flora.Gut flora is the complex community of microorganisms that live in the digestive tracts of humans. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel. Conditions like IBS destroys this microflora of gut and lead to various problems with digestive system including belching, bloating and increased gas and mucous formation unformed stools etc.Probiotic mechanisms of action include enhancement of the epithelial barrier, increased adhesion to intestinal mucosa, and concomitant inhibition of pathogen adhesion production of anti-microorganism substances and modulation of the immune system.In LAY MANS language it contain a lot of bacteria's which forms a part of normal gut flora,Hence it substitutes the flora lost during a pathological condition and improve digestion.In the same way Prebiotics are undigestible food ingredients that beneficially affect the host by selectively stimulating the growth of a limited number of bacteria in the colon, thus improving digestion.Again the work is same to stimulate the growth of the bacteria's in gut flora.Hence overall both of them help restoring the lost gut flora and helps in digestion. They are definitely very good for patients with irritable bowel syndrome in long runs.
Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre or Metamucil sachets both contain the active ingredient ispaghula husk.It will improve your bowel habits.It will help forming bulky stools.Initially soak it for 20 minutes in XXXXXXX warm water after that take it.
Continue taking Superia DSR and aristozyme.
Apart from medicines,
-Add fibres to your diet. Fiber adds bulk to your digestive system. It is broadly accessible in grains, vegetables and natural products. Concentrate on soluble fiber.
-Consume plenty fruits and vegetables.
-Take carbohydrates in required quantity like bread, rice, oats, pasta, potatoes, and plantain.
- Include substitutes like soya, rice or oat, milk and yogurts that are rich in calcium in your diet.
-Take a limited amount of foods high in fats and sugars..
-Drink a lot of liquid, no less than 66 ounce every day.
Ideal value of crp is less then 5. 5.4 has no significance in your case.

Follow all i adviced for one week and tell me how relieved you are feeling.
Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (2 hours later)
Thanks for the reply
I am in XXXXXXX now..
vsl#3 is available in XXXXXXX
The prebiotic suggested by you is not available in most medical shops.
Can you suggest an alternative prebiotic.

I have some doubts.
when i settled in XXXXXXX as a bachelor , i used to have hotel food.
non vegetarian hotel food caused food poison several times. I took lot of antibiotic courses during the last 1 year. so does this caused damage to gut lining and gut flora?

before coming to XXXXXXX i was in my native village. i was there for 24 years. I don't remember a simple time i had stomach upset while i was in my native village.


Ok..i got fybogel from a medical shop..please ignore my previous message
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Folow up advice.

Detailed Answer:
Hi again as you are in XXXXXXX i think you need not to have a prescription.

Take Econorm XXXXXXX thrice daily.
Antibiotics are severely toxic to our natural gut flora.Its really pathetic that in asian countries we are using antibiotic randomly and ending up in problems.
Antibiotics are indicated only whenstool test is positive for protozoa or bacteria.
Taking antibiotics again and again has caused severe dysbacteriosis in your intestinal tract.
As problem started after shifting to a particular city.It can be related to bacterial or protozoal infection.I would suggest you to drink purified water and eat clean easily digestible vegetarian food for few days.
Follow all other advises and tell me how you are feeling after a week.

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

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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What Do These Following Lab Reports Indicate?

Brief Answer: Most likely irritable bowel. Detailed Answer: Hi Firstly thanks for choosing HealthcareMagic for your query. Have gone through all your reports in details.You have been thoroughly investigated and on the basis of these reports the most likely possible cause for all your symptoms is irritable bowel. Response to aristozyme( Basically external digestive enzymes also shifts the diagnosis towards it.).Irritable Bowel Syndrome (IBS) is a diagnosis of exclusion where symptoms include chronic abdominal pain, discomfort, bloating, and alteration of bowel habits dyspepsia etc.Its not necessary that everyu patient has all symptoms. IBS patients usually experience frequent change in bowel movement patterns, frequent occurrences of gas, diarrhoea or constipation, accompanied by tenesmus (a constant urge to evacuate the bowels), chronic fatigue and even sexual tension. My first suggestion to you is don't panic.Because anxiety will increase your symptoms.Don't be concerned about your CTscan it will turn up normal. Suggestions- -Start taking a probiotic(VSL#3) twice daily,Probiotics contains lactobacillus. These are good bacteria's help in proper digestion of food and will help to revive your depleted gastric flora.Gut flora is the complex community of microorganisms that live in the digestive tracts of humans. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel. Conditions like IBS destroys this microflora of gut and lead to various problems with digestive system including belching, bloating and increased gas and mucous formation unformed stools etc.Probiotic mechanisms of action include enhancement of the epithelial barrier, increased adhesion to intestinal mucosa, and concomitant inhibition of pathogen adhesion production of anti-microorganism substances and modulation of the immune system.In LAY MANS language it contain a lot of bacteria's which forms a part of normal gut flora,Hence it substitutes the flora lost during a pathological condition and improve digestion.In the same way Prebiotics are undigestible food ingredients that beneficially affect the host by selectively stimulating the growth of a limited number of bacteria in the colon, thus improving digestion.Again the work is same to stimulate the growth of the bacteria's in gut flora.Hence overall both of them help restoring the lost gut flora and helps in digestion. They are definitely very good for patients with irritable bowel syndrome in long runs. Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre or Metamucil sachets both contain the active ingredient ispaghula husk.It will improve your bowel habits.It will help forming bulky stools.Initially soak it for 20 minutes in XXXXXXX warm water after that take it. Continue taking Superia DSR and aristozyme. Apart from medicines, -Add fibres to your diet. Fiber adds bulk to your digestive system. It is broadly accessible in grains, vegetables and natural products. Concentrate on soluble fiber. -Consume plenty fruits and vegetables. -Take carbohydrates in required quantity like bread, rice, oats, pasta, potatoes, and plantain. - Include substitutes like soya, rice or oat, milk and yogurts that are rich in calcium in your diet. -Take a limited amount of foods high in fats and sugars.. -Drink a lot of liquid, no less than 66 ounce every day. Ideal value of crp is less then 5. 5.4 has no significance in your case. Follow all i adviced for one week and tell me how relieved you are feeling. Regards