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What is the cause and treatment for irritable bowel syndrome?

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Posted on Sat, 21 Jun 2014
Question: Hi doctor,
I have irritating bowel in January this year, that time I had sticky stools,abdominal pain,gas. I checked up with doctor and he prescribed me medicine. I took the whole course for 15 days. After that every this restored to normalcy but my used to go for latrines for 4 times a days. No gas was there no pain was there Only 4 times stool passing.
I am chartered accountant by profession and I am working in finance department. I went to ofc 7 a.m and returned back 7 in the night.
I am married man and wife loves a lot.
Before January also I used to go 3 times a day
No other problem...


Please suggest how to change bowel.
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Investigations and treatment as advised

Detailed Answer:
Hi.
Thanks for your query and elucidate history. I would have liked to see the medicines you have taken and investigations you have undergone. This is the most important.

For us to say this as a IBS i.e.Irritable Bowel Syndrome, all the investigations should be normal.

I would advise the following investigations and treatment in a such a case:

Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS.

Treatment:
''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your frequency of visiting latrine is also reduced.
Change of lifestyle.
12 hours Work- I think this is too much , I know you are also a professional but 'may be' you are not coping with it.
Vacation outside of your area, mobiles phones to be off.
You must have noticed already that these changes help a lot.

If the change of routine helps the necessity of medicines is drastically reduced to almost nil.

Medicines :: You need to have a prescription of a Doctor, please discuss this with a near and dear Doctor to get a prescription.
Vit A and Vit D in therapeutic doses, Multiviatamins , probiotics, anxiolytics help a lot


Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19555 Questions

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What is the cause and treatment for irritable bowel syndrome?

Brief Answer: Investigations and treatment as advised Detailed Answer: Hi. Thanks for your query and elucidate history. I would have liked to see the medicines you have taken and investigations you have undergone. This is the most important. For us to say this as a IBS i.e.Irritable Bowel Syndrome, all the investigations should be normal. I would advise the following investigations and treatment in a such a case: Investigations: *Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment: ''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your frequency of visiting latrine is also reduced. Change of lifestyle. 12 hours Work- I think this is too much , I know you are also a professional but 'may be' you are not coping with it. Vacation outside of your area, mobiles phones to be off. You must have noticed already that these changes help a lot. If the change of routine helps the necessity of medicines is drastically reduced to almost nil. Medicines :: You need to have a prescription of a Doctor, please discuss this with a near and dear Doctor to get a prescription. Vit A and Vit D in therapeutic doses, Multiviatamins , probiotics, anxiolytics help a lot