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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have constipation and gas problem. Bowel movement hypermotile. Why blood in stool?

i have a constipation and gas problem from 4 years . the gas doesnt pass from my stomach the whole day . last year in march i consult many doctors they ask me to get a ba meal follow through test in that test every thing was normal but it shows that bowel movement is hypermotile bowel , the doctor after seeing report say IBS . from last year april one of my doctor suggest me duphalac syrup in night daily 2 spoons from last april to this year june i was 100 % fine with 2 spoons of this syrup but from june again problem rise . i started talking lactifibe daily 3 spoons till now i am talking but the problem of gas and constipation is still there. daily no gas passes from my mouth or back thats the problem and the constipation is also at its peak. now one of gasterologist suggest me to take colonoscopy and he performs this test himelf in his clinic and earns money thats y he wants me to take this test .I see colonoscopy is done when there is blood in bowel and i do not have such problem .please suggest me what i should do or sir can i meet u face to face i leave in india near delhi meerut city . or suggest me any doctor in india . i have to go out of home town i m btech. pass out placed in tcs this problem is wasting my life .IT S ONE OF THE BIGGEST PROBLEM IN MY LIFE FROM LAST 4 YEARS
Tue, 26 Mar 2019
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General Surgeon 's  Response
Hi,

You have constipation and gas problems that does not pass out. Also noted the medications history of Duphalac and Lactifiber Sine barium meal shows hyper-motility you might have diarrhea and not constipation.
Hence it is best to go for the complete list of investigations as follows:
Sample of stool for 3 days.
Tests of blood for CBC. thyroid and liver functions.
CT scan of abdomen.
Colonoscopy.
All these tests will help you to get any disease that can be specifically treated and if all the tests are within normal limits then only this can be taken as IBS and treated accordingly.
Also watch for the foods and beverages that instigate or enhance your problems so that they can be stopped to get best results.
Control of the stress, anxiety and any other psychological factors is the mainstay of betterment.
Do not be psychologically down. You can find best solutions to be stress free.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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