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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to cure frequent ulcer in mouth, weakness, smelly loose stools, frequent bowel movement, stomach uneasiness?

Hello Dr. Grief, I have the following symptoms: Could you please diagnose and prescribe a med? 1. Frequent ulcers in mouth 2. Weakness and unable to gain weight. 3. stools float on water and are loose and smelly. 4. Bowel movement usually 1-2 times a day. Example: If I am nervous in the evening or anxious about something the possibility of urge of bowel movement. 5. Bowel movement sometimes about half hour after eating a full meal( this happens only during the first meal of day) 6 Otherwise in case of lunch, sometime bowel movement after 3-4 hrs sometimes none at all. 7. mouth smells bad. 8. sometimes stomach uneasiness and not pain as such. 9. Sometimes in the morning I would have a bowel movement but then there would be a lingering pain in the stomach which shall go away after 1-2 hrs.
Wed, 17 Apr 2019
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General Surgeon 's  Response
Hello,

As per my clinical experience, the multiple symptoms with GIT and mouth suggest possible deficiency of intrinsic factor, B12 or other digestive enzymes at the liver, biliary system or pancreas most likely.

Must undertake an evaluation with an expert gastroenterologist for further care.

Till that time, the issue can be curtailed to some extent symptomatic level with help of
vegan diet
digestive enzymes
probiotics
prebiotics
GI specific antibiotics as rifaximin or metronidazole
oral doses of B12 and folic acid.

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

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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