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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to get rid of constipation and abdominal pain?

sir, I am serving inthe army for 29yrs. In 1997 I had suffered viral hapititus in three times. Ser bil reached at 17. After that functional disorder started in my digestive sys i. e. Abdominal pain,release of gas,constipation,somtimes hard stool& not clear of stool,sometimes mucus in stool and sometimes low appetite. Endoscopy, USG Abdominal report were normal. In 2004 it has been diagosised IBS by army base hospital delhi.I am taking Tab colospa,stalbid & isabgol continuosly & felt relax 75%. Again in Apr 11, I suffered by joundice.Serum bilrubin leval was 2.1,SGOT&SGPT was 99&103. It has taken 40day for normal to be cured. In Jun& jul 11 twice my ser bil found 0.8, SGOT& SGPT 33& 39. In Aug 11 again I felt symtoms of joundice and admitted in Millitary hospital where my ser bil reached 4.2 within 15 days and SGOT & SGPT found below 30 in every tests. Now after taking one month rest my ser bil reached at 1.6, SGOT &SGPT is 24&26.My USG abdominal,chest X ray,coionoscopy,ECG& Montex reports are normal. Now I feel weakness,low appetite ,flatulence& gastic problem & bowel problem. I have been declared gilbert syndrome by comnd hosptial pune.Plz advice me whether it is gilbert syndrome or not. Also advice for treatment of joundice & IBS.
Fri, 8 Dec 2017
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General Surgeon 's  Response
Hello dear

Warm welcome to
I have evaluated your query in details .

* Primary management with following guidelines
- Always drink plenty of liquids .
- Dietary restrictions .
- High fiber diet with more of green leafy veg , whole grains , cereals ,
pulses , legumes , organic fresh fruits .
- Avoid stress , anxiety , smoking , alcohol .
- Regular pro biotics , walking , exercises , YOGA will help .

* Gilbert syndrome confirmation requires chromosome 2 analysis for
UGT1A1 gene mutation study in specific laboratory .

Hope this will clear your doubt .

Wishing you fine recovery .
Feel free to ask any further queries .

Regards .

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