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What Causes Constipation, Flatulence And Burning At Upper GIT?
my mom 65 yr is complaining of constipation, flatulence, burning at upper GIT and heaviness in body. There is loss of appetite due to fear of burining and heaviness. colonoscopy is normal. should it be diagnosed as irritable bowel. should i give him TEGASEROD
Fri, 24 Nov 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
As you mentioned the symptoms such as loss of appetite, upper GI burning the IBS has altered bowel habit with abdominal pain relieved after defecation and after eating food there is a urge to defecate.
The possibilty of GERD is there. Upper Gi endoscopy will be helpful. If such patients come to me with these symptoms, before going for endoscopy, I will prescribe following medicine with lifestyle modification.
Syrup antacid after every meal and before sleep
Capsule Omeprazole 20 mg before breakfast in the morning
Tablet Metoclopramide 10 mg twice before food
Tablet Itropride 50 mg before every meal
Reduce intake of coffe, smoking, fatty meal
Aviod large meal
Don't go for bed after eating, wait for 3 hours atleast
Before sleeping, head size must be 9 inch above
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Wasim Murtaza
I have reviewed your query and here is my advice.
As you mentioned the symptoms such as loss of appetite, upper GI burning the IBS has altered bowel habit with abdominal pain relieved after defecation and after eating food there is a urge to defecate.
The possibilty of GERD is there. Upper Gi endoscopy will be helpful. If such patients come to me with these symptoms, before going for endoscopy, I will prescribe following medicine with lifestyle modification.
Syrup antacid after every meal and before sleep
Capsule Omeprazole 20 mg before breakfast in the morning
Tablet Metoclopramide 10 mg twice before food
Tablet Itropride 50 mg before every meal
Reduce intake of coffe, smoking, fatty meal
Aviod large meal
Don't go for bed after eating, wait for 3 hours atleast
Before sleeping, head size must be 9 inch above
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Wasim Murtaza
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