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Male | 29

Estrategias de expertos para controlar el SII y el dolor intestinal

Hola señor, por favor ayúdeme a salir de la confusión y la frustración. Este es mi resumen clínico: Rohan, un hombre de 29 años, se presentó con síntomas principales de reflujo y dolor abdominal intenso que persistió durante los últimos 3 meses. A veces, diarrea. Tras el examen, sus signos vitales estaban estables. Se realizaron procedimientos de diagnóstico, incluidas gastroscopia y colonoscopia, que llevaron al diagnóstico de úlcera duodenal, pangastritis y hallazgos patológicos de colitis linfocítica. El enfoque de tratamiento implicó la administración de medicamentos, como se menciona en la receta, para controlar la afección. Se recomendaron visitas de seguimiento periódicas para controlar el progreso y ajustar el régimen de tratamiento en consecuencia. Después de dos meses y medio de tratamiento, se observó una mejora significativa, no se informó dolor abdominal y el bienestar general del paciente mejoró. En consecuencia, se ha reducido la dosis de medicamentos. Es necesario un seguimiento continuo y el cumplimiento del plan de tratamiento prescrito para garantizar la resolución completa de los síntomas y prevenir la recurrencia. Esta era mi condición hace ocho meses. En este momento estoy muy frustrado por un problema intestinal. Es doloroso incluso después de seguir un tratamiento y una dieta estricta durante ocho meses. Casi perdí 8 kg. Fui a buscar una segunda opinión. Mi médico me dijo que sus úlceras se curaron por completo. Y la colitis linfocítica fue mal diagnosticada. Ahora es el SII el que causa el dolor y no la colitis. Me recetó Librax (Clinidium + clorobenzodióxido) junto con Amixide h (clorodizapóxido + amitriptilina). Cada vez que me empieza a doler el intestino, lo tomo y el dolor desaparece. Estoy muy confundido acerca de esto. El dolor de estómago desaparece y regresa. Hace aproximadamente un año comenzó este problema. Y simplemente tome los medicamentos anteriores para afrontar el dolor. Una cosa más que agregar aquí es que hace unos años me diagnosticaron TAG (trastorno de ansiedad generalizada). Estaba tomando escitalopram (Lexapro 10 mg) de forma intermitente prescrito por el psiquiatra, pero mi gastroenterólogo me dijo que dejara de usar lexapro ya que puede causar úlcera. ¿Pueden ayudarme a comprender correctamente la enfermedad y las formas de superarla?

Answered on 23rd May '24

Parece que esta enfermedad te ha llegado sin ningún problema diagnóstico y resulta ser SII.
El médico asociado con el manejo de sus síntomas y la provisión de alivio le está recetando medicamentos que incluyen Librax (Clinidiumclorobenzodióxido) y Amixide H (clorobenzodióxido de amitriptilina). Este tipo particular de droga funcionó eficazmente para aliviar el dolor como si no existiera en absoluto.
Es necesario enfatizar que el síndrome del intestino irritable puede ser a largo plazo y probablemente requeriría un tratamiento a largo plazo. Su médico le aconseja que siga las instrucciones que le han dado y que tome todos los medicamentos que le hayan recetado según las indicaciones. Visitas cercanas con elgastroenterólogoson vitales para lograr avances y controlar el tratamiento por parte de su médico.
Si tuvo TAG en sus primeros años, debe realizar algunas modificaciones en su estilo de vida, ya que puede afectar su salud intestinal. Por un lado, la abstinencia de Lexapro me provocó úlceras intestinales porque su gastroenterólogo me indicó que dejara de usarlo, pero por otro lado, era necesario prevenir las úlceras.

44 people found this helpful

Questions & Answers on "Gastroenterologyy" (1116)

My ALT test result was 347iu but apart from feeling extremely tired, not being able to sleep and constipation. My doctor didn’t seem worried and says he’ll repeat test in a month.

Female | 64

An ALT test che­cks your liver's enzyme le­vel. A reading of 347iu could mean live­r troubles. Extreme fatigue­, insomnia, and constipation might signal liver issues. Your doctor wants another te­st next month to see if le­vels change. Meanwhile­, eat healthy foods, avoid alcohol, and rest we­ll. Follow up with your doctor about your liver health status.

Answered on 4th Sept '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Hello sir, I am from Kanpur, male age of 39. I was recently diagnosed with gastroesophageal junction cancer. Please help us to find a good hospital at an affordable cost.

Lancet laparoscopic centre, visakhapatnam

Answered on 23rd May '24

Dr. Ramesh Baipalli

Dr. Ramesh Baipalli

I feel vomit and stomachache when eating Bp low an shiver at night Weakness Loss appetite

Male | 21

You might have a stomach bug. Fe­eling nauseous, abdominal pain, low blood pressure­, night chills, fatigue, or lack of appetite indicate­ this. A virus likely causes it. Rest, stay hydrate­d, eat plain foods like toast or crackers to se­ttle your stomach. If no improvement in a fe­w days, seek medical he­lp. 

Answered on 25th July '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Hello, here rupa and my problem is im suffering from GERD problem how to rid from this problem ,and how many time does it take to control my acidity. What is the medicine?

Female | 30

You have GERD, where stomach acid goes back into the food pipe and causes discomfort. Symptoms of GERD include heartburn, chest pain, and a sore throat. To reduce the intensity you may use smaller quantities of food. Antacids or proton pump inhibitors also affect stomach acids, so when needed, these medications are advised to be taken. Determining the right course of action may be lengthy and difficult for you. But with your commitment and those new lifestyle changes, you may feel many improvements.

Answered on 3rd July '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Unchanged background of scattered tree-in-bud nodularity seen most prominently in the bilateral lower lobes. Findings are likely due to sequela of low volume aspiration given mildly patulous appearance of the esophagus, concerning for esophageal dysmotility/chronic reflux. Clinical correlation and further evaluation with fluoroscopic guided esophagram may be considered. If patient's symptoms persist or worsen, consider repeat CT chest in 3 to 6 months to further evaluate. No new suspicious pulmonary nodularity or pathologic intrathoracic lymphadenopathy appreciated.

Male | 43

By analyzing the scan results, the doctors found that there are small clusters in the lungs which can be a sign of possible aspiration. This could be because of the problems with the functioning of the esophagus, which may be related to chronic reflux. To be sure, a test called an esophagram could provide more insights. If symptoms continue, another scan in a few months could help track any changes. 

Answered on 11th Oct '24

Dr. Samrat Jankar

Dr. Samrat Jankar

I Got a bigger problem and need help! Prob famous of all words for you But Any medication otc or prescription taken only causes way more problems for me and I mean like heart stopping or beating bad type! Begins with burning in lower right abdomen in fake hernia area now known as lipoma after my scan! Then proceeds to my lower right area like a cigarette is being put out in area of lipoma! Then after seconds it turns into stomach pain, liver and pancreas aching all organs eventually basically begin to ache severely! Now the New symptom, when medication is taken it causes a super high blood pressure and my heart begins to start and stop and I verified this by home ekg, it just beats, then stops for secs then begins again beating and lasts hours and hours! Truly a defining moment! I do Take vitamins Daily for years and I won’t feel them at all! I screwed up and I Took some workout aminos and they set me on fire For days and days causing feet to burn and chest to have sparks shoot across it! Now tingles inside digestive system 247! But only when mutiiple amino acids are taken! Also side Note and anoyimg but I do urinate 50 times daily now with 1hr every hour at a time while trying to sleep! Had caused me Severe headaches now and lack of sleep is wearing me out! I Was up 11 days straight last month! Wish I was kidding, I have witnesses to testify?? had to be the most messed up thing I have gone thru! Blood work comes back within guidelines! No cancer and I’m truly shocked! Help, wearing thin looking to reset heart now with devices to see if it helps I am 45yrold male that is so desperate! Anyone? Help! Scans are clear except lipoma area and inflammation! Thought I had appendicitis but now with amino help it has subsided allot! Help! This is nuts!

Male | 45

It sounds like you're dealing with a lot of pain and discomfort . . Have you talked to your doctor about alternative treatments? It's good that your blood work looks NORMAL, but it's still important to keep monitoring your symptoms. Have you tried any lifestyle changes, such as changing your DIET or reducing STRESS? It's important to keep seeking medical advice and exploring all options available to you. . . . .

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

I have anal fissures, using anasol it doesn't bleed anymore but can u prescribe any oral medication

Female | 35

It is a positive step that the bleeding has stopped with Anasol, but let us find an oral medication for your anal fissures. These are the reasons which cause it when the skin around your bottom tears. It can lead to pain and bleeding when you poo. To help them heal, you can take stool softeners like psyllium husk or docusate sodium. These can cause going to the bathroom to be quicker and less painful. Besides, you should drink a lot of water too.

Answered on 4th Sept '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Im wondering if Ulcerative Colitis can affect a man's sexual ability causing ED. Either that or is it possible for UC to cause low testosterone? Is this possible without me taking any medications?

Male | 28

A situation that inflames the colon, ulcerative colitis, can result in symptoms such as abdominal pain, diarrhea, and fatigue. Even though inflammation and stress brought on by UC do not cause directly erectile dysfunction (ED) or low testosterone; they can have an impact on sexual health. The best way forward is to treat UC effectively while also finding ways of reducing stress.

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Feeling like vomiting,leg pain,fever,cough and fatigue and constipation

Male | 35

You see­m troubled! Nausea, leg pain, fe­ver, cough, exhaustion, and constipation - an array of symptoms. Might be a stomach bug or viral infe­ction. First, rest up. Drink lots of fluids. Eat light foods. If symptoms persist or worsen, se­ek medical advice promptly.

Answered on 4th Sept '24

Dr. Samrat Jankar

Dr. Samrat Jankar

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