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Male | 29

Expert Strategies to Manage IBS and Gut Pain

Hi Sir, kindly help me out to get out confusion and frustration. This is my Clinical summary -Rohan, a 29-year-old male, presented with chief complaints of reflux symptoms and severe abdominal pain persisting for the past 3 months.Sometimes diarrhea.Upon examination, his vital signs were stable. Diagnostic procedures, including gastroscopy and colonoscopy, were performed, leading to the diagnosis of a duodenal ulcer, pan gastritis and pathological findings of lymphocytic colitis. The treatment approach involved the administration of medications, as mentioned in the prescription, to manage the condition. Regular follow-up visits were recommended to monitor the progress and adjust the treatment regimen accordingly. After two and a half months of treatment, significant improvement was noted, with no abdominal pain reported, and the patient's overall well-being has improved. Consequently, the dosage of medications has been reduced. Continued monitoring and adherence to the prescribed treatment plan are necessary to ensure complete resolution of symptoms and prevent recurrence. This was my condition eight months ago. Right now I am very frustrated because of gut problem. It's paining even after following treatment and strict diet for eight months. I almost lost 8 kg. I went for second opinion My doctor told me that your ulcers are healed completely.And lymphocytic colitis was misdiagnosed. Now It's a IBS that causing the pain and not colitis.He prescribed me Librax(Clinidium+chlorobenzodioxide) along with Amixide h(chlorodizapoxide +amitryptiline) . Whenever my gut starts paining I took it and pain fade away.I am very confused about this.Stomach pain goes away and comes back. About year ago this problem has started. And just take those above medicines to cope up with pain One more thing to add here is that I was diagnosed with GAD (generalized anxiety disorder) few years back. I was taking escitalopram( Lexapro 10 mg)on and off prescribed by psychiatrist.But My Gastroenterologist told me to stop using lexapro as it can cause ulcer. Can you guys help me to correctly understand the disease and ways to overcome it.

Dr. Samrat Jankar

Surgical Gastroenterologist

Answered on 23rd May '24

It seems that this disease has reached you without any diagnostic problem, and it turns out to be IBS.
The doctor associated with the management of your symptoms and provision of relief is putting you on medication which includes Librax (Clinidiumchlorobenzodioxide) and Amixide H (chlorobenzodioxide amitriptyline). This particular type of drug worked effectively in relieving you from the pain just like it had no existence at all.
It is necessary to emphasize that IBS can be long-term and would probably demand long-term therapy. You are advised by your doctor to follow the instructions as they have been given and take all the medications that have been prescribed to you as directed. Close visits with the gastroenterologist are vital to achieving progress and controlling the treatment by your doctor.
If you had GAD in your earlier years, you need to make some lifestyle modifications since it can affect your gut health. On the one hand, Lexapro withdrawal caused intestinal ulcers because your gastroenterologist instructed me to stop using it, but on the other hand, it was necessary to prevent ulcers.

44 people found this helpful

Questions & Answers on "Gastroenterologyy" (1176)

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

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