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Male | 29

IBS ve Bağırsak Ağrısını Yönetmek İçin Uzman Stratejiler

Merhaba efendim, lütfen kafa karışıklığından ve hayal kırıklığından kurtulmam için bana yardım edin. Bu benim Klinik özetimdir - 29 yaşında bir erkek olan Rohan, son 3 aydır devam eden reflü semptomları ve şiddetli karın ağrısı şikayetleriyle başvurdu. Bazen ishal. Muayene sonrasında yaşamsal belirtileri stabildi. Gastroskopi ve kolonoskopiyi de içeren teşhis prosedürleri uygulanarak duodenal ülser, pan gastrit ve lenfositik kolitin patolojik bulgularının tanısı konuldu. Tedavi yaklaşımı, durumu yönetmek için reçetede belirtildiği gibi ilaçların uygulanmasını içeriyordu. İlerlemeyi izlemek ve tedavi rejimini buna göre ayarlamak için düzenli takip ziyaretleri önerildi. İki buçuk aylık tedaviden sonra herhangi bir karın ağrısı bildirilmeden önemli bir iyileşme kaydedildi ve hastanın genel sağlık durumu iyileşti. Bu nedenle ilaçların dozu azaltıldı. Semptomların tamamen çözülmesini sağlamak ve nüksetmeyi önlemek için sürekli izleme ve öngörülen tedavi planına bağlılık gereklidir. Bu benim sekiz ay önceki durumumdu. Şu anda bağırsak problemimden dolayı çok sinirliyim. Sekiz ay boyunca uygulanan tedavi ve sıkı diyetten sonra bile ağrıyor. Neredeyse 8 kilo verdim. İkinci görüş için gittim. Doktorum ülserinizin tamamen iyileştiğini söyledi. Lenfositik kolit tanısı da yanlış konuldu. Şimdi ağrıya kolite değil IBS neden oluyor. Bana Librax(Clinidium+klorobenzodioksit) ile birlikte Amixide h(klorodizapoksit +amitriptilin) ​​reçete etti. Ne zaman bağırsaklarım ağrımaya başlasa alıyorum ve ağrılar geçiyor. Bu konuda kafam çok karışık. Mide ağrısı gidiyor ve geri geliyor. Yaklaşık bir yıl önce bu sorun başladı. Ve acıyla baş etmek için yukarıdaki ilaçları al Buraya ekleyeceğim bir şey daha, birkaç yıl önce bana GAD (yaygın anksiyete bozukluğu) teşhisi konulduğudur. Psikiyatrist tarafından reçete edilen essitalopramı (Lexapro 10 mg) ara sıra kullanıyordum. Ancak Gastroenterologum ülsere neden olabileceği için lexapro kullanmayı bırakmamı söyledi. Hastalığı ve üstesinden gelmenin yollarını doğru bir şekilde anlamama yardımcı olabilir misiniz?

Dr samrat jankar

Cerrahi Gastroenterolog

Answered on 23rd May '24

Görünüşe göre bu hastalık herhangi bir teşhis sorunu olmadan size ulaşmış ve IBS olduğu ortaya çıkıyor.
Semptomlarınızın yönetimi ve rahatlama sağlanmasıyla ilgili doktor, size Librax (Clinidiumklorobenzodioksit) ve Amixide H (klorobenzodioksit amitriptilin) ​​içeren ilaçları veriyor. Bu özel ilaç türü, sanki hiç var olmamış gibi, sizi acıdan kurtarmakta etkili bir şekilde çalıştı.
IBS'nin uzun süreli olabileceğini ve muhtemelen uzun süreli tedavi gerektirebileceğini vurgulamak gerekir. Doktorunuz tarafından verilen talimatlara uymanız ve size reçete edilen tüm ilaçları talimatlara uygun şekilde almanız tavsiye edilmektedir. Yakın ziyaretlergastroenterologilerleme kaydedilmesi ve tedavinin doktorunuz tarafından kontrol edilmesi açısından hayati öneme sahiptir.
Önceki yıllarınızda YAB hastasıysanız, bağırsak sağlığınızı etkileyebileceği için yaşam tarzınızda bazı değişiklikler yapmanız gerekir. Bir yandan Lexapro'nun kesilmesi bağırsak ülserlerine neden oldu çünkü gastroenterologunuz bana kullanmayı bırakmamı söyledi, ancak diğer yandan ülserleri önlemek gerekiyordu.

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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