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Are Metronidazole And Roko Right Medication For Gas And Pressure In Stomach?
Question: Hi, I had symptoms of lot of gas formation and need to go to toilet twice a day as bowels were not cleared in morning. Soon after break fast within 2-3 horus I used have lot of gas formation but being in office I used to hold till evening. I have tried O2, ROKO which stopped little bolld strains in stool and also pressure has reduced but still I dont feel fully recovered, I have started METRONIDAZOLE 200 mg yesterday which has given me relief but not fully. Am I on right track ?
Brief Answer:
Chronic Flatulence with Constipation.
Detailed Answer:
Hi,Dear,Good Morning and Thanks for your query to my virtual Clinic At HCM.
I studied your query in depth and understood your concerns as follows-
a-Gas Formation
b- with Constipation
c-This continued despite medicines
In my opinion I would suggest treatment plan as follows-
a-Test your stool for ova/cyst
b-Till the reports come-
i-Take liquid Bland diet with low Vegies and low carbs,less in volume x 2 times /day
ii-Be on liquid porridge x 2 times
iii-Black tea with lemon x 2 times
iv-Tab-digestive enzyme -with anti-flatulent OTC drugs
In the mean while give me more info as follows-
a-ON the frequency and timings of your diet and diet contents
b-Tea /Coffee / Tobacco/ smoking/alcohol / and non-veg frequency
c-Your job schedules and
d-Outside food frequency
Revert when you get the reports ASAP.
Welcome for any more query to Me in this regard on my virtual clinic.
I would suggest long term remedy for the Gas formation after this Stool report.
Awaiting your Reports,
Have A Good Day.
With Regards
Dr.Savaskar
Chronic Flatulence with Constipation.
Detailed Answer:
Hi,Dear,Good Morning and Thanks for your query to my virtual Clinic At HCM.
I studied your query in depth and understood your concerns as follows-
a-Gas Formation
b- with Constipation
c-This continued despite medicines
In my opinion I would suggest treatment plan as follows-
a-Test your stool for ova/cyst
b-Till the reports come-
i-Take liquid Bland diet with low Vegies and low carbs,less in volume x 2 times /day
ii-Be on liquid porridge x 2 times
iii-Black tea with lemon x 2 times
iv-Tab-digestive enzyme -with anti-flatulent OTC drugs
In the mean while give me more info as follows-
a-ON the frequency and timings of your diet and diet contents
b-Tea /Coffee / Tobacco/ smoking/alcohol / and non-veg frequency
c-Your job schedules and
d-Outside food frequency
Revert when you get the reports ASAP.
Welcome for any more query to Me in this regard on my virtual clinic.
I would suggest long term remedy for the Gas formation after this Stool report.
Awaiting your Reports,
Have A Good Day.
With Regards
Dr.Savaskar
Above answer was peer-reviewed by :
Dr. Shanthi.E
Dear Doctor,
I have already done stool test on 04th Jul, which states as under :
colour :brown; consistency : semi solid; Mucus, XXXXXXX blood, adult worm : absent; Occult blood :negative; Reaction (ph): Acidic (6.0); Tophozoite , Crsts, OVA : Absent; Pus cell : 2-3 /hpf; Epithelial cells : 0-1/hpf; Fat,Starch, Crystals, Macrophages : Absent; Undigested particles : not in excess; Other findings : Absent.
In your note you have mentioned constipation, but I dont have constipation. Problem is I dont feel bowels clear in morning session after I come out of toilet, I eat break fast at 8.30 dal & 02 roti & curd ; lunch-- dal , 03 roti & curd at 1-2.00 pm. Dinner dal, 03 roti & curd at 9.30-10.00 pm, sleep 11-11.30 pm, wake up 7.00 am. I take green tea 3 cups a day, water about 2.0 liters a day. All my diets are blend, no out side food habits. I get acidic/sour hicuups at time which is less after diet control, earlier with normal diet it was more.
my cell number is 0000 and email is YYYY@YYYY . regards XXXXXXX XXXXX
I have already done stool test on 04th Jul, which states as under :
colour :brown; consistency : semi solid; Mucus, XXXXXXX blood, adult worm : absent; Occult blood :negative; Reaction (ph): Acidic (6.0); Tophozoite , Crsts, OVA : Absent; Pus cell : 2-3 /hpf; Epithelial cells : 0-1/hpf; Fat,Starch, Crystals, Macrophages : Absent; Undigested particles : not in excess; Other findings : Absent.
In your note you have mentioned constipation, but I dont have constipation. Problem is I dont feel bowels clear in morning session after I come out of toilet, I eat break fast at 8.30 dal & 02 roti & curd ; lunch-- dal , 03 roti & curd at 1-2.00 pm. Dinner dal, 03 roti & curd at 9.30-10.00 pm, sleep 11-11.30 pm, wake up 7.00 am. I take green tea 3 cups a day, water about 2.0 liters a day. All my diets are blend, no out side food habits. I get acidic/sour hicuups at time which is less after diet control, earlier with normal diet it was more.
my cell number is 0000 and email is YYYY@YYYY . regards XXXXXXX XXXXX
Brief Answer:
Flatulence with Acute on Chronic Colitis
Detailed Answer:
HI,Dear XXXXXXX Sorry for the late reply.Thanks for the detailed brief up as asked.
My Clinical Impression after your information is as follows-
Flatulence due to Acute on Chronic Colitis.
To reduce flatulence, you have to reduce on your dietary overloads.
Review of your stool suggests that the drugs which you took have started acting and hence you feel better and you are on the way to recovery.
Till then I would advise following treatment-for 1 wks time-
Reduce your diet by 1 roti at each of the sessions meals (breakfast/lunch/dinner).
Reduce on Curds to once daily and dal to once a day.
Continue bland diet x 2wks
Continue Tab Metronidazole 400 mg for 5 days to control colitis.
Add Levofloxacin-250 mg 2 times per day x 5 days
Continue Roco
Tab Multivitamin like Zevit C x 1 per day
Consult your family doctor for the script and take treatment under his cover with above drugs.
Add high roughage diet once the infection is under control.
Banana milk Shake with skimmed milk x 2 times a day for 2 wks time
My impression of your problem-
This treatment would take care of the ?Colitis in next 1-2 wks time,as it appears to be chronic with acute exacerbation suppressed by incomplete treatment, which has caused Flatulence.
Report after 2 wks for a review and plan of next course of treatment.
If your Flatulence persists,then I may have to plan for its investigation by advanced tests,which I would plan after 2 wkly review with you.
Welcome for any further query in this regard.
Wishing you fast recovery.
Have a Good Day
Dr.Savaskar M.N.
Flatulence with Acute on Chronic Colitis
Detailed Answer:
HI,Dear XXXXXXX Sorry for the late reply.Thanks for the detailed brief up as asked.
My Clinical Impression after your information is as follows-
Flatulence due to Acute on Chronic Colitis.
To reduce flatulence, you have to reduce on your dietary overloads.
Review of your stool suggests that the drugs which you took have started acting and hence you feel better and you are on the way to recovery.
Till then I would advise following treatment-for 1 wks time-
Reduce your diet by 1 roti at each of the sessions meals (breakfast/lunch/dinner).
Reduce on Curds to once daily and dal to once a day.
Continue bland diet x 2wks
Continue Tab Metronidazole 400 mg for 5 days to control colitis.
Add Levofloxacin-250 mg 2 times per day x 5 days
Continue Roco
Tab Multivitamin like Zevit C x 1 per day
Consult your family doctor for the script and take treatment under his cover with above drugs.
Add high roughage diet once the infection is under control.
Banana milk Shake with skimmed milk x 2 times a day for 2 wks time
My impression of your problem-
This treatment would take care of the ?Colitis in next 1-2 wks time,as it appears to be chronic with acute exacerbation suppressed by incomplete treatment, which has caused Flatulence.
Report after 2 wks for a review and plan of next course of treatment.
If your Flatulence persists,then I may have to plan for its investigation by advanced tests,which I would plan after 2 wkly review with you.
Welcome for any further query in this regard.
Wishing you fast recovery.
Have a Good Day
Dr.Savaskar M.N.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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