Hello
Welcome to Health Care Magic

You had episodes of loose stools and you were on antibiotics about 4 months back. You are having irritation in intestine since then and you have also complaints of joint pains. Your current medicines are Econorm, Hifanac SR, Rabeprazole and Rifagut.

The stool report you have attached is looking almost normal. Normal stools color is brownish, semi solid, pH of it is alkaline which is normal. Pus cells up to 2-3 are considered normal. Over all there is no abnormality in report.
Doctors have advised you to go for colonoscopy as they might be suspecting for some inflammatory disease. But you are not having symptoms like bleeding per rectum, no persistent diarrhea, no vomiting, no severe pain etc, so as per my opinion you should wait for some time before going for colonoscopy. You have just mentioned that you have irritation of intestine. I would like to know a little more details of your symptoms to further comment on the treatment part.

You can mention you symptoms in follow up.
Thanks
Dr. Seikhoo Bishnoi, MD

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Hello again

I have understood your problem.

Joint pains are most likely due to some nutritional deficiency. I would advise you to take Vitamin-E and Vitamin-D tablets. They are easily available with local chemists. Due to malabsorption such type of deficiencies may occur.

Irritable bowel syndroms is a complex disease. Its etiology is not clearly understood. Still in a number of patients with IBS milk allergy in milder form is observed. I would advise you to get your tests done for lactose malabsorption. Tests like Lactose Hydrogen Breath Test, Lactose Intolerance Test are useful. They are available in any good lab. If it comes normal then we can further narrow our diagnosis to IBS. Also get your stools checked for Fecal Fat, fat malabsorption is common cause of such symptoms.
Treatment of IBS include both medicines and non medicinal treatment.
Non Medicines treatment like Relaxation Exercise, Breathing Exercise, Yoga are useful.
Medicines like Librax which consists of Clinidium and Chlordiazepoxide are very useful. They tend to improve intestinal irritation and also cause relaxation.
Paroxetine is a SSRI drug which cause improvement in form of stool and is an antidepressant drug. It has promising results in IBS.
You are taking right medicines and wait for improvements as IBS takes time to get resolved. In the mean time start doing relaxation exercises.

If you have more questions you can ask again in follow up. If satisfied with my answer please rate.

Thanks
Dr. Seikhoo Bishnoi, MD

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