Suggest Treatment And Diet For IBS

Brief Answer:
Can be controlled

Detailed Answer:
Hi.
Thanks for your query, understand the problem and an elucidate history.

Please go through my write-up as it may help you to treat the IBS at its root and feel free to discuss anything you feel like asking / clarification and all.

For us to say this as a IBS i.e. Irritable Bowel Syndrome, all the investigations should be normal.

I would advise the following investigations and treatment in a such a case:

Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS.

Treatment:
''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reduced
Change of lifestyle.
I think 'may be' you are not coping with something.
Vacation outside of your area, mobiles phones to be off.
You must have noticed already that these changes help a lot.
Try to avoid anything which you are / have to do against your will and wish. Getr into the hobbies which make you forget the world around you. Life comes only once, boss.

If the change of routine helps, the necessity of medicines is drastically reduced to almost nil.
Medicines ::
You are already under a proper treatment- Take Pancreoflat with the food. You may try Equirex ...
Vit A and Vit D in therapeutic doses,
Multiviatamins ,
probiotics- you are already taking one, the Econorm.
anxiolytics help a lot.

Remember the simple dictum in IBS : you have to undergo necessary investigations before you are labelled as a patient of IBS. Secondly IBS is easily treatable, controllable and within the ambit of your psychological set-up.
The moment the instigating or precipitating factors come into play the problem may re-start.

The best source of the protein in your case would be:
Sprouted Pulses made at home.
Eggs, fish if it suits you or you are a mixed food eater.

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Brief Answer:
Continue medicines till required...

Detailed Answer:
Thanks for your feedback and understanding of the problem.
It is always better to undergo colonoscopy at least once to ''rule out '' any other specific problem. You may please consult a Gastroenterologist doing it. You may please get it done as per your convenience but preferably when you have symptoms.

Many times the anxiety and stress can be going on at subconscious level and noticeable. Yes, this disturbs the social life. One is always a bit afraid to socialize.
I hope by this time you know all the factors which either increase your problem or reduce it. Follow what your heart says and it helps the most. Nothing is really essential, they are just the necessities. I hope you are getting my point.

As far as the medicines, you are right- better to avoid the mood-modulator medicines as much as possible, including the ones you mentioned.
I have a good experience about Equirex and the dosage can be variable as per the need from nill to 6 tablets in a day and you can have a great gap of no medicines at all in between. Sudden diarrhea is well taken care of by Equirex.

Try to avoid all those things / factors / activities / relations which you know increase your problem and you will be fine. Fatigue will be automatically controlled.

Well., but the life is never so easy with the advent of the modernity that has encroached every part of life.

Econorm can be taken for a long time but I think you can stop Econorm and Pancreoflat ( Pancreatic enzymes which help in digestion of the food).
the moment you feel the best and normal. But always keep a Packet with these tablets ready with you, to be taken the moment you get a feeling that '' the attack'' may start so that the severity is reduced. You may please continue multi-vitamins as long as you feel to be unfit.

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Brief Answer:
Avoid OTC and self medication

Detailed Answer:
Hi.
Equirex works to quieten the irritable bowel.

I would advise you to avoid any OTC products at all. Particularly Lomotil - this can have an adverse actions. Ambyzyme must be like Pancreoflat - the enzyme preparations.

Equirex helps in all situations well, Sooner you can adjust your dosages to have comfortable life.

Once you take proper medicines your problem will be solved and you may not need so many medicines at all.

Please do not worry about the consistency about the stool. With time this will get normal. Try banana and curd ( if you are not allergic to milk and milk products). Our motto should be get get a control over the frequency and urgency.

Please follow the step-by-step approach. Avoid self medication.

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