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Suggest Treatment For Diarrhea And Constipation Caused By IBS

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Posted on Thu, 4 Feb 2016
Question: Hi,

For years I have had issues with my digestive system. I will have days of diarrhoea and then days of constipation. Also every afternoon my stomach becomes quite painful and bloated and although i feel gassy, find it hard to pass wind. I have a very basic diet of green salads brown rice and chicken. The only fruit i eat ia a banana each morning. I have followed the FODMAP diet and this hasnt worked. Each doctor I have seen has passed it off as IBS, but I am unsure as I have tried Iberogast which many IBS sufferers swear by, however it has not helped. Please help, I wake up feeling fine but by 3pm Im bloated and in pain every day.
doctor
Answered by Dr. Nishad BN (2 hours later)
Brief Answer:
Your symptoms denotes Irritable bowel syndrome.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query. Your problem is most likely IBS. Iberogast (herbal product) won't be effective in everyone.
The main thing you should do now is exclude other conditions like protozoal and parasitic infections , dysbacteriosis , intolerance to lactose or gluten etc.
For this I would suggest the following test:
- a stool microscopic examination and culture
-Blood routine , ESR , Liver function test
-Serologic test for coeliac.
-Hydrogen breath test for lactose intolerance.
-Abdominal ultrasound to exclude liver and gall bladder problems.

If all these are excluded then it can be treated as IBS. If you haven't had these test, you should consider getting it done through your treating doctor.

Stress relief by meditation and breathing exercises,
Taking probiotics
Avoiding caffiene containing products
Soluble fiber supplementation will b helpful.


A consultation with a Gastroenterologist is well appreciated. Colonoscopy will be required in case of inconsistency in diagnosis.

Let me know if anything not clear.
I am happy to help you.
Thanks.
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Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

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Suggest Treatment For Diarrhea And Constipation Caused By IBS

Brief Answer: Your symptoms denotes Irritable bowel syndrome. Detailed Answer: Hi Thank you for asking HCM I have gone through your query. Your problem is most likely IBS. Iberogast (herbal product) won't be effective in everyone. The main thing you should do now is exclude other conditions like protozoal and parasitic infections , dysbacteriosis , intolerance to lactose or gluten etc. For this I would suggest the following test: - a stool microscopic examination and culture -Blood routine , ESR , Liver function test -Serologic test for coeliac. -Hydrogen breath test for lactose intolerance. -Abdominal ultrasound to exclude liver and gall bladder problems. If all these are excluded then it can be treated as IBS. If you haven't had these test, you should consider getting it done through your treating doctor. Stress relief by meditation and breathing exercises, Taking probiotics Avoiding caffiene containing products Soluble fiber supplementation will b helpful. A consultation with a Gastroenterologist is well appreciated. Colonoscopy will be required in case of inconsistency in diagnosis. Let me know if anything not clear. I am happy to help you. Thanks.