Suggest Treatment For Gastritis And Constipation

Brief Answer:
Can be a side effect of elemental iron therapy

Detailed Answer:
Hi,
Greetings. Welcome to HealtcareMagic and thank you for your question. I understand your concern.

You have problems with your gastrointestinal system from many year.Right now you are on iron tablets,One of the main side effect of elemental iron therapy is severe gastritis along with digestive problems like constipation or diarrhea.
Excessive farting fullness and bloating can also be because of indigestion caused due to elemental iron.

Firstly i would suggest you to ask your gastroenterologist to shift you from elemental iron to iron polypeptides.
Conventional side effects with iron therapy are not observed with polpypetide therapy.Initial doses can be in between 6 to 12 mg daily for 3 months(As per the suggestion of your gastroenterologist).
Apart from that drastic change in life style should be done;But keep in mind that too much of any thing is good for nothing;Same applies for diet restrictions also.

-Excessive gurgles and farts are because of over intake of fibres.To provide you relief in constipation a fibrous diet is adviced but keep in mind that total intake of fibres should not be more then 30grams per day,Otherwise they will cause formation of gas,and will cause you to bloat and belch.
Secondly i would recommend you to take Neksium 40mg twice daily to provide symptomatic relief in belching and bloating.

Suggestions-
Firstly try to understand that there is no magical cure,Things will help but you have to be patient;and have to try things gradually.Your body is a closed system,Any changes introduced whether its diet or food habits;Body will take time to settle down with them,So introduces changes gradually giving time to your body to adapt.

-Take about 30 grams of fibre daily in your diet.Eat one cup of fresh fruits(except banana) and half bowl of green salad daily;this will meet your extra total fibre requirement.
-Take 8 glasses of water daily(minimum),Try to take one glass of lemon water XXXXXXX warm if possible after waking up in morning.Water helps push the food through the intestines and also helps lubricate intestinal tissues.
-Take fybogel which contain the active ingredient ispaghula husk, which is a type of medicine called a bulk-forming laxative. Ispaghula is a type of fibre. It swells when it comes into contact with fluid in the gut and thus increases the volume of the faeces.It increases the bulk in your stool, an effect that helps to cause movement of the intestines.
-Long term problem with your gastro intestinal tract has depleted good bacterial flora from you gut,Hence try to take lactobacillus and probiotics daily,They will help to replenish the flora again,Hence will improve overall digestion and in the long term will prove helpful to you.
--While sitting on the toilet, support the feet on a small stool in order to achieve a normal position that aids in bowel movement.
- Avoiding alcohol and caffeine.
-Exercise daily for 20 minutes atleast.
-The diet alone is not enough. Food should be properly chewed-each morsel for at least 20 times.
-Adding some fat to meals or increasing the size of a meal such as breakfast can help create the urge to defecate.
-Avoid any over oily or fatty food,Avoid dairy.
-Laxative or enema can be taken by you as and when required.
-Yogurt is a very good natural source of probiotic take it daily.
Adhering to both medicines and Strict life style changes will help you in long term.
-Last but not the least ,Keep yourself fully motivated.
I hope I was helpful. I am happy to help if you have follow-up questions.

Best regards,

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Brief Answer:
Follow up.

Detailed Answer:
Hi again,

Fullness and burning in rectum can be because of internal hemorrhoids ,constipation or it can be because of the iron therapy you are on as explained by me above.
Treatment of internal hemorrhoids-
Rubber band ligation-small bands are tied around the base of an internal hemorrhoid to cut off its circulation. The hemorrhoid shrinks and falls off within a week.
Sclerotherapy-It employs a hardening chemical that scars the inflamed tissue, reducing the hemorrhoid’s blood-flow,Hence they will wither off and fall.
Hemorrhoid stapling-Stapling of hemorrhoids blocks blood flow to hemorrhoidal tissue. It is typically used only for internal hemorrhoids.
These are some of the options which can be considered by your surgeon or gastroenterologist.

Burning sensation in rectum can be due to the irritation of mucosa of rectum by stools and its contents,Don't add spices to food and use a laxative regularly to keep stools soft so that it can pass eaasily without irritating rectal mucosa.

Lower back pain can be caused by a number of problems.Typical cause of low back pain include-
Herniated lumbar spine causing nerve compression.
Calcium and vitamin D defieciency.

Adv
MRI spine should be done to rule out nerve compression or herniation.
Serum calcium and vitaminD levels to be measured.

Follow up with reports.

Thanks.

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Brief Answer:
Follow up.

Detailed Answer:
Hi again,
Most likely its not cancer.
However a digital examination of rectum should be done by a surgeon,And if required a repeat colonoscopy and MRI can be done for being fully certain.

However symptomatically chances of it being cancer are very less.
Regards.

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Brief Answer:
follow up answer.

Detailed Answer:
Hello again,
As per your query,I would say that Internal hemorrhoids are typically painless, even at the time when they bleed,As you are having internal hemorrhoids you are not having any pain.
Pain is the feature of external hemorrhoid and not internal hemorrhoid.
I hope I was helpful.I am happy to help if you have any further questions.

Best regards

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