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What Causes Constipation And Nausea Along With Gas Pain And Burping?
Posted on
Mon, 6 Apr 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 6 Apr 2015
Answered on
Tue, 5 May 2015
Last reviewed on
Question : Dear Doctor,
Good day !
I am XXXXXXX from Hong Kong ( HCM id YYYY@YYYY ). I am writing you again as my symptoms have returned.
As advised earlier i was on ranitidine ( Aciloc 150 mg) for almost 9 days morning and evening two times in a day along with digestive enzymes. First two days bowel movement was very good and from third day i had constipation i was passing stool in 3- 4 attempts though i was consuming fibre diet and drinking lot of water, i continued medication as advised and i had my symptoms returned after 7 days, i visited my doctor and told him about medication of ofloxacin and subsequent relief so he added same medication for 5 more days and advised me to try pariet ( raberprazole ) instead ranitidine as he thought it might not have any side effect.
Since last three days i have mild sensation in anus and passing seperate hard lumps and discomfort ( sickness) feeling, a nausea and gas pain, and burping. I have lost my appetite again .
I took laxative ( isabgol with hot water ) yesterday and passed stool today morning ( same small hard lumps). I have stopped medicines and taking only antacid syrup as needed but my symptoms are now same as before.
I am on strict diet ( fruits , boiled vegetables, boiled egg, a glass of milk, plain rice and bread ( chapati with out ghee) ).
Please advise further expert management .
AA) Since yesterday, i have stopped wheat- foods thinking i might have developed gluten in tolerance and added 1 glass of milk for good BM.
(PS. please note that i am on Thyroid medication ( 75mg) for hypothyroidism since last four years. I was tested for gluten intolerance when i was diagnosed for hypothyrodism, test results were negative. So far, I did not have diarrhea ever since 20th XXXXXXX 2015, when i first experienced these symptoms but i have very frequent changing form of BM).
Thanks and best regards XXXXXXX
Good day !
I am XXXXXXX from Hong Kong ( HCM id YYYY@YYYY ). I am writing you again as my symptoms have returned.
As advised earlier i was on ranitidine ( Aciloc 150 mg) for almost 9 days morning and evening two times in a day along with digestive enzymes. First two days bowel movement was very good and from third day i had constipation i was passing stool in 3- 4 attempts though i was consuming fibre diet and drinking lot of water, i continued medication as advised and i had my symptoms returned after 7 days, i visited my doctor and told him about medication of ofloxacin and subsequent relief so he added same medication for 5 more days and advised me to try pariet ( raberprazole ) instead ranitidine as he thought it might not have any side effect.
Since last three days i have mild sensation in anus and passing seperate hard lumps and discomfort ( sickness) feeling, a nausea and gas pain, and burping. I have lost my appetite again .
I took laxative ( isabgol with hot water ) yesterday and passed stool today morning ( same small hard lumps). I have stopped medicines and taking only antacid syrup as needed but my symptoms are now same as before.
I am on strict diet ( fruits , boiled vegetables, boiled egg, a glass of milk, plain rice and bread ( chapati with out ghee) ).
Please advise further expert management .
AA) Since yesterday, i have stopped wheat- foods thinking i might have developed gluten in tolerance and added 1 glass of milk for good BM.
(PS. please note that i am on Thyroid medication ( 75mg) for hypothyroidism since last four years. I was tested for gluten intolerance when i was diagnosed for hypothyrodism, test results were negative. So far, I did not have diarrhea ever since 20th XXXXXXX 2015, when i first experienced these symptoms but i have very frequent changing form of BM).
Thanks and best regards XXXXXXX
Brief Answer:
As discussed
Detailed Answer:
Hi XXXXXXX
Read the history carefully.
I hope the Thyroid profile is normal, if not checked recently, it is better to check ASAP and may need a dose sometimes to get better results even in GI problems.
Noted the history of constipation with need to go 3 to 4 times in spite consuming fiber diet of plenty of water, Pariet instead of Ranitidine. Oflaxacin continued for 5 more days.
Now you have mild sensation in anus and passing separate hard lumps feeling discomfort, nausea, gas pain, burping and loss of appetite.
Taking Isabgol with water, stopped medicines, taking only antacid, stopped wheat food, added a glass of milk,
You were already tested for gluten intolerance and was negative, hence stopping it may not help.
- On the contrary, Chapati with ghee(ghee if tolerated by you) gives bulk and helps in smooth passage of stool (unless you are allergic to it, which I hope you are not being an Indian- we usually do not have).
- The Isabgol husk has to be mixed in a glass of warm water, let it swell and then only should be taken to be effective. Please see that you do not get dependence upon Isabgol, meaning take only when required otherwise you may have to take it for a long time. You have to also adjust the dosage for your requirement as there is no sure-shot measure. Everyone's requirement of such medicines is totally different. Hence increase the dose by half to one tsf if the dose of yesterday did not work properly.
- Check Thyroid functions immediately.
- Also check for the stress and anxiety levels, they have a direct bearing upon all the GI system.
- Antacids to be taken only when you are empty stomach and when you have acidity.
- Continue probiotics / curds / Yogurt. All the problems and medicines do change the GI normal bacterial flora.
- Since your CT scan was normal except fecal loaded bowel (reviewed the report just now), our tensions per se are reduced.
- Since all the reports were OK, we have to consider IBS (Irritable bowel syndrome) as a differential diagnosis. and the Best treatment of IBS is be away from stress and anxiety.
-Somehow I have a feeling that you should take full diet. There should be no restriction when constipation is there (unless a particular food or a beverages are known to cause allergy)
Let us try the things discussed above and please let me know the results and reports of Free T3, Free T4 and TSH. The sample given preferably after a 2 days gap of not taking thyroid medication to get proper results.
I hope this helps.
Wishing you an early recovery.
Please feel free to discuss anything you think of, we have to get a solution.
As discussed
Detailed Answer:
Hi XXXXXXX
Read the history carefully.
I hope the Thyroid profile is normal, if not checked recently, it is better to check ASAP and may need a dose sometimes to get better results even in GI problems.
Noted the history of constipation with need to go 3 to 4 times in spite consuming fiber diet of plenty of water, Pariet instead of Ranitidine. Oflaxacin continued for 5 more days.
Now you have mild sensation in anus and passing separate hard lumps feeling discomfort, nausea, gas pain, burping and loss of appetite.
Taking Isabgol with water, stopped medicines, taking only antacid, stopped wheat food, added a glass of milk,
You were already tested for gluten intolerance and was negative, hence stopping it may not help.
- On the contrary, Chapati with ghee(ghee if tolerated by you) gives bulk and helps in smooth passage of stool (unless you are allergic to it, which I hope you are not being an Indian- we usually do not have).
- The Isabgol husk has to be mixed in a glass of warm water, let it swell and then only should be taken to be effective. Please see that you do not get dependence upon Isabgol, meaning take only when required otherwise you may have to take it for a long time. You have to also adjust the dosage for your requirement as there is no sure-shot measure. Everyone's requirement of such medicines is totally different. Hence increase the dose by half to one tsf if the dose of yesterday did not work properly.
- Check Thyroid functions immediately.
- Also check for the stress and anxiety levels, they have a direct bearing upon all the GI system.
- Antacids to be taken only when you are empty stomach and when you have acidity.
- Continue probiotics / curds / Yogurt. All the problems and medicines do change the GI normal bacterial flora.
- Since your CT scan was normal except fecal loaded bowel (reviewed the report just now), our tensions per se are reduced.
- Since all the reports were OK, we have to consider IBS (Irritable bowel syndrome) as a differential diagnosis. and the Best treatment of IBS is be away from stress and anxiety.
-Somehow I have a feeling that you should take full diet. There should be no restriction when constipation is there (unless a particular food or a beverages are known to cause allergy)
Let us try the things discussed above and please let me know the results and reports of Free T3, Free T4 and TSH. The sample given preferably after a 2 days gap of not taking thyroid medication to get proper results.
I hope this helps.
Wishing you an early recovery.
Please feel free to discuss anything you think of, we have to get a solution.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor
Thanks for your prompt reply and further advice.
I am having improvement in my symptoms after trying following .
for anus pain
A) Sat in warm water tub several times in a day
B) slept on a hard surface
C) took isabgol with XXXXXXX warm water on bed in the night
As result, i had good bowel movement in the morning without having any pain .
For nausea
I took domperidone 10 mg, 1 hour before meal three times in a day ( as advised by you earlier) which reduced my gas and nausea feeling near to complete consequently I stopped anti-flatulence tablets.
Took normal moderate fibre diet
Visited doctor for referral as needed for Thyroid tests ( in HongKong, doctor referral is madatory for pathological testing), who also increased dose of rabeprazole (Pariet) to 20 mg from 10 mg, twice a day before meal.
I am also refraining from packaged snacks or foods having preservatives added to them since i have observed that all repeated instances of having same symptoms occurred only after i consumed something which comes in packaged form such as biscuits, crackers, peanuts, garlic bread or even concentrated milk.
As advised, I am trying to keep myself stay away from strees and anxiety.
Thank you once again for your continued support and valuable advice.
I will observe my progress for next few days and keep you updated accordingly.
Again, I would say Healthcare magic really works and it is very helpful in the era of highly commercialized health care services specially in big business cities like HK.
Regards XXXXXXX
Thanks for your prompt reply and further advice.
I am having improvement in my symptoms after trying following .
for anus pain
A) Sat in warm water tub several times in a day
B) slept on a hard surface
C) took isabgol with XXXXXXX warm water on bed in the night
As result, i had good bowel movement in the morning without having any pain .
For nausea
I took domperidone 10 mg, 1 hour before meal three times in a day ( as advised by you earlier) which reduced my gas and nausea feeling near to complete consequently I stopped anti-flatulence tablets.
Took normal moderate fibre diet
Visited doctor for referral as needed for Thyroid tests ( in HongKong, doctor referral is madatory for pathological testing), who also increased dose of rabeprazole (Pariet) to 20 mg from 10 mg, twice a day before meal.
I am also refraining from packaged snacks or foods having preservatives added to them since i have observed that all repeated instances of having same symptoms occurred only after i consumed something which comes in packaged form such as biscuits, crackers, peanuts, garlic bread or even concentrated milk.
As advised, I am trying to keep myself stay away from strees and anxiety.
Thank you once again for your continued support and valuable advice.
I will observe my progress for next few days and keep you updated accordingly.
Again, I would say Healthcare magic really works and it is very helpful in the era of highly commercialized health care services specially in big business cities like HK.
Regards XXXXXXX
Brief Answer:
Nice to know the relief you have got; awaiting for feedback and reports
Detailed Answer:
Hi XXXXXXX
Thanks for your feedback and appreciation.
Nice to know the Constipation got relieved, gases and bloating is under control. Please continue Rabeprozole and domperidone separately as you are taking, Isabgol only if required.
Your observation is absolutely right. There is something in the packaged foods that they can be stored long. These preservatives of whatsoever nature look to not be suitable for your intestines.
I shall be eagerly waiting for thyroid reports and your further feedback.
Please feel to discuss anything you feel is necessary for your cure, I shall be very happy.
Dr T Chandrakant
Nice to know the relief you have got; awaiting for feedback and reports
Detailed Answer:
Hi XXXXXXX
Thanks for your feedback and appreciation.
Nice to know the Constipation got relieved, gases and bloating is under control. Please continue Rabeprozole and domperidone separately as you are taking, Isabgol only if required.
Your observation is absolutely right. There is something in the packaged foods that they can be stored long. These preservatives of whatsoever nature look to not be suitable for your intestines.
I shall be eagerly waiting for thyroid reports and your further feedback.
Please feel to discuss anything you feel is necessary for your cure, I shall be very happy.
Dr T Chandrakant
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor !
Just to inform you that i stopped thyroid medication ( thyroxine 75 mg ) for two days and gave my blood samples for testing yesterday. Expected reports by tomorrow.
As advised i am trying relaxation techniques such as yoga, walking, listening music, and reading books to divert my mind from the disease.
Since i started Domperidone, i had a feeling of lightheadedness together with difficulty in concentrating, nervousness and difficulty in sleeping, i reduced dose to only 1 tab in the morning.
I agree that i am anxious now but i developed it after having persistant symptoms for more than 2 months without any clear diagnosis and treatment but i still feel this is not the root cause. I was calm and patient until first two months, in the begining of the ailment and got worried when local doctors became clueless about my sickness (so far i have consulted 3 GP and 3 GI specialists locally without any clue and several diagnosis for serious illness focusedly, so anxiety is obvious).
Here, I would like to share a history that i had an un-intentional wieght loss (about 4-5 KG in 2011), that time my TSH went down to zero from 10.0 in a month time . Doctor immediately stopped medicine and my TSH XXXXXXX back to 10 within a month. I was put on begining dose of 25 mg dose of thyroxine harmone again, which was further increased to 50 mg and subsequently to 75 mg over one year. At dose of 75 mg my thyroid was quite stable for about last 2 years with very stubborn body weigth of 84 KG. Now my body weight has dropped to 77 KG ( BMI 24.8) in the last one month. My last two TST results were 1.5( 23rd feb 2015) and 5 ( Oct 2014).
I had been taking rosuvastatin 10 mg daily for high triglyceride and LDL for last one year ( usually in the ranges of 250- 300 & LDL 130-150 without medicine). My GI specialist asked me to stop chalestrol medicine temproraily until stomach treatment is goining and follow strict diet and thyroid medicine to control chalestrol.
I will upload thryoid reports as soon as rec'd from my doctor.
Thanks & regards XXXXXXX
Just to inform you that i stopped thyroid medication ( thyroxine 75 mg ) for two days and gave my blood samples for testing yesterday. Expected reports by tomorrow.
As advised i am trying relaxation techniques such as yoga, walking, listening music, and reading books to divert my mind from the disease.
Since i started Domperidone, i had a feeling of lightheadedness together with difficulty in concentrating, nervousness and difficulty in sleeping, i reduced dose to only 1 tab in the morning.
I agree that i am anxious now but i developed it after having persistant symptoms for more than 2 months without any clear diagnosis and treatment but i still feel this is not the root cause. I was calm and patient until first two months, in the begining of the ailment and got worried when local doctors became clueless about my sickness (so far i have consulted 3 GP and 3 GI specialists locally without any clue and several diagnosis for serious illness focusedly, so anxiety is obvious).
Here, I would like to share a history that i had an un-intentional wieght loss (about 4-5 KG in 2011), that time my TSH went down to zero from 10.0 in a month time . Doctor immediately stopped medicine and my TSH XXXXXXX back to 10 within a month. I was put on begining dose of 25 mg dose of thyroxine harmone again, which was further increased to 50 mg and subsequently to 75 mg over one year. At dose of 75 mg my thyroid was quite stable for about last 2 years with very stubborn body weigth of 84 KG. Now my body weight has dropped to 77 KG ( BMI 24.8) in the last one month. My last two TST results were 1.5( 23rd feb 2015) and 5 ( Oct 2014).
I had been taking rosuvastatin 10 mg daily for high triglyceride and LDL for last one year ( usually in the ranges of 250- 300 & LDL 130-150 without medicine). My GI specialist asked me to stop chalestrol medicine temproraily until stomach treatment is goining and follow strict diet and thyroid medicine to control chalestrol.
I will upload thryoid reports as soon as rec'd from my doctor.
Thanks & regards XXXXXXX
Brief Answer:
reduce the dose of Domperidone
Detailed Answer:
Hi XXXXXXX
Nice to know that you have given sample for thyroid function.
And adopting to new techniques of relaxation.
Try to take half (5mg) of domperidone at exactly 8 hourly interval say 6 am - 2 pm - 10 pm and see if the problems related to it go away.
Your mentioning (of consulting 3 GP and 3 GI specialists locally without any clue and several diagnosis for serious illness, so anxiety is obvious) itself proves that there is no major issue but the persistence of symptoms has made you to be going towards a obvious diagnosis of IBS as all investigations are almost normal. And the best treatment of such conditions is No stress NO anxiety.
Your additional history related to weight, TSH fluctuations, Medicinal variation from 25 to 75, weight loss, statin for cholesterol is interesting.
What I am going to discuss with you help you to understand a few more things- (please feel free to ask if you could not get what I meant by).
-TSH is produced by the Pituitary gland which is a control gland of almost all the hormones of the body. TSH means Thyroid ''Stimulating'' Hormone. Its function is to stimulate the thyroid gland to produce more T3 and T4.
BUT this is in response to Pituitary gland's sensors sensing reduced circulating Thyroid hormones. Hence if the Free T3 and Free T4 are normal, just elevated TSH may not actually require any treatment at all.
Secondly the patients with elevated TSH may have high Cholesterol as body's mechanism and does not need treatment in all the cases.
Minimum medicines taking is the best policy, let body also work its own mechanisms.
Seen, the Thyroid reports are absolutely within normal limits.
Continue the dosages of thyroid medicine as before.
Since your have stopped stain as per your Doctors's advise, do not start it again at the moment, you may not require in the future too. I know you can control this by exercises and diet control.
reduce the dose of Domperidone
Detailed Answer:
Hi XXXXXXX
Nice to know that you have given sample for thyroid function.
And adopting to new techniques of relaxation.
Try to take half (5mg) of domperidone at exactly 8 hourly interval say 6 am - 2 pm - 10 pm and see if the problems related to it go away.
Your mentioning (of consulting 3 GP and 3 GI specialists locally without any clue and several diagnosis for serious illness, so anxiety is obvious) itself proves that there is no major issue but the persistence of symptoms has made you to be going towards a obvious diagnosis of IBS as all investigations are almost normal. And the best treatment of such conditions is No stress NO anxiety.
Your additional history related to weight, TSH fluctuations, Medicinal variation from 25 to 75, weight loss, statin for cholesterol is interesting.
What I am going to discuss with you help you to understand a few more things- (please feel free to ask if you could not get what I meant by).
-TSH is produced by the Pituitary gland which is a control gland of almost all the hormones of the body. TSH means Thyroid ''Stimulating'' Hormone. Its function is to stimulate the thyroid gland to produce more T3 and T4.
BUT this is in response to Pituitary gland's sensors sensing reduced circulating Thyroid hormones. Hence if the Free T3 and Free T4 are normal, just elevated TSH may not actually require any treatment at all.
Secondly the patients with elevated TSH may have high Cholesterol as body's mechanism and does not need treatment in all the cases.
Minimum medicines taking is the best policy, let body also work its own mechanisms.
Seen, the Thyroid reports are absolutely within normal limits.
Continue the dosages of thyroid medicine as before.
Since your have stopped stain as per your Doctors's advise, do not start it again at the moment, you may not require in the future too. I know you can control this by exercises and diet control.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Dear Doctor
Thanks for your detailed reply. I am following your recommended dosages of the Domperidone medicine.
I accept that this could be IBS or any other functional disorder which is basically due to stress and anxiety. I am trying all the techniques to relax my self as much as possible .
I would like to ask a few questions.
AA) At the time of first instance of my illness i felt my stomach bloated, burping, and full after eating whereas at the time of second instance i had different feeling in epigastric area like a gas pain which we usually experience in distress or kind of stomach knot when we are empty stomach in the morning and do not like to eat anything. Once i am gone away with this feeling i will be absoultely fine. Interestingly this feeling keeps coming and going no matter i am working or sitting idle most prominently two hours after eating. This kind feeling i never had in my life except when i am awake whole night or got up in the mid night but very mild in nature.
BB) In my endoscopy report there is a finding identified as erossion, doctor told me that it is a swelling in duodenal which is not serious and he prescribed me Lyrica ( pregabalin) for 15 days and i had trouble after eating those capsules for 10 days when it become intolerable i stopped them and informed doctor. I found that my GI specialist was always very keen to know how am i responding to lyrica. Other two GIs did also ask me the same question. I like to know what could be the cause of this swelling and why lyrica was prescribed to me and how it is related to my sickness?
CC) I have tried almost all type of the acid suppressants and now all together i have been taking them continuously for almost two months. But they are not working on the symptoms. Though antibiotic worked for few days but relief was short lasting. In the second attempt they did not work at all. Do i need a prolonged use of the PPI to cure my disease.
Thanks again for your support and counseling.
Regards XXXXXXX
Thanks for your detailed reply. I am following your recommended dosages of the Domperidone medicine.
I accept that this could be IBS or any other functional disorder which is basically due to stress and anxiety. I am trying all the techniques to relax my self as much as possible .
I would like to ask a few questions.
AA) At the time of first instance of my illness i felt my stomach bloated, burping, and full after eating whereas at the time of second instance i had different feeling in epigastric area like a gas pain which we usually experience in distress or kind of stomach knot when we are empty stomach in the morning and do not like to eat anything. Once i am gone away with this feeling i will be absoultely fine. Interestingly this feeling keeps coming and going no matter i am working or sitting idle most prominently two hours after eating. This kind feeling i never had in my life except when i am awake whole night or got up in the mid night but very mild in nature.
BB) In my endoscopy report there is a finding identified as erossion, doctor told me that it is a swelling in duodenal which is not serious and he prescribed me Lyrica ( pregabalin) for 15 days and i had trouble after eating those capsules for 10 days when it become intolerable i stopped them and informed doctor. I found that my GI specialist was always very keen to know how am i responding to lyrica. Other two GIs did also ask me the same question. I like to know what could be the cause of this swelling and why lyrica was prescribed to me and how it is related to my sickness?
CC) I have tried almost all type of the acid suppressants and now all together i have been taking them continuously for almost two months. But they are not working on the symptoms. Though antibiotic worked for few days but relief was short lasting. In the second attempt they did not work at all. Do i need a prolonged use of the PPI to cure my disease.
Thanks again for your support and counseling.
Regards XXXXXXX
Brief Answer:
This is manageable
Detailed Answer:
Hi XXXXXXX
Due to the changes in lifestyle, work loads, mobiles, stress, anxiety and so on the number of people who have IBS or functional element causing such problems is very large. The people who get adjusted to the realities or are successful in avoiding the factors causing this get relieved.
I hope you can get my point. This is also very true that there are some factors that a given person may not avoid a particular thing as it may be a pressing thing like an income or a relation and so on.
A) It all started as bloating, burping and feeling full after eating.
In the second instance it was different feeling- gas pain which we usually experience in distress / kind of stomach knot when we are empty stomach in the morning and fine in between - more so 2 hours of eating irrespective of your engagement - never in life except when awake whole night.
IBS can show varied symptoms at varied time and may be totally absent in between.
B) Erosion in Endoscopy with edema- Lyrica - GI bothered about its response-
Cause of the swelling: this is mostly seen in stress related problems.
Indication of Lyrica: I really do not know about Lyrica's role in such problems that you have or why it was prescribed to you. I am really sorry for this and tried to find out too. I am trying to find out from my sources and definitely would let you know the moment I come to know about; in fact I too was wondering about this medicines's role in your case.
C) Acid suppressant not working it self indicates how much stress / anxiety / worry you have. This is in fact an indication of the level of stress and anxiety.
You may not need a prolonged use, if the original root causes get treated.
I again hope you are getting my point.
So come-on.
Let you make a list of the causes
Divide into two:
- The ones which you can avoid .
- The ones which you can not. And to find the workable alternatives.
- The measures you have taken.
- The measures where you need the help of the employer/ family / friends and so on.
I am sure this will help you.
This is manageable
Detailed Answer:
Hi XXXXXXX
Due to the changes in lifestyle, work loads, mobiles, stress, anxiety and so on the number of people who have IBS or functional element causing such problems is very large. The people who get adjusted to the realities or are successful in avoiding the factors causing this get relieved.
I hope you can get my point. This is also very true that there are some factors that a given person may not avoid a particular thing as it may be a pressing thing like an income or a relation and so on.
A) It all started as bloating, burping and feeling full after eating.
In the second instance it was different feeling- gas pain which we usually experience in distress / kind of stomach knot when we are empty stomach in the morning and fine in between - more so 2 hours of eating irrespective of your engagement - never in life except when awake whole night.
IBS can show varied symptoms at varied time and may be totally absent in between.
B) Erosion in Endoscopy with edema- Lyrica - GI bothered about its response-
Cause of the swelling: this is mostly seen in stress related problems.
Indication of Lyrica: I really do not know about Lyrica's role in such problems that you have or why it was prescribed to you. I am really sorry for this and tried to find out too. I am trying to find out from my sources and definitely would let you know the moment I come to know about; in fact I too was wondering about this medicines's role in your case.
C) Acid suppressant not working it self indicates how much stress / anxiety / worry you have. This is in fact an indication of the level of stress and anxiety.
You may not need a prolonged use, if the original root causes get treated.
I again hope you are getting my point.
So come-on.
Let you make a list of the causes
Divide into two:
- The ones which you can avoid .
- The ones which you can not. And to find the workable alternatives.
- The measures you have taken.
- The measures where you need the help of the employer/ family / friends and so on.
I am sure this will help you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor,
Thank you very much for your inspiring reply, i am happy to tell you that relaxation techniques are working on curing my disease, i can see some improvement over the weekend. Whenever i have similar discomfort in my gut i take water melon and carrot juices which gives me instant relief.
I have also joined a chinese medicine acupuntcure therapy treatment, already took first session which was quite effective to reduce my anxiety.
I am very confident that i can come out of this . I have added high fibre food like whole grain oat meal to my daily diet to take care of my BM in the morning.
Thanks for your continued support.
Regards XXXXXXX
Thank you very much for your inspiring reply, i am happy to tell you that relaxation techniques are working on curing my disease, i can see some improvement over the weekend. Whenever i have similar discomfort in my gut i take water melon and carrot juices which gives me instant relief.
I have also joined a chinese medicine acupuntcure therapy treatment, already took first session which was quite effective to reduce my anxiety.
I am very confident that i can come out of this . I have added high fibre food like whole grain oat meal to my daily diet to take care of my BM in the morning.
Thanks for your continued support.
Regards XXXXXXX
Brief Answer:
Have a great day.
Detailed Answer:
Hi XXXXXXX Very good day to you too.
Yes, I am very sure that you will come out of this and completely.
Nice to know the progress, the relaxation techniques, water melon and carrot juice and its positive effects.
Acupuncture is a fantastic procedure. I know the results can be phenomenal, please continue it.
Diet: as I say to all, please take everything that suits you, stop (not avoiding) anything which instigates / triggers / increases whatsoever problems.
I shall be with you to assist you till you want.
Carry on , boss., great life is ahead.
Thanks again for appreciation.
Have a great day.
Detailed Answer:
Hi XXXXXXX Very good day to you too.
Yes, I am very sure that you will come out of this and completely.
Nice to know the progress, the relaxation techniques, water melon and carrot juice and its positive effects.
Acupuncture is a fantastic procedure. I know the results can be phenomenal, please continue it.
Diet: as I say to all, please take everything that suits you, stop (not avoiding) anything which instigates / triggers / increases whatsoever problems.
I shall be with you to assist you till you want.
Carry on , boss., great life is ahead.
Thanks again for appreciation.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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