Question: I've an extremely sensitive digestive system. If I eat anything outside/ a over ripe fruit, I become a victim of diarrhea & end up going on antibiotics almost once in 2 months! I am afraid, my gut has become extremely vulnerable & hence this time has not responded to serial multiple doses of antibiotics! About a month & half ago, I was taking Rifagut for 3 days, then the doc changed to Flagyl(1-0-1X7days), then again I had a relapse in 10 days after eating v.ripe melon, so took Secnil 1g 0-0-2(1 day). But still was suffering from noisy gut & disturbed sleep nights. The doc now advised Taxim-o 1-0-1X5days. With this intake am having a horribly noisier gut & am not even able to sleep for 10 mins! It's been a week since Taxim dose intake, but I am suffering form severe gut noise & was forced to excrete in little quantities y'day atleast about 15 times through the night! Also am feeling giddy & put out a lot of bile in the morning! Doc had done physical examination of my abdomen & is soft & fine. How can I get out of this vicious cycle? How can I get rid of this noisy gut, get back to my proper excretion cycle & undisturbed sleep & back to regular daily routine? I am a pure veg taking only satvik food. I am fed up of multiple doses of antibiotics & their side effects.

I was taking Becelac -PB 0-0-1. Now I am taking Providac 1-0-1.

Kindly elaborate your line of treatment. You have again advised an antibiotic! What is your assessment of medicines that I have already consumed & kindly let me know your diagnosis for which you've advised "Rifaximin"

Please note, I can't go to a doc here with your prescription & pay his consultation fee & ask him to write a prescription as per your advise. Hence need elaborate solution from you & a prescription. I've already made Rs. 599 for a dependable consultation. I am not understanding your line of treatment. Please elaborate.

Thanks for elaborating...

Just to clarify on my symptoms: After Secnil intake, my gut was only little noisy. Then after Taaxim-o intake, my gut is experiencing valcano like disturbance & I struggle to push the wind out! I have to put extra pressure to put out the wind/ motion. I feel air is locked. Motion is not watery, is semi solid. I feel Taxim-o was a wrong dosage which just created problems rather than solving!
Clearly an imbalance of flora has happened in my gut! As you explain, is it only in the small intestine?

Is Rifaximin same as Rifagut?

I remember last year my gastro doc had advised rifagut, providac & nexpro-rd for 7 days for a similar problem of uneasy motion evacuation & wind lock. Can you please coment on these 3 tabs vs. your advise. Also from your advise I am not clear on the name of probiotic tablet you are advising. (1 bottle of providac comes for 7 days of 2 tablets & costs me Rs.270/-) Is there a similarly effective probiotic which is economical?

Also How can I improve my digestive immunity in the long run? Being a lady, will this (so many doses of antibiotics,..) also affect my bone health as I am already in my 40s?
Also once I start taking medicines as per your advise, if I need to contact you for anything ONLY relating to the medications/ my symptoms/ recovery, how can I do the same without having to again pay Rs.600/-? Obviously if I bounce back to good health I will not be disturbing you. Hence can you share your email id that I can write to & get prompt reply only as a follow up of this consultation.

Dear Doc, since my digestive sensitivities I tend to maintain a diary of my problems & the medications I use. Hence I request you to kindly help me solve all my doubts elaborately. Appreciate your understanding.

Dear doc, Thanks for your reply.

Last year my gastro doc had prescribed the following:
Rifagut 1-0-1 X 7 days
Providac 1-0-1 X 7 days
Nexpro-Rd 1-0-0 X 10 days

Rifagut 200 mg, Nexpro-rd 20 were the strength of tablets.

Can I use the same prescription for now to treat my issue?
If not request you to clearly mention the exact prescription to go on medication. I'd like to get rid of my abdominal disturbances asap with your electronic prescription.
Thanks