Hi,
Noted your detailed history and understood your concerns.
First of all taking Doxycyclin for such a long period of 6 to 8 months seems too high unless taken with caution of intermittent stoppage of the antibiotic. This can lead to disturbed intestinal bacterial flora and bring about the changes in bowel habits.
Hence I would advise you to take curds/yogurts, pre and probiotics regularly.
Secondly the stool softeners and laxatives in appropriate dosages should help to have normal bowel habits.
Feeling of urine in
urethra indicated urethral problems and hence should have Urethrography and Urethroscopy to know the problem and get treated accordingly since other investigations are normal.
Also get a per-rectal digital examination and ano-proctoscopy to see for any
anal canal wall stricture, the commonest cause of pencil shaped stools.
All other investigations as per the opinion of a
Urologist and a Gastroenterologist and GI Surgeon should get to the actual diagnosis and proper management.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant,
General Surgeon