Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
My opinion-
IN the given situation, Your fiance seems to be having-
IBS with wrong timing of medicines,which need to be added with
Ciplox Oz and Domeperidone.
She needs to take-
Dicyclomine and
Promethazine atleast-1 hr-empty stomach-before taking food / In.
Avoid spicy, nonveg diet.
Keep her on bland rice/banana diet x 2 weeks.Instead-you can add Cap- Mova-c - 1 x 2 times a day-1 hr before food intake
Tab Vit B12 +
Folic acid-sublingual Tab-2 times a day x 2 weeks.
Yoghurt x 2 times per day x 2weeks.
Butter Milk x 2-3 times a day x 2weeks.
.
Cap-Sporlac-1 x 2 times a day x empty stomach.
Other causes of IBS with diarrhea-like H.Pylori/Cl.diff- needs to be verified and ruled out, before giving any treatment.
With this treats she would stabilize with her IBS -D(
Diarrhoea)
Hope this would help you to plan further of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS