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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For IBS

My fiance has IBS and it has gotten worse over a month or so. she wakes up every morning with diarrhea and nausea. she went to the ER(minor emerg) and they gave her promethazine and dicyclomine. her problem now is that she needs to eat these with food but she can't keep anything down.. do you have any suggestions or anything that might help?
                                                                 
Mon, 11 Jul 2016
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General Surgeon 's  Response
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.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229



Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest Treatment For IBS

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. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS