Hello,
* As per my clinical experience, the alternate
constipation with diarrhea do indicate flare up of underlying
inflammatory bowel disease most likely.
* Apart from
gluten free diet, in my clinic, I do recommend
- basic lab works with
@ complete hemogram
@ stool microscopy
@ ESR & CRP
@ ultrasound of the abdomen & pelvis
@ liver function tests
@ colonoscopy
* Depending upon the reports of above , certain management guidelines can be figured out
- drink more liquids as boiled water, lemon juice, oral rehydration salt
- anti spasmodic medications as
drotaverine or others
- GI specific antibiotics as Rifaximin or metronidazole
- probiotics and prebiotics support GI flora great
- bulk forming laxative as Ispaghula husk or Psyllium
- supplements of multi vitamins with minerals, anti oxidants
- regular aerobics
- control of blood sugar
- control of BP, body weight
-
cholesterol panel maintenance
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Bhagyesh V. Patel