Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to have suffered from-?Intero-External Piles with Ano-rectal
proctitis, with IBS-C with
bloating in stomach with explosive flatus noisy discharge.
In this scenario-Correction of-IBS proctitis with medicines -antibiotics/probiotics/prebiotics/high fibre veg diet/
sporlac caps/ yoghurt and butter milk x 2 times a day, need to be followed by Consults with Surgeon,who would treat Intero-External piles, so as to resolve IBS with C with flatus during defecation.Possibility of Fissure in ano-is evident from tooth past like stools and need to be treated by Anal dilatation under GA.
Colonoscopy and EGD(esophago-gastro-duodenoscopy) would resolve added causes for IBS, like Ulcerative Colitis/ Crohn's disease.
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