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Hello doctor My age 22 weight 90 kgs height 5'11 Aftr eating chicken from next severe pain while going to toilet. Some blood has come. It is like nails poking me while going to bath room. My doubt is that it may be piles. I am afraid to go to hospital and any suggestions you can give me Any tablets to reduce my pain. Please help me.
I have a problem of flatulence & I am suffering from this problem for past 2 years. Please suggest some home medication by which I can overcome this problem.
The medical community has not yet determined the cause for Irritable Bowel Syndrome. A combination of treatments may help a sufferer cope with the symptoms; however given the diverse symptoms of IBS sufferers; diarrhea, constipation, pain, bloating, etc, and it's chronic nature, none of these treatments at present will ultimately cure IBS.
IBS is a non-life threatening illness. It does not progress or increase your risk of developing Inflammatory Bowel Disease or Cancer. Treatment focuses on the relief of symptoms so you can live your life as normally as possible.
There is much anecdotal information on the internet as to what may relieve IBS symptoms. We recommend that before starting any new dietary, medical food or over the counter (OTC) remedy, that you consult with your physian. Physician's rely on risk and benefit decisions based on reproducible research data when they suggest a treatment for someone suffering from IBS.
Based on your physician's diagnosis after the appropriate medical tests, treatment, in our opinion, may be different for those suffering from mild, moderate or severe symptoms; however, they may be summarized as follows.
Mild: manage stress and make changes to your diet and lifestyle
Moderate: As per Mild + fiber supplements, over-the-counter (OTC), anticholinergic, or like, medications.
Severe: As per Moderate + tricyclic or SSRI antidepressants, or 5-HT3 or 5-HT4 or Chloride channel activator or guanylate cyclase-C (GC-C) agonist medication.
Your physician may recommend one or more or none of these treatments. See your physician for all recommendations for treatment. It is very important to follow-up with your physician. Refer to the medication page for an overview of medications for IBS.
Role of stress and visceral hypersensitivity
Role of diet
Prescription Medical Food
Specific Treatments Now and the Future:
Cognitive Behavioral Therapy (CBT) and Hypnosis: There is research evidence that IBS symptoms respond favorably to other therapeutic approaches such as cognitive behavioral therapy (CBT) and hypnosis. As IBS is a chronic condition, with an ongoing fluctuating course, these treatments may help the individual to develop skills for managing the condition over the long haul. Many people with IBS also have a co-existing anxiety or depressive disorder, the symptoms of which also benefit from these types of treatments.
Probiotics: Probiotics (good bacteria) which contain the strain bifidobacterium infantis 35624 have been shown to relieve abdominal pain, bloating, urgency, constipation or diarrhea. Align and VSL#3 are marketed over-the-counter (OTC) with this strain.
5-HT3 antagonist: Lotronex (alosetron), is used for the control of pain and diarrhea associated with IBS in women (IBS-D). It was removed from the market at the recommendation of the United States FDA in Nov. 2000 and re-introduced in June 2002.
5-HT4 receptor agonist: These medications help relieve the symptoms of constipation and pain associated with IBS and constipation (IBS-C), and chronic idiopathic constipation in women. Zelnorm/Zelmac (tegaserod) was approved by the FDA in the United States. Effective April 2, 2008 Zelnorm is only available to patients in the U.S. Under emergency situations.
Chloride channel activator: These medications help relieve the symptoms of constipation and pain. Amitiza (lubiprostone) was approved by the FDA in the United States for IBS with constipation and chronic idiopathic constipation.
Guanylate cyclase-C (GC-C) agonist: These medications help relieve the symptons of constipation and abdominal pain. Linzess (linaclotide) was approved by the FDA in the United States for IBS with constipation and chronic idiopathic constipation.
Antibiotics: There is some research evidence suggesting that IBS symptoms may be caused in part by an abnormal growth of bacteria in the small intestine, referred to as Small Intestinal Bacterial Overgrowth (SIBO). A specific regiment of antibiotics, namely Rifaximin (xifaxan), have been investigated to treat this condition.
Prescription Medical Food: These products are regulated by the FDA under the Orphan Drug Act and are meant to be used under physician supervision. One prescription medical food is indicated for the clinical dietary management of IBS-D under physician supervision as part of ongoing medical care for a specific condition or disease. Some patients due to chronic conditions, diseases or specific drug therapies have an impaired ability to ingest, digest, absorb, or metabolize food and certain nutrients. This medical food product is prescribed to help people manage their bowel problem.
Hi sir mai oily khana khata hoon to mere gale par jalan hoti hai gas banati hai koi tab yaa treatment ho to plz help me mai bahut paresan hoo isse.
patient aged 50 years getting antihypertensive & atorvastatin for hyperlipidemia for last 10 yrs. USG shows grade 2 fatty liver. Had 2 attacks of UTI in last 3 months. Had total hysterectomy 15 months back. What to do?
I have been suffering from heavy cough for past two to three days and while coughing, my head is spinning and paining for few wile and am feeling fatigue for wile and my digestion is also not in the proper manner.
I am a 44 years old male, I am suffering from gastritis since 4 years, I need to take pantaprazole d twice weekly, is it safe? I get chest burn and sometimes regurgitation, if I take pan D I will be fine.
I am having high acidity and breathe problem so I have to use pump for normal breathe so I wanna solution to relief from it.
Dear Sir, last one month I couldn't take sound sleep. 2-3 time I wake up from sleep, during sleep I saw various horrible dream, how can I relief. I am 28 years old, female, 56 KGS, I am married. I have taken Gastric medicine. Pls doctor help me.
If you are in the habit of consuming alcohol excessively and notice redness on the palms of the hands or pale stools, then it might point to liver disease. These are one of the many symptoms of alcoholic liver diseases which is the collective terms for liver diseases occurring due to alcohol overconsumption which includes fatty liver, hepatitis, and cirrhosis. Read on to know about this condition in brief.
Causes and The Risk Factors
The main cause of the disease is overconsumption of alcohol though not all of the heavy drinkers develop this disease and the cause is not clearly understood. But it is found that a toxic chemical called acetaldehyde produced by alcohol damages the liver leading to its scarring and ultimately resulting in cirrhosis or an end state disease of the liver.
It is also noted that the people who consume liquor and beer or spirits are at greater risk of developing the alcoholic liver disease as compared to the ones who consume different alcoholic beverages like wine. Further, studies have revealed that women metabolize alcohol slower as compared to men and hence they are at a greater risk of developing the disease. And women who consume alcohol more and at the same time are on the heavier side have a high chance of developing a chronic liver disease which might even lead to death. Genetic factors increase the chances of developing a disease of the liver too.
If the alcoholic liver disease is suspected, tests such as complete blood count, liver biopsy, liver function tests and coagulation studies might be conducted to confirm the diagnosis and proceed with the treatment.
Prevention and Treatment
For the prevention of alcoholic liver disease, the most critical step is to stop the intake alcohol completely. If you stop consuming alcohol, the risk for the rapid acceleration of the liver disease stops and then you can proceed with the further treatment procedures. If you cannot give up alcohol altogether, it is recommended to limit the intake of alcohol to only one or two drinks per day but is best to stop completely.
The causes and the risk factors of the alcoholic liver disease vary from one person to another, and similarly, the procedures of treatment also vary depending on the condition of the liver of the affected person.
Medications are used to treat the liver disease which depends on the condition of the liver. The healthcare professional decides the course of medication as per the requirements. In some severe cases, the doctors are left with the only option of liver transplantation which is the only definitive therapy in modern medical science, but that involves a lot of risks and other complications. So when it comes to alcoholic liver disease prevention is better than cure.
In case you have a concern or query you can always consult an expert & get answers to your questions!