Hi,
Thanks for posting your query at DoctorSpring.com
I am Dr.R.K and I am pleased to assist you.
I would like to have some more information before I can assist you.
1. Your age and sex
2. Do you get abdominal discomfort before bowel movements which gets relieved after bowel movements?
3. Any blood or mucus in stools?
4. Do you wake up from sleep for bowel movements?
5. Any weight loss?
6. Any other medical illness?
7. Small bowel biopsy done?
8. Are you on any medications?
Regards,
Dr.R.K.
Patient replied :
1. 26 years old, Male
2. Sometimes, yes.
3. No blood or mucus.
4. Rarely wake up for bowel movements.
5. No weight loss.
6. No medical issues.
7. Yes, and a cat scan and a colonoscopy and edoscopy. All turned out negative.
8. I am on Lexapro 10mg, but this started 2 years into the medication.
Thanks!
Fares
Hi,
Thanks for getting back to me with more information.
This may not be due to intolerance to certain food items. It could be due to irritable bowel syndrome.
I would advise you to get a stool test, a complete blood count, test for celiac disease and test for fructose intolerance done before calling it as irritable bowel syndrome.
Let me know if you have any more questions.
Regards,
Dr.R.K.
Patient replied :
Thanks, I actually had all those tests and they turned out negative. What would the next steps be for me?
Hi,
Then the treatment should be for irritable bowel syndrome.
Take Rifaximin for 2 weeks.
Take either colospa retard or librax along with ramiseteron for 4 weeks for relief.
Avoid milk and milk products.
Discuss with your doctor for prescription .
Regards,
Dr.R.K.
Patient replied :
What are all these and what do they do?
Rifaximin is an antibiotic given for bacterial overgrowth. Similar patients have been cured after a week's treatment with Rifaximin.
The other medicines will help in relieving your discomfort too.
Regards.