Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
I have reviewed all your reports, you have low vitamin b 12 levels, apart from that the other reports are normal.
Regarding acidity, it is a common problem and a course of proton pump inhibitor will be helpful. Cap. Omeprazole 20 mg once daily before breakfast is recommended for 2 weeks.
About your breathing difficulty you need to elaborate more,
- Any history of chest pain?
- Any history of wheezing and allergies?
- From how many days have you been having difficulty in breathing? Is it through out the day? Do you have breathing difficulty even while doing daily activities?
- Did you get an x ray done?
Feel free to discuss further,
Regards.

Hello,
Thank you for the follow up.
In that scenario, start taking Omeprazole as I advised and I will need to see your chest x ray. Based on that I can advise you further. Meanwhile you can start yourself on low dose salbutamol during exertion periods, one tablet 4 mg can be taken once in the morning.
Hope this was helpful,
Regards.

Hello,
Then you can try salbutamol for a week.
For constipation high fiber diet, adequate water ( 3-4 liters per day ), more of cereals such as oats will be helpful. If the constipation is extreme, then you can take syrup lactulose 20 ml every night before sleeping, and a course of lactulose syrup for a week will help in regularizing your bowel movements.
Regards.

Hello,
It is mostly due to excessive gas formation.
Once you take the medicines as I suggested, you will be fine.
Regards.