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Khizra Naz
Khizra Naz, GP
Category: Oncology
Satisfied Customers: 1064
Experience:  GP training at St helens and knowsely trust (Acute Worcestershire Hospital Trust, Ul
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During lockdown i have had bouts of constipation, i have

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HI during lockdown i have had bouts of constipation, i have been exercising regularly and also drinking most nights, and drinking more on the weekends . recently i have had bouts of bloating after drinking. I have just started taking Buscopan to see if that helps. I have had two fecal tests which return negative in the last six months. ?

Hello My name is***** will try my best to help you today.

I am really sorry that you are going through this. It must be really difficult for you.

Customer: replied 8 days ago.
annoying yes

What are you concerned about?

How often do you open bowels?

Customer: replied 8 days ago.
very slow metabalism, bloating, constipation is ongoing, I do go but not fully first time.
Customer: replied 8 days ago.
I do go once a day
Customer: replied 8 days ago.
if i have been drinking its worse

Do you burp a lot?

Any weight loss?

Any family history of colon cancer?

Customer: replied 8 days ago.
no weight loss, have been burping a bit yes
Customer: replied 8 days ago.
no family history

Does this constipation alternate with diarrhea?

Customer: replied 8 days ago.
no , no diarrhea,
Customer: replied 8 days ago.
i can go each day but have to strain sometimes
Customer: replied 8 days ago.
A lot of gas as well

Do you get difficulty in sleep?

Any stress?

Customer: replied 8 days ago.
not in sleep, yes a lot of stress

Thank you for giving me all the info. It's IBS(irritable bowel syndrome), Details are as below:

Treatment of IBS focuses on relieving symptoms so that you can live as normally as possible.

Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle. Try to:

  • Avoid foods that trigger your symptoms
  • Eat high-fiber foods
  • Drink plenty of fluids
  • Exercise regularly
  • Get enough sleep

Your doctor might suggest that you eliminate from your diet:

  • High-gas foods. If you experience bloating or gas, you might avoid items such as carbonated and alcoholic beverages and certain foods that may lead to increased gas.
  • Gluten. Research shows that some people with IBS report improvement in diarrhea symptoms if they stop eating gluten (wheat, barley and rye) even if they don't have celiac disease.
  • FODMAPs. Some people are sensitive to certain carbohydrates such as fructose, fructans, lactose and others, known as FODMAPs — fermentable oligosaccharides, disaccharides, monosaccharides and polyols. FODMAPs are found in certain grains, vegetables, fruits and dairy products.

A dietitian can help you with these diet changes.

If your problems are moderate or severe, your doctor might suggest counseling — especially if you have depression or if stress tends to worsen your symptoms.

In addition, based on your symptoms your doctor might suggest medications such as:

  • Fiber supplements. Taking a supplement such as psyllium (Metamucil) with fluids may help control constipation.
  • Laxatives. If fiber doesn't help constipation, your doctor may recommend over-the-counter laxatives, such as magnesium hydroxide oral (Phillips' Milk of Magnesia) or polyethylene glycol (Miralax).
  • Anti-diarrheal medications. Over-the-counter medications, such as loperamide (Imodium A-D), can help control diarrhea. Your doctor might also prescribe a bile acid binder, such as cholestyramine (Prevalite), colestipol (Colestid) or colesevelam (Welchol). Bile acid binders can cause bloating.
  • Anticholinergic medications. Medications such as dicyclomine (Bentyl) can help relieve painful bowel spasms. They are sometimes prescribed for people who have bouts of diarrhea. These medications are generally safe but can cause constipation, dry mouth and blurred vision.
  • Tricyclic antidepressants. This type of medication can help relieve depression as well as inhibit the activity of neurons that control the intestines to help reduce pain. If you have diarrhea and abdominal pain without depression, your doctor may suggest a lower than normal dose of imipramine (Tofranil), desipramine (Norpramin) or nortriptyline (Pamelor). Side effects — which might be reduced if you take the medication at bedtime — can include drowsiness, blurred vision, dizziness and dry mouth.
  • SSRI antidepressants. Selective serotonin reuptake inhibitor (SSRI) antidepressants, such as fluoxetine (Prozac, Sarafem) or paroxetine (Paxil), may help if you are depressed and have pain and constipation.
  • Pain medications. Pregabalin (Lyrica) or gabapentin (Neurontin) might ease severe pain or bloating.
Customer: replied 8 days ago.
ok what are your thoughts on BUscopan?

It should help you.

And I don't think it is cancer.

Customer: replied 8 days ago.
ok ill see how i go over the next couple of weeks and go from there.

Great. Can you kindly rate 5, it would be really appreciated.

Khizra Naz and other Oncology Specialists are ready to help you
Customer: replied 8 days ago.
for sure,