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Not able to digest properly, high BILIRUBIN levels.

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My name is Koustav Bose and I am 25 years old. For the last 3 years I have had problem related to my gut. Actually its more mental I guess. I always worry a lot about my health. And because of that I have had various physical ailments over the years. I think I am not able to digest food properly. And I always need to use the look 4 to 5 times a day. Simplest of things like sitting posture, sleeping posture, drinking any hot stuff etc. Triggers my bowel movement. I get bowel movements even when I am stressed. I recently got the LFT done. And discovered that the bilirubin level in my blood is slightly high. So the doctors prescribed me some medicines and I followed them and the bilirubin came down. I have taken omez 20 pill regularly and now I am not able to let go of that. Any suggestion would be exteramly helpful.

Category: Gastroenterologist, Medical

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Category: Hepatologist
Dr. Ratnakar Kini is online now

Expert:  Dr. Ratnakar Kini replied 4 Days.

Thank you for your query at DoctorSpring.com
I understand your concern.
I can also understand your apprehensions about your continuous bowel movement. If you're going 4-5 times a day, it is possible you have irritable bowel syndrome.
What is the consistency of your stool? How has the frequency been recently? Do you feel bloated after food? Are you involved in active exercise?
I will get back to you, once you answer my questions.

Patient replied :

Hi, The consistency is mucoid. During the bowel movement I get stomach cramps. Although I am getting these cramps for the last few days only. I sometimes get burning sensation aswell. And the stool is kind of discolored. Thanks, Koustav

Expert:  Dr. Ratnakar Kini replied 3 Days.

Some people do tend to get more bowel movements when they are stressed and that could be the cause of your persistent bowel movements.
As of now I want you to try these following medicines and update me after a week :
1) Tab. Ofloxacin-Ornidazole twice daily for a week after food.
2) Tab. Albendazole one tablet at bed time.
3) Continue Omeprazole
4) Probiotic lactobacillus capsules, once daily at bed time.
Please continue this medicines for 7 days and let me know about the consistency of your stools.

Patient replied :

Hi, I've followed the medicines prescribed by you for 4 days now. And I am already feeling much better. The consistency of the stool is ok and I use the loo only once a day. How long should I continue with this medicine? If you could please suggest a proper diet for me so that I could avoid such issues in future. I was on a strict diet of only boiled rice and boiled split lentils for the last few days which helped me a lot. Since I live outside my state so I am unable to get food which I usually consume. There is one more thing I cannot consume too spicy food as it causes wind and a burning sensation. Regards, Koustav

Expert:  Dr. Ratnakar Kini replied 2 Days.

That is great to know that you're feeling better.
Ofloxacin-Ornidazole can be taken for a maximum of 5 days.
Regarding Omeprazole, you should continue it for 2 weeks.
You can have your normal meals. Avoid peanuts, broccoli, cabbage, cauliflower, whole-gram cereals, dairy products ( switch over to skimmed milk ) and have brown rice if possible, In non-vegetarian food try to stay away from fried foods.

Dr. Ratnakar Kini
Category: Hepatologist
Fellowship - DM - TN Dr.MGR Medical UniversityResidency - TN Dr.MGR Medical University Medical School - Stanely Medical College, TN Dr.MGR Medical University
Dr. Ratnakar Kini and 4 other Medical Specialists are ready to help you

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