Hello doctor, I am a 48 year old male, who is in good health. I have a long history of indigestion, mostly experienced as a pressure in the throat. About ten years ago, I had a clear endoscopy, and I took Nexium for six months and cut way back on alcohol drinking, which seemed to do the trick. I had occasional relapses over the recent years, but only after consuming four or more alcoholic drinks at night, which happens once a year. It always clears up a couple of days later. Currently, I consume one to two drinks at a time, twice a month, which causes no problems. About two months ago, I had three drinks a night for three nights in one week, and then I had a few more the following weekend. This caused daily indigestion, which stuck around for more than a week. I self-prescribed a course of Omeprazole and probiotics, but I had to stop around day 10 due to stomach upset. I had gas, bloating, cramps, and gurgling sounds. Things have gotten better over the last 14 days, but sporadic stomach upset persists, mostly after a bowel movement. I do not have gas and bloating anymore, but I have mild cramping. My stool has also firmed up much more than normal in the last week or so, but I am not exactly constipated. I also feel something in the anus, which I assume is hemorrhoid. I do not have pain or itching, but it did bleed once, after a hard bowel movement, several weeks ago. It did not recur even after more than six weeks. Since things were getting better, I planned to ignore it until I had a bowel movement today and noticed what looked like a worm. I have attached a picture of the stool, sorry for the graphic nature. Please suggest treatment for indigestion and worm infestation.
Hello. I have seen the attached photo (attachment removed to protect patient identity). For more information consult a medical gastroenterologist online -->