Hello doctor, I am 30 years old. I was diagnosed with non-ulcer dyspepsia seven years back. Was treated with probiotics and it helped a little bit. Now my complaint is frequent flatulence (foul smelling) and irregular bowel movements (sit 3 to 4 times daily with only 1 episode of almost complete defecation and others scant and incomplete). History of frequent flatulence for 5-6years, acute gastritis after heavy alcohol intake 3-4 times by last year managed with antacids. My dietary habits are irregular (timings) with missed diets 3/4 times a week. I smoke occasionally. History of alcohol intake 180 ml hard liquor, 3 days a week for 5 years, 5-6 days a week for an year, 300 ml 5-6 days a week for an year. I have no other medical co-morbidities or past surgeries. OCD for 4-5years being treated with SSRIs- Fluvoxamine for 3 years and Escitalopram for the past 10 months. PPIs for 10 days 5 times in 6 years. Family history: nothing significant. Did a fibroscan-liver, LFT and USG-abdomen 10 mnths back and were normal. LFT every three months since then were normal. Now may I please know what will be the solution for my current complaints?
Hi. It looks like IBS symptoms. You need medicine along with some lifestyle changes. Continue Escitalopram and Isabgol. Take tablet Rifagut 550 mg twice daily, tablet Normaxin twice daily, tablet Esomac 40 mg once daily before breakfast, tablet Folvite 5 mg once daily.