A 55-year-old male was presented with loose bowel movements (up to 6 times daily) accompanied by fecal urgency. y. He also experienced abdominal cramping, excessive flatulence, bloating, and abdominal distention. Suggest the treatment.

Complicated Anorectal case *Chief Complaints* 26 Years old male patient C/o severe pain & burning while defecating and hours after that. On proctoscope examination reveal swelling in anal canal ( piles ? ) and TRUS report attached which suggest the same. No h/o constipation as such. However, irregular lifestyle with no fix times for meals or excretory activities. Eating outside because travelling job. *History* Patient took below prescription from a general surgeon for 10 days Cap. RBSON D BD Tab. Oflox Oz BD Tab. Xymoheal D BD replaced by SignoFlam in later 5 days Anobliss ( Nifedipine + Lignocaine ) Cream for LA Syrup. Cremafinn Plus 15 ML at bed time Tab. Hilo ( Ayurvedic Preparation ) But no improvement. Urine retention also there. Was admitted with Foley's catheter for 4 days since 5 days following the same. *Investigations* Blood reports including infective etiology including HIV 1 &2, HBSAG, HSV, VDRL Negative. Apart from creat 1.2 ( possibly due to urine retention ) Urine RM findings negative. Please suggest the diagnosis and best line of treatment. *Management* EDIT - I got USG abdomen done to rule out high Creatinine. USG is normal. Moreover Urine CS shows E COLI growth 40,000 CFU/ml after 10 days of Oflox Oz and other symptomatic course. It showed sensitive to Amoxyclav so have started augmentin BD for the last few days and urine retention complaint has improved. But lately he has developed blood drops ( clotted & liquid form ) while defecating which aren't that painful. Is there any agressive which needs to be done?

6 year old girl, complaints of headach, abdominal pain with bloody stool and frequent constipation, fever since 20 days....CBC normal, widal normal, probable diagnosis??

male/28 years complaint of desires for stools immediately after eating food stools are normal He has lost weight of 5-6 kgs in last 2 months The complaints increases whenever he took any spicy or outside food. Please suggest me the treatment with proper detailed diet plan. Report is attached. Suggestive of chronic collitis- IBD Thanks in advance

A male aged 54 years who is a known diabetic *Chief Complaints* P/R Bleeding (on/off) Pain Lower Abdomen (x 20 days) *Physical Examination* Not significant Pall(+) Proctoscopy showed no e/o hemorrhoids