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


Bilvadi churna,kutaj ghan vati,bel murabba, Isabgol + milk at night,rice, buttermilk,khichdi,kadhi made with rice flour. To avoid wheat flour,maida,rava=suji,lapsi dalia,jav= barley,bajri,leafy vegetables, spices,tea, coffee, pickles.Abdominal cold packs on empty stomach.

IBD Rx Tab. Saaz 500 mg 1-1 Riflect 200 mg 1-1 Bland diet Normaxin RT 1-1

Chronic ameobiasis/IBS Tab metrogy 800mg tds×10days Tab librax bd .

Histopathology shows inflammatory bowel disease It may suggest ulcerative colitis or crohn's disease as differential diagnosis Adv Fecal calprotectin level done in stool test Positivity suggest inflammatory bowel disease Initial treatment can be T. Mesalamine (Mesacol) 400 mg Three tablet three times a day

Looks IBD.. needs diet and Specialist opinion

Steroid retention enema,,Isabgol at night.

What is the colonoscopy report? HPE report is IBD , Bland diet ,low in fat and spices Rifagut + probiotic course Salazopyrin 500 mg BD Depending on colostomy report, severe cases will receive steroids by enema / oral route .

IBD Colonoscopy/Proctoscopy CBC, HIV, LFT Gut sterilization Anxiolytic Antidepressants High fibres diet

Case of irritable bowel Syndrome Tab Librax 1 bd Less spicy food Naturolax powder 2 tsf tds With curd Tab Ativan 1 mg at bedtime

May be Intestional amoebiasis. IBS is also suspected. Check for S.Serotine at Stool test...

Aloe soc 30

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