Asked for Male | 29 Years
Expert Strategies to Manage IBS and Gut Pain
Patient's Query
Hi Sir, kindly help me out to get out confusion and frustration. This is my Clinical summary -Rohan, a 29-year-old male, presented with chief complaints of reflux symptoms and severe abdominal pain persisting for the past 3 months.Sometimes diarrhea.Upon examination, his vital signs were stable. Diagnostic procedures, including gastroscopy and colonoscopy, were performed, leading to the diagnosis of a duodenal ulcer, pan gastritis and pathological findings of lymphocytic colitis. The treatment approach involved the administration of medications, as mentioned in the prescription, to manage the condition. Regular follow-up visits were recommended to monitor the progress and adjust the treatment regimen accordingly. After two and a half months of treatment, significant improvement was noted, with no abdominal pain reported, and the patient's overall well-being has improved. Consequently, the dosage of medications has been reduced. Continued monitoring and adherence to the prescribed treatment plan are necessary to ensure complete resolution of symptoms and prevent recurrence. This was my condition eight months ago. Right now I am very frustrated because of gut problem. It's paining even after following treatment and strict diet for eight months. I almost lost 8 kg. I went for second opinion My doctor told me that your ulcers are healed completely.And lymphocytic colitis was misdiagnosed. Now It's a IBS that causing the pain and not colitis.He prescribed me Librax(Clinidium+chlorobenzodioxide) along with Amixide h(chlorodizapoxide +amitryptiline) . Whenever my gut starts paining I took it and pain fade away.I am very confused about this.Stomach pain goes away and comes back. About year ago this problem has started. And just take those above medicines to cope up with pain One more thing to add here is that I was diagnosed with GAD (generalized anxiety disorder) few years back. I was taking escitalopram( Lexapro 10 mg)on and off prescribed by psychiatrist.But My Gastroenterologist told me to stop using lexapro as it can cause ulcer. Can you guys help me to correctly understand the disease and ways to overcome it.
Answered by Dr. Samrat Jankar
It seems that this disease has reached you without any diagnostic problem, and it turns out to be IBS.
The doctor associated with the management of your symptoms and provision of relief is putting you on medication which includes Librax (Clinidiumchlorobenzodioxide) and Amixide H (chlorobenzodioxide amitriptyline). This particular type of drug worked effectively in relieving you from the pain just like it had no existence at all.
It is necessary to emphasize that IBS can be long-term and would probably demand long-term therapy. You are advised by your doctor to follow the instructions as they have been given and take all the medications that have been prescribed to you as directed. Close visits with the gastroenterologist are vital to achieving progress and controlling the treatment by your doctor.
If you had GAD in your earlier years, you need to make some lifestyle modifications since it can affect your gut health. On the one hand, Lexapro withdrawal caused intestinal ulcers because your gastroenterologist instructed me to stop using it, but on the other hand, it was necessary to prevent ulcers.

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