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Dr Natasha

Dr Natasha Kumrah  | Answer  |Ask -

GP, Diabetologist, Gastroenterologist - Answered on Mar 20, 2023

Dr Natasha Kumrah is a general physician and diabetologist practising at Ruby Hall Clinic, a multispecialty hospital in Pune.
She has 11 years of experience in diabetes management, gastroenterology and general medicine.
Dr Kumrah completed her MBBS from the Maharashtra Institute of Medical Sciences And Research, Pune and her MD in general medicine from the Armed Forces Medical College, Pune.
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Chandan Question by Chandan on Mar 12, 2023Hindi
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My father is 88 years old...he has IBS since last 8 years. Last 6 months, along with IBS he has excessive gas issue which is leading to abdominal cramp, which is further increased drastically in last 2 weeks..I have consulted with gastro specialist 2 months back as well as ayurvedic doctor one week back....nothing abnormal found in investigation..As per them , due to age he has bowel movement problem. They has given some medication, which my father is regularly taking without no improvement. Pls also note that , my father's gall bladder also removed 12 years back..He is also on very restricted diet as per advice of doctor. Can you pls suggest for any improvement in the situation?

Ans: Hello Chandan ji.. I totally agree that with age digestive system becomes slow.. I will advise to take frequent small meals, avoid lying down immediately after meals, little increase in water intake at least up to 2 lit / day, and avoid milk and milk products. All thes may help to improve symptoms. Eating diary will help that what food items he is not tolerating.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Komal

Komal Jethmalani  |308 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Apr 15, 2023

Asked by Anonymous - Mar 11, 2023Hindi
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Hi komalji, I am 50 year old and Ihav what they call Irritiable Bowel Syndrome from 1998. since then i skipped breakfast and wud eat small snack in late afternoon and full meal in nights since eating in the morning or until i am very hungry wud intesity the stomach pain as my intestines were badly swollen for 15 years. From last two years i am having meal in the late afternoon and snacks in the night.but there is no consistency. I prefer to stay on empty stomach although it causes giddiness hunger etc. as eating worsens my condition as i cant digest food at all. i hav serious discomfort/pain/bloatedness after eating. this affects my mind too. My stomach is highly intolerant of many foods (i am vegetarian) including milk,dairy products, protein foods (they cause extreme anger within 20 mins) or vegetables that contain high content minerals. if i take supplements for vitamins or minerals they cause serious side effects including diarrhea, stomach pain, anger etc. but the poor nutritious food is also causing lot of health issues and doctors advise to eat a protein vitamin filled diet which i cant digest. its a catch 22 situation. i hav been to many doctors including homeo ayurveda and been abroad from last 25 years with no results. from last ten years my mind is seriously affected where i rage with anger 24/7 (thats right) for no reason since the deficiencies are causing anger and anxiety too. i am not working from last three years and unable to drive because of anxiety. i cant sleep until early morning and wake up within three to four hours of disturbed sleep from last ten years. my life is ruined becoz of this conditon which many people/doctors dismiss as trivial. friends relatives,siblings dont understand my situation and think i am making this up to compensate my failures in having a good job/income and hav cut off ties with me many years ago. I cud not marry becoz of this condition. gastro enterologists and neurologists hav told me that i will be like this all my life and i know they are right. however, i wud like to know your opinion.
Ans: Stress is a prominent factor in your diagnosis. One of main symptoms of stress is IBS. Follow a low residue and fiber diet. Eat small frequent meals in the day. Have lots of fluids. Have nutrient dense foods in small portions. You must not give in to your negative thoughts. Be positive and work towards improvising your lifestyle.

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