instruction: i am 40 years old my digestion is always a concern for me but since last month I am having blowing stomach cramps stool discharge 4 times a day medicine taken rifagut actigut for days mental spas continuous pentaprazole 20 days till no at present blowing reduced but stomach cramps stool discharge 4 times a day still persist us abdomain found minimal edamatus wall ave 3mm noted in sigmoid colon rest is ok as per stool test macrophagus present a few kindly advise
output: hello I welcome you to icliniq I can understand you must be very upset about your problem well the symptoms you mention seem to be occurring due to irritable bowels the irritable syndrome is a gastrointestinal entity where patient has abdominal pain which change with physiologic activities such as defecation belching this abdominal pain can accompany diarrhea which is called as irritable bowel syndrome is diarrhea predominant is to be precise the blood test urine test and ultrasound abdomen that you shared are very much within normal limits so do not be worry at moment you said stool test contain macrophages but I cannot see any stool detail report among files you uploaded well macrophages or leukocytes can be present in stool harmlessly and does not suggest any diagnosis by its own I would recommend you to get some more stool test that can determine it clearly so the is usually affects small and large bowel and it is not uncommon to have concomitant stomach irritation which is called functional dyspepsia so part of your symptoms such as stomach cramps bloating are secondary to stomach irritation you are on lots of medications many with similar drug class that does not seem a wise to continue for now I just recommend you some medication you can use them and let me know in one week time how that work in your case please find below investigation and treatment plan good day irritable bowel syndrome with functional dyspepsia stool for pyloric stool for fecal calprotectin stool for detail report for ova and parasites and for giardiasis stool for fat globules reducing substance and stool spot na and spot levels serum ash ft4 and ft3 random blood sugar and hba1c inflammatory bowel disease endocrine disorders diverticular disease of sigmoid pyloric gastritis gastroparesis is plus fed tab rifaximin 200 my thrice daily for weeks tab mebervine my 200 my twice daily reduce some weight avoid gas producing diets such as nuts peas cauliflower cabbage certain cereals which you think causing increasing bloating follow up after investigation