instruction: hello doctor my husband has been having a lot of issues in the past year he does have a history of colon cancer in his family and I am more concerned he gets excessively bloated looks like a pregnant lady very often he gets bad gas that causes pressure on his chest sometimes he will have problems of belching or passing any kind of gas he will have numbness and tingling in his hands sometimes he gets lower back pain stomach upset and abdominal pain that he describes as feeling like his stomach is being shredded he has trouble with bowel movements often and there is usually a lot of blood he does have hemorrhoids but it is still a lot of blood even with that and I do not know if it is related he is having pain in his testicles not with urinating or ejaculation he has an appointment with a gastroenterologist but it has been pushed back due to the pandemic please help he is currently on cymbalta xanax and adderall
output: hello it is good that you are concerned regarding your husband with a positive family history we should be alert for any conditions if they are running in the family as per you your husband has multiple gastric problems with back pain and numbness these problems may be due to indigestion and less physical work up it is very common in these lockdown days the alarming issue is he has blood in stool that cannot be ignored it may be due to hemorrhoids but complete checkup is necessary I will advise you some medicines and blood investigation that should be done as early as possible avoid spicy and fatty diet and water intake should be adequate start some physical workup like cardio on treadmill if not possible to go outside regular habit of walking after ever meal will help get back to me any time after investigation gastric upset with bleeding or rectal bleeding colonoscopy with biopsy ultrasound whole abdomen and pelvis complete hemogram with let liver function test kit kidney function test and blood sugar syearup cremaffin four teaspoons at bedtime for seven days tablet rifagut rifaximin 400 my twice daily for seven days pan der pantoprazole once daily on empty stomach for seven days normaxin clidinium bromide chlordiazepoxide dicyclomine twice daily for seven days