instruction: hey doctor how do you do to be honest am not fine when we come to ma point I have a symptoms like going to toilet many times in a day and also farting much times in a day over 100 times am from poor family once I tried in hospital but because of money I can continued it took many years and influenced me for isolation of social lifes even if from school now I am a and year university student and I have many ideas what I want to do but I cannot please help me
output: hello I welcome you to icliniq I am sorry to hear that you have been such distressful times I really hope with the following advise your problem solve for rest of your life well you it is not uncommon to have fart and burping since these are the normal process of body of emitting gases which are produced in the small bowel however excessive gases are produced in someone who have problem with two things carbohydrate maldigestion the corbohydtates are the major component of our diet approx 70 of diet we take it is carbohydrates this carbohydrates are fermented by small bowel bacteria and produces excessive gases one such example is milk and wheat grains and barley rye etc you have to cut them to half before excessive production of gases can be prevented at least you should try avoiding milk and milk based dairy production such as coffee tea icecream and sweets you can learn more about the foods who are carbohydrates and who frequently cause excessive gas production on the internet dysbiosis excessive of gas producing bacteria and lack of lactobacillus which help digest corbohydrats this altered composition of bacteria is due to many factors namely last use of antibiotic use enviormental influence sorts of diet one take and water one take the one way is to treat this dysbiosis with a 10 day antibiotic course tab rifaximin 500 my twice daily for 10 days followed by use of probiotic which are healthy bacteria reguraly for months at least with the above explanation and advise you would be in good position to treat your condition lastly only food modification can improve your symptoms by 50 so I suggest you to start with that there are formal testing for dysbiosis by giving stool sample for microbiota spectrum analysis but this is not currently performed in many countries you can check at your end if it being done over there I hope this will help you good day corbohydtates malabsoption dysbiosis carbohydrates malabsoption lactose intolerance follow up if want to discuss in more detail