instruction: hi doctor I am suffering from bloating since february and from march I am also experiencing severe constipation I have tried all dietary change but none seem to be helping me here for the past few days I was also experiencing pain in the abdomen sudden sensations in legs and mild pain in testicles so yesterday I went to see a local doctor and done the abc test all the parameters in reports were normal except platelets which were 90k without any further tests to know the underlying cause of low platelets the doctor wrote me some medication I am really very worried about my health and want to know the root cause of all these problems please help
output: hello your previous symptoms are suggestive of irritable bowel syndrome constipation type is provided you have no weight loss fever blood in stools and vomiting it is not a worrying disease and you just have to follow some lifestyle modifications and simple treatment as given below your low platelet count should be investigated first of all you should repeat it by manual microscope as machines can sometimes give false readings second as chronic malaria and dengue are common in your setup so it also needs to be investigated please share if you have any history of fever jaundice liver disease spleen enlargement or weight loss peripheral smear dengue serology ns1 malarial parasite hbsag by elisa anti hav by elisa ultrasound abdomen is thrombocytopenia cause movicol sachet in a glass of water every night for two weeks spaghol husk in glass of water continue tablet levosulpiride 25 my thrice a day before meals drink plenty of water exercise after investigations