Hello dear See as per history i think you are having malabsorption It is probably due to dengue post operative effect Ideally it should subside by it own but your body is not recovering as pery clinical experience Iam suggesting some tests Please get them done for confirmation Serum ferritin Serum RBS Esr CRP Serum b12 Lft Rft Please share the result with general physician medicine for better clarity Please donot take any medication without consulting the concerned physician Regards
Hello Hasan Most likely causes: - Irritable Bowel Syndrome (IBS): This can cause changes in stool consistency, incomplete evacuation, and mild abdominal discomfort, especially after certain foods. - Post-infectious gut changes: Sometimes, after an infection like dengue, the gut can remain sensitive for months. - Food intolerance or mild gastritis: Spicy foods can trigger symptoms in sensitive individuals.
What you can do: - Diet: Try a bland diet for a few days—avoid spicy, oily, and heavy foods. Eat small, frequent meals. - Hydration: Drink plenty of water. - Probiotics: Consider adding curd/yogurt or a probiotic supplement to help restore gut balance. - Monitor: Keep a food diary to track which foods worsen your symptoms.
Rx- Rifaximin 400 mg - one tablet a day for 3 days
Thank you
Digestive issues like the ones you’re describing can be bothersome, and understanding what’s going on can help take appropriate action. Given the symptom pattern — nausea after eating, variable stool consistency, yellowish stool color, and mild pain, especially post consumption of spicy foods — there are a few possibilities to consider. Your normal hemoglobin, ultrasound, and liver function tests suggest that some of the more serious conditions have been ruled out, which is reassuring. The history of dengue is not likely related to your current symptoms since you have indicated it’s resolved. From what’s described, one consideration could be a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS), which can account for the irregular stool shape and consistency as well as pain linked to specific foods. Dysbiosis, or an imbalance in gut bacteria, can also affect stool color and digestional processes; prolonged such imbalances sometimes arise after an illness like dengue. Yellow stool might also suggest rapid transit through the gastrointestinal tract or malabsorption issues, though less likely if your digestion reports and LFTs are normal. Potential food intolerances, such as lactose or gluten intolerance, could contribute to these symptoms, especially if certain foods trigger the symptoms more than others.
Consider maintaining a detailed food journal for a couple of weeks to track what you eat and note any triggers that correlate with symptom flares. Exploring a structured elimination diet may also help identify potential intolerances. Probiotics could potentially improve gut health if microbiome imbalance is suspected. Given the ongoing nature of these symptoms and their diversity, I would strongly recommend consulting a gastroenterologist. They might consider further tests, such as stool studies to evaluate for infections or malabsorption disorders, breath tests (e.g., for lactose intolerance or small intestinal bacterial overgrowth [SIBO]), or even endoscopy, if indicated acute symptoms persist or new worrisome symptoms develop. Ensuring hydration and a balanced diet, while managing stress, can be helpful as well. Should your symptoms significantly worsen or if you notice any alarming signs like severe pain, unintended weight loss, blood in stool, or persistent vomiting, seeking immediate medical attention would be vital, as these could signal more serious underlying conditions.
