Hello dear See as per clinical history it seems ibs chances Iam suggesting some tests for confirmation of exact diagnosis and best treatment. Please share the result with gastroenterologist or laproscopic surgeon for better clarity Please donot take any medication without consulting the concerned physician Esr Cbc Serum b12 Serum b6 Stomach USG Serum RBS Hemogram Serum ferritin Sigmoidoscopy or colonoscopy if recommended by gastroenterologist Hopefully you recover soon Regards
Given the chronicity and nature of your symptoms, it’s crucial to delve deeper into possible underlying causes like inflammatory bowel diseases (IBD) such as Crohn’s disease or ulcerative colitis. The persistent blood in stool and abdominal pain, alongside the intermittent symptom presentation, point towards these conditions. It’s also possible that other disorders like irritable bowel syndrome might be present, though the presence of blood leans more toward IBD. Internal hemorrhoids or recurrent infections like schistosomiasis could contribute to your symptoms but are less likely primary causes given your treatment history and wider symptom profile. You’ve already tried approaches that might suggest these conditions, such as anti-acid and anti-amoebic treatments but without a lasting resolution. Further investigation is necessary to clarify the cause. A colonoscopy would be a vital next step since it offers direct visualization of the colon and can identify inflammation, ulcers, or structural issues and allow for biopsy if necessary. In addition, considering the differential diagnosis list, blood tests for inflammatory markers like C-reactive protein (CRP) or erythrocyte sedimentation rate (ESR), and fecal calprotectin can help detect inflammation typical of IBD. Imaging studies like a CT scan or MRI of the abdomen might be warranted if structural or abscess complications are suspected. Considering the bleeding, a rectal examination could clarify if hemorrhoids contribute to your symptoms. Make an appointment with a gastroenterologist for specialized tests and to discuss these investigations. The recurrence shortly after ending treatments indicates the need for a more focused diagnostic approach, rather than intermittent symptomatic treatment. Addressing underlying inflammation or structural issues could offer more enduring resolution than anti-amoebic medication or antacids.
