Long-term Intestinal Issues and Discomfort

Question #24539

45 days ago

Long-term Intestinal Issues and Discomfort - #24539

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Tenho um problema intestinal que já dura bastante tempo 2anos. Após um episódio em que segurei a vontade de evacuar e depois tive diarreia, meu intestino nunca mais funcionou normalmente. Tenho dificuldade para evacuar, sensação de não evacuar por completo, saída frequente de muco, muitos gases com cheiro forte e sensação constante de mau cheiro, o que tem me causado muito constrangimento. Isso tem afetado muito minha qualidade de vida e meu emocional. Gostaria de orientação médica já fiz muitos exames mais não deu nada

How long have you been experiencing these symptoms?:

- More than 6 months

Have you noticed any specific foods that trigger your symptoms?:

- Yes, certain foods

How would you rate the severity of your symptoms?:

- Severe, constant discomfort

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

45 days ago

Hello dear
See as per clinical history it seems either ibs or gerd
Differential diagnosis includes malabsorption syndrome.
I am suggesting some tests for confirmation of exact diagnosis and best treatment
Please share the result with gastroenterologist or general physician medicine for better clarity and for safety please donot take any medication without consulting the concerned physician
Serum ferritin
Serum RBS
Stomach USG
Urine analysis
Rft
Lft
Culture
Endoscopy
Anascopy if recommended by gastroenterologist
Rectal physical examination
Esr
Cbc
Hopefully you recover soon
Regards

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

45 days ago

Hello
Since your symptoms have lasted more than 6 months and include difficulty passing stool, feeling of incomplete evacuation, mucus discharge, abdominal pain, and excessive foul-smelling gas, this needs proper medical evaluation.
Possible causes include:
Irritable Bowel Syndrome (IBS)
Chronic constipation with rectal irritation
Inflammatory bowel disease
Gut infection or imbalance of gut bacteria
Less commonly, structural problems
You should consult a gastroenterologist for examination. They may suggest stool tests, blood tests, or colon evaluation if needed.
In the meantime:
Increase fiber gradually (vegetables, oats, psyllium)
Drink plenty of water
Avoid holding stool
Reduce gas-producing foods (fried food, excess dairy, carbonated drinks)
Consider probiotics
Seek urgent care if you notice blood in stool, weight loss, fever, or severe pain.
This is treatable, but proper diagnosis is important.
I trust this helps
Thank you
Take care

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

45 days ago

Your long-term symptoms most likely suggest irritable bowel syndrome or chronic functional constipation rather than serious disease, but since it has persisted and is affecting your life, you should consult a gastroenterologist for evaluation and proper treatment to restore normal bowel function and improve your comfort.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

45 days ago

Halo
Entendi como isso está afetando seu dia a dia e seu emocional. Vou te explicar o que pode estar acontecendo e o que você pode fazer a seguir:
O que pode ser?
Seus sintomas — dificuldade para evacuar, sensação de evacuação incompleta, muco frequente, muitos gases com odor forte e sensação constante de mau cheiro — são comuns em condições como síndrome do intestino irritável (SII/IBS), disbiose intestinal, ou até uma inflamação leve do intestino. Às vezes, após um episódio de diarreia forte, o intestino pode ficar mais sensível e desregulado, principalmente se houve uso de antibióticos ou mudanças na flora intestinal.
O que fazer agora?
1. Alimentação:

- Prefira fibras solúveis (aveia, maçã, banana, cenoura cozida) e evite excesso de fibras insolúveis (farelo de trigo, folhas cruas) se estiver com gases e desconforto.
- Evite alimentos que fermentam muito (feijão, repolho, refrigerantes, adoçantes artificiais).
- Beba bastante água.
2. Probióticos:

- Probióticos podem ajudar a regular a flora intestinal. Iogurte natural ou cápsulas de probióticos podem ser úteis.
3. Evite segurar a vontade de evacuar:

- Sempre que sentir vontade, tente ir ao banheiro para não piorar o funcionamento do intestino.
4. Atividade física:

- Caminhadas e exercícios leves ajudam o intestino a funcionar melhor.
5. Controle do estresse:

- O intestino é muito sensível ao emocional. Técnicas de relaxamento, respiração ou até acompanhamento psicológico podem ajudar.
Rx- Rifaximin 400 mg - once a day after food for 7 days
Quando procurar um médico?
- Se houver sangue nas fezes, perda de peso sem explicação, febre, ou dor abdominal intensa.
- Se os sintomas persistirem por mais de 4 semanas, é importante consultar um gastroenterologista para avaliação detalhada, exames (como coprocultura, parasitológico, colonoscopia se indicado) e tratamento adequado.
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

43 days ago

Considerando seus sintomas, pode ser útil explorar a síndrome do intestino irritável (SII), embora esse diagnóstico geralmente seja feito após excluir outras condições. Os sintomas como a dificuldade para evacuar, saída de muco e gases frequentes são comuns na SII. Dadas as suas experiências passadas, é possível que o estresse ou hábitos intestinais alterados tenham contribuído para esses sintomas persistentes. Primeiro, uma avaliação completa por um gastroenterologista é importante. Eles podem considerar exames adicionais para verificar problemas menos comuns, como sobrecrescimento bacteriano no intestino delgado (SIBO) ou intolerâncias alimentares específicas. Enquanto isso, ajustar a dieta pode ajudar. Considere seguir uma dieta baixa em FODMAPs, que tem mostrado trazer alívio para indivíduos com SII. Essa dieta reduz certos carboidratos que podem fermentar no intestino e exacerbar os sintomas. Introduza essas mudanças lentamente e, se possível, trabalhe com um nutricionista que possa ajudar a guiar o processo. Aumentar a ingestão de fibras pode ajudar na constipação, mas é crucial encontrar o tipo certo (como o psyllium) que não agrave os gases. Manter um diário alimentar para identificar alimentos que desencadeiem os sintomas pode oferecer pistas valiosas. Além disso, gerenciar o estresse através de práticas como a meditação ou terapia comportamental pode auxiliar. Se os sintomas piorarem ou estiverem acompanhados de sinais de alerta como perda de peso inexplicada, sangue nas fezes ou dor severa, é fundamental procurar atendimento médico urgentemente. Avançar com essas abordagem pode levar tempo, mas muitas pessoas veem melhorias significativas com tratamento adequado e um manejo contínuo dos sintomas.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

42 days ago

Chronic symptoms like difficulty passing stool, mucus discharge, incomplete evacuation, and gas for 2 years may be related to conditions such as irritable bowel syndrome (IBS), pelvic floor dysfunction, or gut motility problems, even when routine tests are normal. Since your symptoms are severe and affecting your quality of life, further evaluation with specialized tests (stool studies, colon evaluation, or pelvic floor assessment) may be needed. Please consult a gastroenterologist for detailed assessment and targeted treatment.

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