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What to do for constipation and piles with stomach bloating and burning sensation after eating?
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Digestive Health
Question #30347
14 days ago
64

What to do for constipation and piles with stomach bloating and burning sensation after eating? - #30347

Client_91123e

“I have been eating healthy food and taking Fabolite and Rexigut 400 mg, but my stomach still isn’t getting better. I have been suffering from constipation for more than a month. Whenever I eat outside food, my stomach gets upset immediately. I have developed piles, and I feel a burning sensation while passing stool. I also have gas, and my stomach feels heavy and bloated all the time.”...what should I do now?

How long have you been experiencing constipation?:

- 1-3 months

How often do you have bowel movements?:

- Daily

What does your diet typically include?:

- Balanced diet

Have you experienced any other symptoms along with these?:

- No other symptoms

How would you describe the pain or burning sensation?:

- Mild

Have you made any recent changes to your diet or lifestyle?:

- Yes, started a new diet

Have you tried any treatments for constipation or piles before?:

- Prescribed medication
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Doctors' responses

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.
14 days ago
5

Hello dear See as per clinical history it seems either ibs or gerd Differential diagnosis includes malabsorption syndrome. Probably back pain and weakness is also due to excessive blood loss and radiating pain from stomach 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 In addition Kindly avoid outside food 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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It sounds like you’re dealing with quite a few uncomfortable symptoms. Since you’ve already made some changes in your diet and are using medications like Fabolite (a bulk-forming agent) and Rexigut (which contains rifaximin, an antibiotic for gut issues), there are a few more steps you could consider. First, re-evaluate your fiber intake. It’s essential to get the right balance, as too much fiber can worsen bloating and gas. Aim for around 25-30 grams of fiber daily, and gradually increase your intake if needed. Ensure that you’re staying hydrated; drink at least 8 cups of water throughout the day, which can help soften stools and make them easier to pass. Additionally, introducing probiotics—either through supplements or fermented foods like yogurt—might assist in restoring your gut flora and easing your symptoms. Since you’ve developed piles, practicing good bowel habits is crucial. Avoid straining during bowel movements, as it can worsen hemorrhoids and cause more discomfort. Sitz baths, which involve sitting in a shallow bath of warm water for 10-15 minutes, can provide some relief from the burning sensation. If you’re experiencing persistence or worsening of these symptoms, particularly if accompanied by weight loss, rectal bleeding, or severe pain, it’s important to consult a healthcare provider. These could be signs of other conditions that might need more in-depth evaluation or treatment. Avoiding trigger foods that upset your stomach when eating out and continuing with a home-cooked balanced diet could help manage postprandial bloating. Consider seeing a dietitian, which can provide guidance on a digestive-friendly diet tailored to your needs. Remember, before starting or changing any medication, verify with a healthcare professional involved in your care.

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