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

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.