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My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...

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Hi I'm dealing with pericarditis for almost a year! One year in prednisones (average of 20 mgr/day) and colchicine! No improvement in my health. Every single result of any test like blood work cancer TB MRI .., every thing was negative ! What should I do? I'm tired! Eventually I was told I have idiopathic recurrent pericarditis

Hi, Usually the first line of drugs for idiopathic pericarditis are nsaids and colchicine. They are given only when attacks reoccur or you are not satisfied with simple pain killers(nsaids) because colchcine are better relievers and help reduce inflammation and reoccurence. Prednisone is given even after when further attacks occur quite frequently( It is given for a period of around 3 weeks after which the dose is tapered and they should be able to control your symptoms) . Occasionally a short ...

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Dr. Puneet Madan

General Physician
New Delhi, India
1437 Doc Points

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