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Managing Persistent Rectal Discomfort and Bowel Disruption
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Gastrointestinal Disorders
प्रश्न #48487
2 घंटे पहले
25

Managing Persistent Rectal Discomfort and Bowel Disruption - #48487

Aaron Meyler

I am sorry for the rather crude and embarrassing question, I am regular paying client here but I do have a quick question. After long standing bowel disruption from catheter and antibiotics I was just getting myself right when I got hit my a nasty uti in late November,put on more antibiotics and since my bowel issues have got worse I have been able to. Control the constipation but now I have developed a feeling on incomplete evacuation, but the hardest thing is a lingering rectal awareness, it's not sore but it's uncomfortable it's doesn't really feel like stool is sitting there but it's a non stop sensation that drives me mad I don't know if my use of magnesium oxide is driving my rectum or colon out or something , I have some. Small success taking ayhaberista with warm water it seems to help the discomfort but I am wondering if I should add kumarasava aswell to try and keep it settled through the day. I have reduced my. Magnesium oxide by half from 1000 mg to 500 mg nightly but plan to reduce it further to around 375mg but first I need to get this sensation irritation sorted out any suggestions would be warmly appreciated Thank you for all of valued advice so far and I plan to. Come back for further paid consults soon. Kind regards Aaron

How long have you been experiencing the feeling of incomplete evacuation?:

- 1-6 months

Have you noticed any specific triggers that worsen your bowel discomfort?:

- Stress

What is your typical bowel movement frequency?:

- Daily
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डॉक्टरों की प्रतिक्रियाएं

Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
2 घंटे पहले
5

I UNDERSTAND WHAT YOU ARE EXPERIENCING AND PLEASE DO NOT FEEL EMBARRASSED THIS TYPE OF RECTAL AWARENESS AND FEELING OF INCOMPLETE EVACUATION IS VERY COMMON AFTER PROLONGED ANTIBIOTIC USE CATHETER RELATED BOWEL DISTURBANCE AND STRESS EVEN WHEN STOOLS ARE PASSING DAILY

FROM AN AYURVEDIC VIEW THIS CONDITION OCCURS DUE TO APANA VATA DUSHTI WITH LOCAL PITTA IRRITATION IN THE RECTUM AND LOWER COLON ANTIBIOTICS DISTUR THE GUT FLORA DRY THE INTESTINES AND MAKE THE RECTAL NERVES OVER SENSITIVE SO EVEN WITHOUT STOOL PRESENT THE RECTUM CONTINUES TO SEND FALSE SIGNALS OF FULLNESS THIS IS WHY YOU FEEL CONSTANT DISCOMFORT WITHOUT TRUE PAIN

MAGNESIUM OXIDE IN HIGHER DOSES CAN DEFINITELY AGGRAVATE THIS CONDITION BECAUSE IT PULLS WATER INTO THE BOWEL AND OVERSTIMULATES RECTAL SENSATION YOUR DECISION TO REDUCE FROM ONE THOUSAND MG TO FIVE HUNDRED MG IS CORRECT AND EVENTUALLY IT SHOULD BE BROUGHT DOWN FURTHER BUT FIRST THE RECTAL IRRITATION MUST SETTLE

THE FACT THAT ABHAYA ARISTHA IS GIVING YOU RELIEF IS VERY IMPORTANT IT MEANS YOUR APANA VATA IS RESPONDING WELL AND THE BOWEL IS REGULATING NATURALLY

I DO NOT RECOMMEND ADDING KUMARASAVA AT THIS STAGE BECAUSE IT HAS USHNA GUNA AND MAY INCREASE RECTAL IRRITATION IN A SENSITIVE GUT

CONTINUE ABHAYA ARISTHA FIFTEEN ML WITH EQUAL WARM WATER AT NIGHT AFTER FOOD

ADD KAMDUDHA RAS ONE TABLET TWICE DAILY AFTER FOOD TO SOOTHE RECTAL PITTA AND NERVE IRRITATION

ADD TRIPHALA CHURNA HALF TEASPOON AT BEDTIME WITH LUKEWARM WATER THIS WILL HELP COMPLETE EVACUATION WITHOUT FORCING THE RECTUM

IF RECTAL AWARENESS IS VERY DISTURBING ADD JATIPHALADI CHURNA ONE FOURTH TEASPOON AT NIGHT FOR A SHORT PERIOD IT CALMS RECTAL NERVE HYPERSENSITIVITY AND CONTROLS FALSE URGE

DIET SHOULD BE SOFT WARM AND OILY AVOID RAW FOODS FERMENTED ITEMS COFFEE AND SPICY FOODS DO NOT STRAIN DO NOT SIT LONG ON THE TOILET

INVESTIGATIONS ADVISED INCLUDE STOOL ROUTINE AND MICROSCOPY TO RULE OUT POST ANTIBIOTIC DYSBIOSIS PROCTITIS OR EXCESS MUCUS SERUM VITAMIN B12 AND D LEVELS BECAUSE DEFICIENCY CAN WORSEN NERVE SENSITIVITY AND IF SYMPTOMS PERSIST A PROCTOSCOPY MAY BE NEEDED TO RULE OUT LOCAL IRRITATION OR PILES

THIS CONDITION IS REVERSIBLE WITH PROPER VATA PITTA BALANCING AND DOES NOT INDICATE ANY SERIOUS DISEASE PLEASE CONTINUE GRADUAL REDUCTION OF MAGNESIUM ONLY AFTER SYMPTOMS STABILISE AND YOU SHOULD FEEL STEADY IMPROVEMENT OVER THE NEXT FEW WEEKS

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This answer was super detailed and really helpful. It cleared up a lot of my confusion on using the Nityam tablets and gave me some solid long-term tips. Thanks!
This answer was super detailed and really helpful. It cleared up a lot of my confusion on using the Nityam tablets and gave me some solid long-term tips. Thanks!
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was super helpful, the explanation was spot on. Got clear advice tailored to my issues. Really appreciate how thorough it was. Thanks!
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Appreciate the straight-to-the-point advice! Sometimes the simplest answer is what you need. Thanks for cutting through the clutter!
Appreciate the straight-to-the-point advice! Sometimes the simplest answer is what you need. Thanks for cutting through the clutter!