apollo
  • Male
  • 34 Years
  • 29/01/2025

I'm dealing with IBS and every night I feel really bloated. My doctor told me to take Unienzyme three times a day, but I'm still having this issue. Is it safe for me to try the 222 tablet instead? I'm just trying to figure out how to get some relief.

Doctor 1

Answered by 1 Apollo Doctors

Lower Abdominal Pain, Anal SkinMuscle Formation, and Muscle Lumps

Symptoms and Possible Causes

  1. Lower abdominal pain: Mild pain on both sides of the lower abdomen can be caused by:
    • Constipation
    • Urinary tract infection (UTI)
    • Inflammatory bowel disease (IBD)
    • Hernia
  2. Anal skinmuscle formation: The extra skinmuscle formation on the anus, increasing in size over two months, could be:
    • Hemorrhoids
    • Anal fissure
    • Anal abscess
    • Skin tag
  3. Muscle lumps: Muscle lumps in other parts of the body, present for two years without increasing in size, might be:
    • Benign tumors (e.g., lipomas)
    • Muscle knots or trigger points
    • Fibromyalgia

Recommendations

  1. Consult a doctor: Schedule an appointment with your primary care physician or a specialist (e.g., gastroenterologist, proctologist) to evaluate your symptoms.
  2. Physical examination and diagnostic tests: Your doctor will perform a physical examination and may order diagnostic tests, such as:
    • Blood tests
    • Imaging studies (e.g., ultrasound, CT scan)
    • Endoscopy or colonoscopy
  3. Treatment and management: Based on the diagnosis, your doctor will recommend treatment and management options to address your symptoms and underlying conditions.

Dr. Ranjith Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 04/07/2025

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I've been on these PPI meds for over a year now - dexlansoprazole 60mg daily, esomeprazole 40mg daily, and levosulpiride 75mg daily - but I'm still dealing with acid reflux, esophagitis, and gastritis. What are the long-term side effects of staying on PPIs this long? Is it safe to keep taking them beyond a year? Are there any surgical options that could help cure this instead? I can share my endoscopy report if needed.

Long-term PPI use is generally safe but may cause low magnesium, B12 deficiency, and gut flora changes. Surgery (like Nissen) may help if you're not responding. Share endoscopy for detailed advice.

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