I've been having really bad pain when passing stool for the past 3 weeks - it's gotten so bad I can't even go to work. A doctor back home recommended surgery but I'm not sure what to do. Are there other treatment options I could try first or should I go ahead with the surgery?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

It sounds like you're dealing with significant pain while passing stool, and it's impacting your ability to work. Given the doctor's recommendation for surgery, it's wise to explore all options, but it's also crucial to get a second opinion. You could start with conservative treatments for painful bowel movements, such as dietary changes, over-the-counter medications, and warm baths. If these don't provide relief, discuss with your doctor if other options like prescription medications or physical therapy might be appropriate before considering surgery.

Dr. Kamran Suggests...

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Answered 14/08/2025

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I had a Nissan fundoplication 360 wrap done but the day after surgery the nurse gave me a large combiflam tablet which I swallowed whole without crushing it. Ever since then I'm experiencing reflux just like before the surgery - could that big pill have loosened my GE junction sphincter again?

Take all prescribed medicines as directed: Until you can swallow easily, take liquid medicines. If you are given pills, crush them and swallow them with liquids. But some pills can't or shouldn't be crushed.

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I've noticed that whenever I add milk to my diet, I start to feel some pain in my stomach, and it seems to trigger gas issues. I also get this feeling of acidity and sometimes deal with constipation. I'm wondering if I can use milk powder as an alternative to meet my dairy needs. Is it healthy to make that switch, and are there any possible side effects I should be aware of?

If you are having problems when taking milk or milk products, chances are you will get those problems with milk powder as well. But you can try. Take small quantities initially and if its alright, you can continue. There is no problem.

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I'm really worried because I've been dealing with H. pylori for the past three months and my heart rate has been consistently around 107. Is this something I should be concerned about? Can it pose any serious risks to my health? I would really appreciate any insights or advice.

refer to general physician

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