Question 1

I've been experiencing really bad pain during bowel movements, and it lasts for hours afterward. There's no blood in my stool, but it always feels like a pinching sensation inside and there's also itching around my rectum. Can you suggest the best remedy for this?

Accepted Answer

Loose motions with sour burps can be uncomfortable and concerning. Given your symptoms, it's possible that you're experiencing:

_Possible Causes_

1. _Gastroenteritis_: A viral or bacterial infection that causes stomach inflammation, leading to loose motions and sour burps.
2. _Acid reflux_: Stomach acid flowing back up into the esophagus, causing sour burps and discomfort.
3. _Food poisoning_: Consuming contaminated food or drinks, leading to stomach upset and loose motions.

_Complications to Watch Out For_

1. _Dehydration_: Excessive loose motions can lead to dehydration, especially if you're not drinking enough fluids.
2. _Electrolyte imbalance_: Loss of essential electrolytes like potassium, sodium, and chloride can cause muscle weakness, fatigue, and heart problems.
3. _Persistent stomach pain_: If stomach pain persists or worsens, it may indicate a more serious underlying condition.

_Recommendations_

1. _Stay hydrated_: Drink plenty of fluids, such as water, clear broths, or electrolyte-rich beverages like coconut water or sports drinks.
2. _Bland diet_: Stick to a bland diet of bananas, rice, applesauce, and toast (BRAT diet) to help firm up your stool.
3. _Over-the-counter medications_: Consider taking antacids or acid reducers like Tums, Rolaids, or Zantac to help alleviate sour burps.
4. _Consult a doctor_: If your symptoms persist, worsen, or you experience any of the following:
    - Severe stomach pain
    - Vomiting blood or black tarry stools
    - Fever above 101.5F (38.6C)
    - Signs of dehydration (excessive thirst, dark urine, dizziness)

Question 2

I've been having this cholic pain below my abdomen since I woke up this morning. It kind of comes and goes. What do you think could be causing this?

Accepted Answer

Reducing blood vomiting (hematemesis) risk at 53 years old:

Lifestyle Changes:

1. *Quit smoking*: Nicotine cessation programs or counseling can help.
2. *Limit alcohol*: Reduce or avoid drinking, especially if you have liver disease.
3. *Maintain a healthy weight*: Exercise regularly and eat a balanced diet.
4. *Manage stress*: Practice relaxation techniques like meditation or deep breathing.

Dietary Changes:

1. *Eat smaller, frequent meals*: Avoid heavy meals that can put pressure on the stomach.
2. *Avoid spicy, fatty, or acidic foods*: Opt for bland, easy-to-digest foods like bananas, rice, and applesauce.
3. *Increase fiber intake*: Fruits, vegetables, and whole grains can help prevent constipation.

Supplements:

1. *Vitamin B12*: Essential for healthy digestion and nerve function.
2. *Probiotics*: Supports gut health and digestion.
3. *Omega-3 fatty acids*: Reduces inflammation and promotes overall health.

Consult your doctor before starting any supplements. They will help create a personalized plan to address your specific needs.

Question 3

I'm dealing with a pretty bad case of heartburn, and I'm considering taking Cyra tablets. I'm just a bit unsure about how to properly use them. Should I be taking them before I eat, or is it better after a meal? Also, how often should I be using them each day? I really want to make sure I get this right for the best relief. What do you recommend?

Accepted Answer

Cyra D (Ranitidine) tablets are typically taken after food or at bedtime,  , to help alleviate heartburn symptoms. The usual dosage for adults is 1 tablet (150mg) twice a day,

I've got gallbladder stones and I'm wondering if there are options besides having surgery to remove the gallbladder. Can you give me some advice?

no surgery is the only option

More Gastroenterology/GI medicine Health Queries

I've been experiencing really bad pain during bowel movements, and it lasts for hours afterward. There's no blood in my stool, but it always feels like a pinching sensation inside and there's also itching around my rectum. Can you suggest the best remedy for this?

I've been having this cholic pain below my abdomen since I woke up this morning. It kind of comes and goes. What do you think could be causing this?

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