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    Thakur Kundan Singh
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    A 26-year-old male presented with a 4-year history of irritable bowel syndrome. The doctor prescribed Rifaximin antibiotics, a probiotic, and Chlordiazepoxide to be taken for 7 days each with meals to address infection, build healthy gut bacteria, and reduce bowel urgency and cramps. Follow up was scheduled for 1 week, and lifestyle modifications including a low FODMAP diet, regular meals, exercise, and stress reduction were advised.

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    A 26-year-old male presented with a 4-year history of irritable bowel syndrome. The doctor prescribed Rifaximin antibiotics, a probiotic, and Chlordiazepoxide to be taken for 7 days each with meals to address infection, build healthy gut bacteria, and reduce bowel urgency and cramps. Follow up was scheduled for 1 week, and lifestyle modifications including a low FODMAP diet, regular meals, exercise, and stress reduction were advised.

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    48 views2 pages

    F0ae48c74f3dd49f32d77835ea41b93 PDF

    Uploaded by

    Thakur Kundan Singh
    A 26-year-old male presented with a 4-year history of irritable bowel syndrome. The doctor prescribed Rifaximin antibiotics, a probiotic, and Chlordiazepoxide to be taken for 7 days each with meals to address infection, build healthy gut bacteria, and reduce bowel urgency and cramps. Follow up was scheduled for 1 week, and lifestyle modifications including a low FODMAP diet, regular meals, exercise, and stress reduction were advised.

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    © All Rights Reserved
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    of 2

    Dr.

    Pratik Tibdewal
    Rx MBBS, MD - General Medicine, DM -
    Gastroenterology
    Reg Id : MMC - 2010052004
    Rx ID : 491521649
    Name Kundan Singh Date 12-03-2023
    Age 26 Years Pat Id 20169995
    Gender Male

    Diagnosis
    Irritable bowel syndrome

    Additional diagnosis comments

    4 years

    S.No. Prescribed Medicines Dosage Instructions

    7 Days; Before Meal; antibiotics 1 hr


    1. TABLET RIFAXIGRESS RIFAXIMIN(400MG) Daily: 1-0-1
    before food for infection and gas ;

    7 Days; After Meal; preprobiotic, 1


    2. TABLET VIZYLAC CAPSULE LACTOBACILLUS(-) 1-0-1 hr after food to build up healthy
    bacteria in the stomach and for IBS;

    7 Days; After Meal; to decrease the

    3. TABLET CIZASPA X CHLORDIAZEPOXIDE(-) Daily: 1-0-1 urge to go to motions and to reduce


    cramps ;

    Drug Allergies
    No known Allergies

    Lab Test
    1. Stool Examination R/M
    2. Fecal Calprotectin
    3. Colonoscopy

    Follow Up

    1 Week

    Doctor's Advice

    1. 1.
    2. diet and lifestyle modification as advised
    3. avoid oily fried spicy stuff to a minimum, avoid choclates, peppermint, tea, coffee,
    citrus fruits
    4. advised low FODMAP diet
    5. take 4 to 5 meals in small quantities
    6. gap of 4 hours between sleep and dinner
    7. high fiber diet
    8. regular exercise and walk
    9. stop smoking and drinking
    10. decrease stress and anxiety

    Substitute medicine brand if above unavailable unless Doctor says not to.

    Dr. Pratik Tibdewal


    MBBS, MD - General Medicine, DM - Gastroenterology

    www.medibuddy.in

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