Search found 43 matches

Search found 43 matches
by Dr Jamal Hayat
Fri Apr 24, 2020 12:26 am
Forum: haemorrhoids & anal fissures
Topic: Anal fissure
Replies: 1
Views: 242

Re: Anal fissure

Hi Sarah, Apologies for the delay in this post. It sounds like your problems are due to ongoing constipation and faecal loading. How much macrogol are you taking? You can increase the dose - only do this for a short time - I would suggest no more than three days of up to 8 sachets of macrogol per da...
by Dr Jamal Hayat
Fri Apr 24, 2020 12:17 am
Forum: general
Topic: Finasteride effect on gut
Replies: 1
Views: 175

Re: Finasteride effect on gut

Hi There, I think it is unlikely - I appreciate the study you quoted but it would be a large jump to say that this would be the cause of gut symptoms - especially as finasteride is such a commonly prescribe drug without significant or frequent GI symptoms as a side effect. You can also read the refe...
by Dr Jamal Hayat
Thu Apr 23, 2020 11:44 pm
Forum: general
Topic: how to I keep healthy bowels?
Replies: 2
Views: 395

Re: how to I keep healthy bowels?

Hi Carolyn It sounds like you have been through an awful lot! I wonder if you a re taking an appropriate dose of the creon - you may also need to add in a proton pump inhibitor to aid in fat digestion. In regards to the constipation - definitely start off with diet - enough regular fibre , good flui...
by Dr Jamal Hayat
Thu Apr 23, 2020 11:35 pm
Forum: general
Topic: gut problems
Replies: 1
Views: 197

Re: gut problems

The hiatus hernia can give rise to heartburn, but I suspect not related to the symptoms you describe. A hernia can give abdominal pain - usually at the top of the stomach. Whereabouts your pain is located can help to determine whether it is coming from your stomach or the intestines (the small or la...
by Dr Jamal Hayat
Thu Apr 23, 2020 11:20 pm
Forum: general
Topic: Bloated stomach
Replies: 1
Views: 219

Re: Bloated stomach

Hi Anthony, There are a number of reasons for a bloated stomach - - it can be distended by gas, poo or there may be an increase in the sensitivity of the nerves of your bowel. The first step to finding out getting better will be to see (or speak in this current climate) with your GP who will go thro...
by Dr Jamal Hayat
Thu Apr 23, 2020 11:13 pm
Forum: general
Topic: SIBO
Replies: 1
Views: 205

Re: SIBO

Hi, Most (luminal )gastroenterologists are aware of SIBO. Treatment options and investigations do vary according to which trust you are in. My own trust generally requires a positive breath test result before proceeding to treatment with the antibiotic rifaximin for two weeks. There is approximately...
by Dr Jamal Hayat
Tue Apr 21, 2020 11:21 am
Forum: haemorrhoids & anal fissures
Topic: Bowel Issue/Fissure - Not sure
Replies: 1
Views: 207

Re: Bowel Issue/Fissure - Not sure

Hi There, Fissures tend to occur with a history of constipation - so you may benefit from optimising/increasing your fluid and fibre intake. Make sure you don't hold your poo in and try not to strain. Sometimes benefit form a fibre supplement such as fybogel or a course of laxatives. The advice is s...
by Dr Jamal Hayat
Tue Apr 21, 2020 11:12 am
Forum: IBS
Topic: IBS and pernicious anaemia
Replies: 1
Views: 248

Re: IBS and pernicious anaemia

Hi there, I cant comment on your individual clinical history. Blood tests are important along with other investigations to look for causes of chronic diarrhoea. This should include measuring B12 levels, and if found to be low - investigating appropriately. Sorry to hear you have been going through a...
by Dr Jamal Hayat
Tue Apr 21, 2020 11:02 am
Forum: IBS
Topic: Foods to avoid
Replies: 1
Views: 176

Re: Foods to avoid

Hi there, It really depends on the individual. I have enclosed a link to give you some basic advice to start off with, which hope you find useful. Getting into good dietary practice for the long term is important as well as not being too restrictive in your diet. https://www.nhs.uk/conditions/incont...
by Dr Jamal Hayat
Tue Apr 21, 2020 10:58 am
Forum: IBS
Topic: Could I have IBS?
Replies: 1
Views: 173

Re: Could I have IBS?

Hi Samantha, We don't routinely do a test for lactose intolerance but base it on symptoms and whether they improve on reducing dairy products. Cheeses in general have less lactose than milk, yoghurt and ice cream and hence why you may not get symptoms with cheese. In addition, some people can still ...
Search found 43 matches