I have pelvic pains, bad indigestion Stomach cramps

Patient : I have pelvic pains, bad indigestion. Stomach cramps. Loose stools sometimes with mucus and blAck spots. I sometimes have small narrow stools or one big boewel movement.i also have cloudy urine. Had for 4 weeks.
Doctor :   Hello. Welcome to Ask The Doctor. I have read your query in detail and I understand your concern. Following are the possibilities in your case: 1.Irritable Bowel syndrome. 2.Acid peptic Disease. You seem to be suffering from Irritable Bowel Syndrome- Constipation Predominant. You should get Thyroid Profile, Fasting Blood Sugar, Ultrasound Abdomen. If all investigations are normal, then you are probably suffering from Irritable Bowel Syndrome. I would advise following in such scenario: 1. To take a proton pump inhibitor like Pantoprazole and Rabeprazole. 2. To avoid fat, pepper in the diet. 4. To take Smooth Muscle Relaxant like Mebeverine for stomach pain. 5. Drugs like chlordiazepoxide and clidinium bromide can be used, if pain is not responding. I hope it helps. Stay Healthy

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