IRRITABLE BOWEL SYNDROME

This is online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome

A 28 years female patient occupation by house wife came to opd with chief complaints of loose stools since 20 days associated with abdominal pain and generalised weakness

HISTORY OF PRESENT ILLNESS :
She was asymptomatic 30 days back then when stools started which is less in quantity assosiated with abdominal pain that releaved after passing stools not associated with any blood in stools associated with generalised weakness 

HISTORY OF PAST ILLNESS :
She visted 3 hospitals for same reason in past 15 days  
No H/o DM, HTN, Asthma , epilepsy, TB . 
she had 3 c section before .


TREATMENT HISTORY :
NO history of previous medication 


PERSONAL HISTORY :
Married 
Mixed diet 
Loss of appetite 
Irregular bowel habit 
Regular mensus 

FAMILY HISTORY :
NO H/O :-HTN,DM ,EPILEPSY ,TB


GENERAL EXAMINATION :

NO pallor 
    No .icterus 
       No .cynosis 
     No .lymphadenopathy 
       No.clubbing 

PHYSICAL EXAMINATION-:

.temperature-:afibrile 
.pulse rate -:82/min
.resp rate -:18/min 
.Bp -:90/70


 SYSTEMIC EXAMINATION :

CVS-; 
        S1,S2 HEARD 
        NO MURMERS 

RESPIRATORY SYSTEM-:
         No dyspnea 
          No wheeze 
          Position of trachea -;central 
ABDOMEN-:
          Shape scaphoid 
          Tenderness in right lumber region 
          No palpable mass 
           No palpable spleen and liver 

CNS-:
         Consious, coherent ,cooperative 
         Speech normal
         No neck stiffness
         
SENSORY SYSTEM :
        Able to percieve-:pain , temp.

 PROVISIONAL DIAGNOSIS :
Irritable bowel syndrome 
 
INVESTIGATIONS:
Complete blood picture
Complete urine examination
Liver function tests
Serology
Serum creatinine
Serum electrolytes
Serum urea

TREATMENT HISTORY :
1)TAB SPOROLAC DS×PO TID 

2)MEVA C PO /BD 

3)IVF IONS @100ML/HR

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