### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello Sir, My name is Amar Das, Male, 36 years, form West Bengal. I am suffering from stomach problem. My Gall Bladder has been removed due to calculi. My current problem is : 1. No downward movement of gas. No farting. My stomach inflated like a football. 2. Stomach does not gets cleared when I go to toilet. 3. Sometimes there is a pain in my stomach. On 10-03-14 I consulted with a Gastroenterologist and I have undergone some tests viz. Endoscopy, Colonoscopy, LFT, Blood Urea, Creatinine, CBC. All the reports are normal only the TSH level is slightly high. My doctor told me that I have Gastritis / IBS. He recommended me some medicines which are as follows: 1) TAB. NEKSIUM 40 [ 1-0-1 ] BEFORE FOOD 2) TAB. KINPRIDE SR 3 mg [ 1-0-0 ] BEFORE FOOD 3) CAP. PANKREOFLAT [ 1-1-1 ] AFTER FOOD 4) CAP. ECONORM [ 1-0-0 ] AFTER FOOD 5) CAP. MEBIZ SR [ 1-0-1 ] AFTER FOOD 6) CAP. WINOFIT GOLD [ 1-0-0 ] AFTER FOOD I was asked to take those medicines for 4 months and I have been taking those medicines from last 15 days. Now I feel my stomach is unhappier as before. I cannot contact with my doctor as unfortunately, he is no more. Moreover I stay in a village due to my job where there are no Gastroenterologists. Only I need is downward movement of gas and bowel movement. With Regards Amar Das

### output:

Thank you for approaching Chat Doctor. As your resident of a village. You may follow the following advice:-continue taking nexium40 before breakfast-you may chew "dimethicone" tablets after meal-Avoid oily food (as you do not have gall bladder).- avoid smoking and alcohol-take plenty of water-use vegetables and fresh fruits rich in fibers-use olive oil (if necessary and in less amount for cooking purpose)- increase physical activity-avoid unnecessary stress you symptoms still persist after 12 weeks of lifestyle changes than you need to perform exams like:- endoscopy-fecal culture test Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. 