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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 29785
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I feel constantly bloated, my stomach always seems to extrude, like I am pregnant but

Resolved Question:

I feel constantly bloated, my stomach always seems to extrude, like I am pregnant but I know I am not, It takes ages for me to get my appetite back, even after small snacks. I am not constipated at all, but it is uncomfortable. I have an office job, but I am always walking around the offices and at home.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 3 years ago.

Greetings.

 

Were any investigations done for this bloating?

Do you have gas, indigestion, belching?

Any significant past medical illness or surgery?

 

Dr. Arun

Customer: replied 3 years ago.

 

I have not had any investigations as suche, a few months ago I used to get constipated quite regulary and went the the doctor, I now drink more throughout the day and do not suffer with this as much as I used to.

 

I have more gas than normal, belching is normal for me and occasionally I have indigestion pains.

 

I have no past medical ilnesses and have not undergone any surgery's

 

Thanks

Expert:  Dr. Arun Phophalia replied 3 years ago.

Hello,

 

Following causes should be looked for your symptoms;

 

1) Gallbladder disease (gallstones)

2) Irritable bowel syndrome

3) Diverticulitis

 

The reasons for bloating can be;

 

1) excessive air swallowing.

 

Anxious people swallow air when they are stressed or anxiety supervenes.

 

2) increased intraluminal gas (inside the intestine) production from mal absorbed (improperly absorbed) nutrients,

 

3) decreased gas absorption due to some pathological condition of intestines like diverticulitis

 

4) expansion of intestinal gas due to changes in atmospheric pressure

A solitary reason or combination can be responsible for the bloating.

 

Following may help you;

 

1) Avoid

 

a) Cabbage

b) Beer

c) Legumes

d) Cheese

e) Beans

 

2) This may help;

 

a) Bismuth subsalicylate

b) Activated charcoal

c) Simethicone; (Maalox, Mylanta); Simethicone causes gas bubbles to break up.

d) Beano; contains an enzyme (alpha-galactosidase), which helps to breakdown certain complex carbohydrates.

 

All are available without prescription.

 

Avoid foods that appear to aggravate symptoms. These may include milk and dairy products, certain fruits or vegetables, whole grains, artificial sweeteners etc. But this is based on the personal observation for the aggravating food.

 

3) Investigations by your physician;

a) Ultrasound and CT scan of abdomen

b) Colonic transit time.

 

Discontinue the following if you do them;

 

1) gum chewing,

2) smoking,

3) drinking carbonated beverages, and

4) gulping food and liquids.

 

Please feel free for your follow up questions.

 

Dr. Arun

Customer: replied 3 years ago.

 

Thanks, the foods you said to avoid, I do not eat any of these, apart from cheese which is very occasionally, as regarding foods that aggravate symptoms, everything seems to make be feel bloated. The points you mentioned to discontinue, I do not do/ eat either.

 

Would excercise help? as I am cautious not the excercise on a bloated stomach, but lately this is always

Expert:  Dr. Arun Phophalia replied 3 years ago.

You are welcome.

 

Brisk walking may help you. Since food is not the aggravating factor, you would need investigations to look for the causes we had discussed (gall stones, IBS, diverticulitis).

 

It is pleasure and privilege assisting you.

 

Dr. Arun

Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 29785
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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