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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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Months I have had constant gas, rumbling

Customer Question

Hello,
For three months I have had constant gas, rumbling and spasms in my lower and upper stomach. I have had blood tests, upper EGD, stomach xray with small bowel follow through and all have come back fine. I am currently on dexilant for gerd and have been put on vsl#3. The vsl#3 has helped a little but the problem is still there and I'm not sure what it could be. Could the dexilant cause these problems? Can IBS be a constant problem? Thank you.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.
Hi there,
This is Dr Basu, Experienced Specialist.
I am here to address your concerns and provide great service.
Yes dexilant can cause this as side effect.
And IBS is a common cause of these symptoms as well.
These symptoms can also be due to the gallbladder problem.
Excess bile acid will cause intestinal irritation.
When the gallbladder is not functioning well, the bile flow to the intestine may increase causing these symptoms.
This will result in bloating, belching especially after meals.
These symptoms can be treated with a medication called Cholestyramine 4 gram twice daily will meals.
Inflammatory bowel disorders like Crohn's disease, microscopic colitis, eosinophilic gastroenteritis are other possibilities.
This requires colonoscopy to establish the diagnosis.
Malabsorption syndrome is another strong possibility.
Malabsorption syndrome includes the follow possibilities:
1. Excess bacterial overgrowth in the small intestine known as SIBO syndrome.
This is not usually diagnosed by the colonoscopy.
Small intestinal aspirate can be sent for bacterial count.
Carbohydrate breath test ( D xylose) is a simple test to diagnose this condition.
But, the treatment is much easier.
A 14 day course of Rifaximine improves the symptoms dramatically/
2. Lactose intolerance--- regular milk, dairy products.
3.gluten senisitivity or celiac disease--- Wheat based products.
4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.
Please go to this link for detailed information:
http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf
Best wishes,
It was my pleasure to help you today.
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