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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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Constipation, bloating, nausea, fullness of stomach, feeling

Customer Question

constipation, bloating, nausea, fullness of stomach, feeling full right after starting to eat, small amount of blood in stool for a about a week just a couple times, small pressure feeling in abdominal
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.

This is Dr. David

I am sorry you are having these issues.

it sounds like you are having a lot of GI issues.

some of them could be serious or not

you need to see a doctor for a full physical and examination and blood testing

at age 52, you need a screening colonoscopy, even if you have no symptoms.

small blood in your stools can be from hemorrhoid bleeding, or it could be more serious. only further testing can tell.

constipation can cause hemorrhoids to bleed.

early fullness can be from inflammation of your stomach from too much stomach acid or from bowel bloating from gas or colon inflammation

or it could be from something more serious.

bowel bloating can be from foods you are eating, beer, sodas, poor diet, lack of exercise, lack of good bacteria and probiotics in your bowels, bowel allergies to gluten wheat protein or milk lactose sugar

or it could be due to something more serious.

the only way to know is to see your doctor for more testing and colonoscopy and upper endoscopy

do you have a doctor you can see for testing and evaluation?

this is the best way to find out what is wrong and to start feeling better.

Expert:  Dr Basu replied 1 year ago.

Hi there,

This is Dr Basu, experienced Internal Medicine Specialist.

I am here to address your concerns and provide great service.

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 following 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 sensitivity or celiac disease---Wheat based products.

4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.

5. Gastroparesis -- delayed gastric and intestinal movement.-- treated with metoclopramide or domperidone daily.

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

Severe constipation can be due to the bowel obstruction.

This possibility should be ruled out with a CT scan of the abdomen with contrast.

Besides that, sometimes, intestine may not contract well causing this problem.

Also increased pressure in the anal sphincter can cause constipation.

Linactolide is one such medication which helps with chronic constipation.

Best wishes,

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