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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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I have bubbling in left side of my stomach the feeling is

Customer Question

I have bubbling in left side of my stomach the feeling is there all day every day with a pain in the joint of my right big toe no matter how much food I eat the feeling is always there to the point I don't get much sleep at night cause of this if I don't eat the same thing I keep gaining weight and I don't eat alot.
Submitted: 10 months ago.
Category: Medical
Expert:  Dr Basu replied 10 months ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Bubbling feeling suggests gas and gurgling in the intestine.

Inflammatory bowel disorders like Crohn's disease, microscopic colitis, eosinophilic gastroenteritis are 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 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
Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.
Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.
Culturelle 30 Counts twice daily should be fine.
Simethicone and activated charcoal can be taken before meals to reduce gas and bloating.
Best wishes,
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