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hello, i have been to...
hello, i have been to a million doctors and noone has given me a hope of an answer as yet. I have severe bloating in my stomach, half the time i look 6 months pregnant, like right now. Ive been told it could be wheat or other foods but have had nothing to confirm any of this. The problem is i can have nothing but a cup of coffee one day and all of a sudden feel this way, it is depressing and makes me irritated with the world. I am highly allergic to nuts and sesame seeds, but at least i am able to keep away from them. This is destroying my life as half of the time i cant fit into my clothes and am so uncomfortable i dont want to go out. Can you please please give me some advise.
Submitted: 8 years ago.Category: Medical
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Answered in 10 minutes by:
6/23/2010
Doctor: Dr. Arun Phophalia, Doctor replied 8 years ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,103
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Greetings.

Do you have gas formation, nausea, loss of appetite, constipation?

What did your CT scan, HIDA scan and barium meal with follow through show?

What are your blood work done?

Dr. Arun

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Customer reply replied 8 years ago

i have gas formation, no loss of appetite and no constipation.......only bloating. If you do not give me an answer i have not heard before i will be reporting this site. This is the first time i have ever spent money asking someone for help and do not need answers i have heard before or round about questions to keep me asking questions. I am not stupid so do not think i will pay 54 dollars for nothing.

Doctor: Dr. Arun Phophalia, Doctor replied 8 years ago

Hello,

I can understand what you say, and I fully agree that money should be well spent and should be worth the answer. JustAnswer works on that principle and ideals and your money is a good faith deposit. If you like the answer, you can click the accept button, and expert would be paid. Otherwise, you can ask for the refund.

Since you have consulted so many specialist, most of the investigations must have been done. I would put my opinion in this regards ***** ***** way to proceed. If few things had been done, you can disregard them.

The reasons for excessive bloating and intestinal gas formation can be;

1) excessive air swallowing.

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

2) increased intraluminal (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 of above can be responsible for the bloating and gas.

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, which you have already found (nuts and sesame seeds).

3) Investigations by your physician;

a) CT scan and Barium meal and follow through study

b) Colonic transit time.

c) Blood investigations do give the clue. A complete blood count, biochemical profile, serum calcium, blood glucose, and thyroid function tests are routinely recommended in the evaluation.

d) Depending on these blood results further blood work is done; serum protein electrophoresis, urine porphyrins, serum parathyroid hormone, and serum cortisol levels, may be done to identify or rule out myeloma, porphyria, hyperparathyroidism, and Addison's disease.

e) HIDA scan; to look for non functioning gall bladder

Discontinue the following if you do them;

1) gum chewing,

2) smoking,

3) drinking carbonated beverages, and

4) gulping food and liquids.

The bloating and gas formation in your age would need to look for the following causes also;

1) Gallbladder disease (gallstones)

2) Irritable bowel syndrome

3) Diverticulitis

4) Gastroparesis

Please feel free for your follow up questions.

Dr. Arun

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