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Abdominal bloating and indigestion - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I have scoliosis and kyfosis and recently have been told I have two crushed discs. I have had indigestion and loud growling gas for many years that is very uncomfortable and of course my back hurts also. I am to the point where I am afraid to eat anything and either feel bloated or have diarrhea. Can anything help?
Doctor :   Hi
Doctor :   May I know your age and gender?
Doctor :   Have you seen a doctor for these symptoms?
User :   I am 72 and a female who has had many doctors and many tests, with a suggestion that removing my gall bladder may or may not help so I'm not planning to do that.
Doctor :   Do you have associated symptoms such as abdominal pain, nausea, vomiting associated with these symptoms?
Doctor :   Have you undergone an endoscopy test?
User :   I had a ruptured appendix about 20 years ago so there is a huge scar from an incision left open for a long time to drain. Could there be inside scar tissue blocking up something? I did have a colonoscopy but does that go into the small intestine?
User :   The answers to your two previous questions are yes.
Doctor :   Ok
Doctor :   Do you have the endoscopsy report with you?
User :   I do not think I have it here. I also had a test where I got a shot in the arm and a huge machine over me measured how my gall bladder worked while i lay under it for about 1-1/2 hours. Don't remember what is was called.
Doctor :   You are probably referring to one of the contrast scans - may be an MRI scan.
Doctor :   Do you have those reports test with you?
Doctor :   * I mean do you have the reports of those test?
User :   It was following some radioactive stuff digesting. Didn't see the same as an MRI.
Doctor :   Ok
Doctor :   do you have the reports of those test
User :   I do not have them as we speak I will have to look for them, if we can somehow pick this up another time I will be more prepared. Meantime what can I eat that won't make me wish I was dying after every meal.
Doctor :   It is probably HIDA scan then.
Doctor :   Ok
Doctor :   Let me explain with the details that you have mentioned.
Doctor :   Symptoms such as yours are seen in the following conditions
Doctor :   1. Irritable bowel syndrome
Doctor :   2. Liver or gall bladder pathology
Doctor :   These conditions most often are chronic conditions
Doctor :   which can be treated only gradually.
Doctor :   Few dietary modifications that are known to help patients suffering from the above medical conditions are
Doctor :   5. Caffeine consumption in all forms (such as coffee, tea or any other beverages) need to be avoided
Doctor :   Are you there?
Doctor :   Hi
Doctor :   I'l explain the dietary changes that you need.
User :   Does getting upset make my stomach clench and get worse?
Doctor :   a. You need to be regular with your eating habits - irregular meals have impact on the motilty of the gut leading to symptoms of indigestion, abdominal cramps and bloating
Doctor :   Yes, symptoms of indigestion can cause crampy abdominal pain
Doctor :   b. Avoid spicy foood
Doctor :   c. Restrict the use of high calorie, high fat food.
Doctor :   d. If you are allergic to any type of food such as sea food, dairy product, nuts and so on, you need to avoid them completely.
Doctor :   e. Caffeine in any forms are not healthy choice of food in patients who have irritable bowel syndrome or liver /gall bladder abnormalities
User :   Chocolate?
Doctor :   f. Apart from this early morning exercises, daily walks, yoga, meditations help in regulating the bowel movements.
Doctor :   Follow them regularly.
Doctor :   Chocolates with high amount of cocoa(dark chocolates)
Doctor :   can induce symptoms of gastritis and indigestion
User :   Any foods particularly gassy I should avoid?
Doctor :   so it is preferable to avoid/restrict them them too.
Doctor :   There are plenty of bacterial which normally colonize the gut, such bacteria act on high calorie, high fat, lactose containing diet
Doctor :   leading to gas formation and abdominal bloating
Doctor :   so as far as avoid any food high in calorie, high fat.
Doctor :   Also restrict the use of dairy products, unless advised by your doctor.
User :   Thank you doctor this is more help than I've been getting.
Doctor :   These few modifications apart from restricting alcohol(if you consume alcohol)
Doctor :   will help in treating your symptoms.
Doctor :   Apart from these diet and lifestyle changes
Doctor :   it has been proved that stress and anxiety factor play a major role on the gut motility
Doctor :   So proper bed rest and relaxation techniques are recommended too.
Doctor :   Lastly I also suggest you to get your liver functions and digestive enzymes checked.
Doctor :   If they are abnormal, multivitamin pills and syp containing digestive enzymes (medical drugs/herbal or ayurvedic formula's)
Doctor :   can be helpful.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
User :   You have been most helpful I will do them all, Thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   Bye
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