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Treatment for abdominal bloating - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
User :   mu husband's abdomen is very distended or bloated. this has been gong on for over a week now. he also is experiencing a weak urine flow but still has to urinate frequentley although only small amounts at a time. my husband is a heavey beer drinker or at least used to be. he has no appetite at all and only eats a few bites at a time. the lack of appetite started before the stomach bloating. he is getting very weak and only sleeps a few hours at a time
Doctor :   Hi
Doctor :   May I know his age?
Doctor :   Since when is he having these symptoms?
Doctor :   I mean the urine problem?
User :   his age is 57. the distended abdomen started about a week ago. the weak urine flow started about the same time
Doctor :   Ok.
Doctor :   Is he having pain in the abdomen too?
Doctor :   Is he passing stools normally?
User :   yes he does, he is also having runny stools about every hour
Doctor :   Does he have swelling of the face and limbs too?
User :   no, no other swelling
Doctor :   Is he having breathlessness?
User :   when his stomach seems to be really bloated, his lungs do not want to expand enough
Doctor :   Ok
Doctor :   Has he had similar symptoms in the past?
User :   no, he hasn't
Doctor :   Does he have any other medical illness such as diabetes/hypertension/kidney disease or liver disorders?
Doctor :   or cardiac conditions?
Doctor :   These history are essential to understand the present problem.
User :   not that we know of. he is very depressed because he is going blind. also he has tinnitus and restless leg syndrom. his blood pressure has always run low and has been tested for diabetes several times because he always needs to be drinking something. this has been ever since he was in college. he was a heavy smoker but has recently cut down
Doctor :   Ok.
Doctor :   Let me brief you now.
Doctor :   Since I am not able to perform an examination on your husband, I cannot pinpoint the exact causes for the abdominal bloating. However,
Doctor :   based on the history that you have provided to me I can give you the possibilities.
Doctor :   The abdominal bloating may have occurred due to one of these three possible conditions.
Doctor :   1. Hypoproteinemia which refers to reduce body proteins, in view of reduced nutrition.
Doctor :   2. ascitis secondary to a liver condition, cirrhosis to be precise.
Doctor :   and lastly a remote possibility of a renal condition.
Doctor :   He would need examination and evaluation by a gastroenterologist for further treatment.
Doctor :   Have you followed what I have suggested?
User :   what do you mean. have i followed what you have suggested
Doctor :   I mean, since the treatment can only be suggested after knowing the cause for the problem, I
Doctor :   My opinion is that he needs to see a doctor, a gastroenterologist for the evaluation.
Doctor :   Have you followed?
User :   no, this is the first time i have spoken to anyone about this
Doctor :   I understand that.
Doctor :   This can be treated only after evaluating the cause for the bloating.
Doctor :   Hence I would suggest you to consult a gastroenterologist.
User :   yes, i understand. we will try to schedule an appointment
Doctor :   In the mean, I would suggest to reduce the water intake.
Doctor :   He also needs to quit drinking alcohol.
Doctor :   Avoid drugs such as painkillers.
User :   o.k. what would be a reasonable amount that you would suggest
Doctor :   You mean the cost of treatment?
User :   no, i meant the amopint of fluids to drink, say in an 8 hour period
User :   sorry for the misspell. that word is to be amount
Doctor :   In gross, I would say reduce about 250 to 500 ml of what he has been taking now.
Doctor :   If he has been taking 8 glasses of water, then reduce it to 6 glasses of water.
Doctor :   Do you have any other query?
User :   no thank you
Doctor :   The most important is to avoid alcohol.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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