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Treatment for bloating - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   I keep on having strange bloating on my right side (mostly after I eat). It's not painful, just discomforting. I went to a doctor about 3 or 4 months ago and my doctor did a bunch of blood tests and an ultrasound- all of which came back normal. I have a history of panic/anxiety attacks- could this stem from that?
Doctor :   hi
Doctor :   let me read ur query
Doctor :   May i know your age, weight, height before we can proceed ?
User :   22
User :   22
User :   i weigh between 190-200
User :   height is 6 ft. 1 or 2 in.
Doctor :   ok
Doctor :   do u have this discomfort mostly after having food ?
User :   yes
User :   but i honestly feel that it's always there- it's just more discomforting after food
Doctor :   How is ur appetite ? have u lost weight in the recent months ?
Doctor :   may i know if u have more spicy foods ?
User :   i believe that i have a healthy appetite, pretty much hungry most of the time
Doctor :   ok
User :   i have been having a bit of curry recently, but even when i have something like a kabob or pizza i feel it as well
Doctor :   this seems to be a sign of gerd or gastritis like issue for you
User :   i've had this for a while it seems, it hasen't really gotten any worse though. after i eat sometimes i feel my right side and whatever is in that area (colon or whatever) feels expanded- is that the gas?
Doctor :   what u can do is, avoid spicy foods
Doctor :   also take, pepcid or any antacid after meals
Doctor :   take PRILOSEC 20 mg twice daily for 15 days
Doctor :   this will relieve most of the acidity as well
User :   i have been taking prevacid 20mg once a day for heartburns
Doctor :   it could be bloating as a result of excess acid secretion
User :   should i take two a day instead?
Doctor :   yes u need to take 2 tabs a day
User :   alright, and is it normal to have felt this for so long?
Doctor :   But if u are taking prevacid, thats better than prilosec and that u need to take it once a day as u have been
Doctor :   May i know if u have undergone, tests like barium studies or endoscopy or tests for h pylori ?
User :   i have been tested for h pylori but i haven't done any other tests
Doctor :   GERD or acidity is due to dietary and lifestyle related issues
Doctor :   was the test normal ?
User :   yes, that was taken about a year ago
Doctor :   and it will be there as long as the underlying issues persist
User :   recently, my doctor did a bunch of blood tests (white blood cell counts, etc), ultrasound, and checked my kidney and liver- all were normal
Doctor :   I WOULD advice you to undergo the test again,
Doctor :   i mean the H pylori, serology tests
Doctor :   and continue prevacid 20 mg for 6 weeks
Doctor :   i expect the condition to settle down altogether
Doctor :   Also evolve healthy lifestyle habits
User :   alright. i just realized that what i'm actually taking is called Omeprazol
Doctor :   change ur dietary habits and avoid spicy & high fat foods
Doctor :   Omeprazole - 20mg needs to be taken twice daily
Doctor :   and not once daily
User :   ok, thanks.
Doctor :   in case u were taking a single dose, then it is not sufficient
Doctor :   avoid junk food too, like pizza, eat whole prepared foods instead
Doctor :   also, regular physical workout and good diet will increase ur gut motility and reduce the gastric stasis, and in return reduce the gastritis issues as well
User :   alright, i haven't been exercising at all so that's good to know.
User :   also... and I've always been like this (since I could remember)- I've just been so tired all the time. could this stem from that as well?
Doctor :   physical workouts , basically cardio, and abdominal workouts will help u
Doctor :   yes
Doctor :   good nutrition , good physical workout , active mind will keep a person very healthy
User :   alright, so just or reiterate- this tenderness/constant bloating on my right side sounds most likely like gastritis?
Doctor :   yes
User :   so this to you does not sound like anything too serious?
Doctor :   no
User :   i always have this fear of getting cancer and given the discomfort on the right side i always feared it could be colon cancer
Doctor :   most of the issues u have is due to lack of proper fibre in your diet
Doctor :   at ur age, of 22, cancer should not be on ur mind, unless u have a strong family history of colon cancer within the 2nd or 3rd decade of life
Doctor :   i willl advice you, eat food, with more fibre in it, as in cereals, XXXXXXXX fibre, whole wheat bread
User :   could this also be stress/anxiety-induced though?
Doctor :   No
Doctor :   In ur case, its basically diet related
Doctor :   avoid too much of soda, coke, junk food, and most of ur issues will be taken care off
User :   alright, thanks so much. and i should take 20mg of omeprazol twice a day now, correct?
Doctor :   yes twice daily of 20 mg is correct
Doctor :   You are welcome
Doctor :   Do u have any other query ?
User :   yes just one last question on the matter- would irregular bowel movements stem from this as well? as in difference in consistency (i usually have 1 or 2 bowel movements per day) and size? and as a side note there isn't any blood in my stool
Doctor :   yes
Doctor :   lack of fibre in the diet, can cause such issues
Doctor :   do you mean to say, that u have watery stools or formed stools ? and since how long have u had them ?
User :   sometimes its hard and sometimes it's loose.
Doctor :   thats due to lack of fibre
Doctor :   follw the suggestions that i have given before and all ur issues will be taken care off
User :   alright. and this is honestly the last question, so sorry! - but sometimes when it is loose it is very sticky in a way. sometimes it takes 4 flushes to get rid of!
Doctor :   thats coz, there might be too much of fat in the stools
Doctor :   do they smell foul in any way ?
User :   not any different than usual, really. at least not that i have noticed. the color is still the same as well- lightish brown
Doctor :   have they been so, only when u have heavy fatty meals, or do they remain sticky all the time ?
User :   when they are loose they tend to be sticky, though normal bowel movements normally sink
Doctor :   normal stools if left for sometime in the loo, can float once they imbibe water in them
Doctor :   But, my question, was Do u have sticky stools all the time, or is it once a while ( after having a party, etc )
User :   it's a pretty consistent thing i guess
Doctor :   ok
Doctor :   do u drink a lot of beer ?
User :   i have been going out a decent amount lately
User :   though last week i did not go out at all
User :   is the sticky stool a concern?
Doctor :   not so, in ur case as ur blood test have been normal recently and also your Ultrasound had been normal as well
Doctor :   But in other cases, with Right sided discomfort, fatty stools, i would consider liver & gall bladder issues , which would show up on a ultrasound
User :   alright
Doctor :   if its high, then there would be some low secretion of pancreatic enzymes
Doctor :   what u can also do is, take some pancreatic enzyme supplements
User :   alright, thanks.
Doctor :   You are welcome
User :   must run, thanks gaain
User :   *again
Doctor :   thanks for consulting me here
Doctor :   please leave ur feedback as u log out
Doctor :   take care and bye for now.
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