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Treatment for peri menopausal state and gastric troubles - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi, I am a 52 year old female with a problem that no doctor has found a cause for. It started 9 months ago, with bloating and pain underneath my right breast. With it was excessive, loud, continuous, belching everytime I ate or drank anything, even water. I was sent to a diagnostic center which said either I had "a small appendix or chronic appendicitis". This didn't make sense to me, since I had no pain where my appendix was. I was sent to the hospital and they did a gall bladder test-normal, an ultrasound-normal, and an endoscopy-normal. The GI doctor thought it could be a rebound symptom from my appendix, but the hospital doctor wouldn't let him remove my appendix, since I had no pain there. It took about 3 months to get through this, and I discovered things to eat and drink that caused it to lessen, but that never elliminated the problem completely. Unfortunately, all of those things were soft, easily digestible, with little nutritional benefit (like XXXXXXXX crackers and minute rice and jello, for example. And I want to eat healthy foods, like raw vegetables, high fiber food, whole grain rice, etc. because I have high cholestrol and am overweight, 170 pounds. Then, last week, it started again. Primary care sent me to the hospital, they did a CT scan, found nothing, sent me home. I don't think they believed me, yet you can't imagine belches as loudly and as often as they occur, and my husband and my son can attest to that. Trouble is, in the hospital, I wasn't aloud to eat or drink. Then I came home. and the first few sips of water I took, belching started back up. Frustrating. One other detail that may be important, after I eat and drink, a puffy gas pocket forms, underneath my right breast. If I rub it gently, I can pump the gas out with lesser burps. By the way, my gastro-intestinal doctor mentioned to me last time that if this got too annoying (at least he
User :   believed me), that he could remove my gall baldder. That he has found with other people that had a similar condition, and no diagnosis, that removing the gall bladder had stopped all of the problems 99% of the time completely. I would really appreciate if someone could help!
Doctor :   Hello.
Doctor :   Let me read your query.
User :   Okay!
Doctor :   I have gone through your history.
Doctor :   Does this symptoms start after in take of ant food?
Doctor :   I mean after eating fresh fruits and vegetables do you find these symptoms?
Doctor :   I meant any food?
User :   When it acts up this badly, yes. Even after water. And yes to fruits and vegetables if they are raw, like a salad.
Doctor :   Ok.
Doctor :   Are you on any medication right now?
User :   No, I take ibuprofen sometimes for back or headache pain. But not subscription.
Doctor :   How often do you take it?
Doctor :   I mean the medications.
User :   Maybe 2 in the morning when I wake up. However if my back is out, which could last 3 days. then I may take it 2 or 3 times a day. But that only occurs a few times a year.
Doctor :   Ok.
Doctor :   You said it started again one week back right?
Doctor :   Were you alright before that?
User :   I forgot to mention, I use to take Zoloft, but had to discontinue it completely, cause it would cause the same problems. The doctor said it was because there are serotonin receptors in the intestinal track that it irritates.
Doctor :   Ok.
User :   I am confused, started what one week back?
Doctor :   Your current symptoms.
User :   Yes
Doctor :   Before one week there was no problems right?
User :   Only mildly, occasionally, hardly noticable, but I had given in to eat less irritating foods.
Doctor :   Ok.
Doctor :   Did you attain menopause?
User :   According to the last blood test last fall, no. However I have only had my period about twice a year for the past 3 years. The last one was November.
Doctor :   Ok.
Doctor :   Your are in a peri menopausal state.
User :   Okay
Doctor :   Do you have mood changes, bone pain, hot flushes, etc?
User :   All of the above.
Doctor :   Ok.
Doctor :   Did you do any thyroid testing?
User :   Two or three years ago they did a thyroid test of some sort, biopsy type, because I have several small nodules and 1 larger goiter. But I am on an HMO and the doctor hasn't ever suggested me being re-tested.
Doctor :   I would suggest you get a thyroid profile done again.
User :   Okay, I will, anything else?
Doctor :   Do you have any Allergies/ Diabetes/ High Blood pressure?
Doctor :   'History
User :   Allergies to mold, dust and mites, pollen, weeds, garlic, and onion. Though I use to be allergic to many, many food. I don't know how it could possibly be now only down to to food items.
Doctor :   Any thing can cause allergies.
User :   I forgot. I also have been taking Zyrtec each night for my allergies, and using afrin twice a day to breathe. I know you are not suppose to take Afrin long, but I was waiting for allergy season to pass.
Doctor :   Ok.
Doctor :   Did you tell about all the medications you are using to your treating GI?
Doctor :   I meant your doctor.
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