Brief Answer:
Bloated Stomach with distress/ Under Treatment Evaluation

Detailed Answer:
Brief Ans-Bloated Stomach with distress/ Under Treatment Evaluation

Hi,Dear,Thanks for the query to HCM.
I studied your query and understood your Gas /stomach distress at your age.
Please enlist drugs which you are taking and feel are the cause of this stomach distress.

My clinical impression-
Chronic Entero-Colitis with UTI?

Advised Test-
to be ruled out by -
Stool / Urine Tests

?Update -
On if you have piles / fissure/ or IBS for which you took treatment in past

Health Care Suggestions-

In the Meanwhile follow-
Plenty of Warm Water With Lemon and Honey x 3 times a day.
Liquids juices/saline water frequently
Increase your mobility-if you are sedentary.
Reduce on non-veg diet
Tab Enzar - 1 with Meals
Omit Myralax
Be on Black Tea/ Spinach soups-
Avoid dairy products
Check with Urine-micro with your doctor.

Keep Me updated on this information.
Welcome for any further query in this regard.

Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Drug Induced?Gases/Bloating with Urinary Frequency/Under Evaluation

Detailed Answer:
Brief Ans-Drug Induced?Gases/Bloating with Urinary Frequency/Under Evaluation

My Impression-?Cardiac Dyspepsia with Un-controlled Diabetes with ? Entero-Colitis -Which needs to be investigated on priority to come out of this Gases/Stomach Distress problem of Yours.

Hi,Dear,Thanks for the updates about the medicines taken.
Your main health concerns seems to be Gases/Stomach Bloating.
Don't get obsessed with the medicines causing these side effects.
No doubt medicines do affect your Gases and Stomach Bloating.
Its good that your take Lemon with Warm Water,to which You just add Honey to it.

Update Me about your weight and your daily diet schedule.
You have not updated about any piles / fissure or IBS problems,in the past or currently.So please update on it.
And about the daily work activities at this age.


Till then I would suggest you to -
-Reduce on intake volume of -Solid /Leafy vegies in the food helpings
-Be on More of Soups and Curries.
-Don't take solid food after 4 pm.
-Be on Banana Milk Shake x 2 times a day.
-Be on Black Tea at 6 Pm
-Reduce on solid and fluid intake after 6 pm.
-Add 15 minutes Jogging by 7 Pm / or Evening walk for 30 minutes before sleep

Medicines Suggested -
-Tab Enzar 1 with the Main Meals would help you.
-Tab Panto-D- 1 HS at 6 Pm, would help you to reduce Stomach Distress-.

This would reduce on your drug needs and would keep your systems tuned to your physical needs and would give better sleep.

ALERTS Suggested-to be watched and Investigated-
-Review with Your Cardiologist /Physician-Get ECG/ 2 D Echo-to rule out any Chest Discomfort due to accompanied Silent Angina presenting with Dyspepsia with Stomach Distress/


My Impression-And Suggestions-
-Your problem seems to be with your diet/exercise and its schedules,for your age and your disease ailments.
-Also You seem to have Entero-Colitis of subacute nature,which is exaggerating the Bloating and Stomach Distress,at night time.
-Review with Your Physician for Cardiac and Diabetic Treatment Evaluation is suggested,as it could be -Silent Angina with Cardiac-Dyspesia and need not be neglected for the Stomach Distress caused by Gases / or caused by entero-colitis
-So also your sleep is disturbed by accompanied frequent urination,Which would indicate un-controlled diabetes.So check with your Physician after Fasting and Post-prandial Blood Tests and get the anti-diabetic doses adjusted.
So Check up with your stool and urine ,for any GI(Gasto-Intestinal)Infections and for any UTI(Urinary Tract Infection)
-As you are on medicines for diabetes and blood pressure for so many years,The bloating seems to be a worry for you lately and needs to be investigated with urinary frequency,you have lately.
-Resolving your Gases /Stomach Bloating would require close follow up,with updates and interactions for 3/4 times over next few weeks.

Keep Me updated after your Stool/Urine and Blood Sugar Tests.
Follow the dietary and Life style changes suggested,which would help you to reduce on your Gases/Stomach distress.

Be Candid in meticulous follow up after the tests and Cardiac and Diabetic Work ups.

Hope this would resolve the confusion You have from your Gases/ and Stomach Distress.

I have tried to put you on alert and to suggest the importance of -Diabetic and Cardiac and GI and Urinary Investigations,which are important before your case is treated with any medicines.

Hope You would take these suggestions in positive spirit.And would work up your case with your doctors.This should help to reduce your health issues in time to come.The decision is yours,and your doctors.

Welcome for any further query in this regard.
Keep Me updated if need be.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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