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Hi Doctor, I Presume That I Am Suffering From SIBO.
Question: Hi Doctor,
I presume that I am suffering from SIBO. As my stomach get highly bloated, full of gas and stomach get distended after eating a meal. I am not able to pass gas either from the mouth or the anus. Initially, I was expecting this issue to IBS as I had diarrhea also with bloating.
If I take Rifagut 400mg after every meal doesn't have any issues. My motion is normal but a bit constipated.
What do I really suffering from ???
How long can I take Rifagut? Is it safe for prolonged usage??
How do I test for SIBO in the lab in XXXXXXX XXXXXXX ?? What test name??
Any herbal remedies would be appreciated.
I presume that I am suffering from SIBO. As my stomach get highly bloated, full of gas and stomach get distended after eating a meal. I am not able to pass gas either from the mouth or the anus. Initially, I was expecting this issue to IBS as I had diarrhea also with bloating.
If I take Rifagut 400mg after every meal doesn't have any issues. My motion is normal but a bit constipated.
What do I really suffering from ???
How long can I take Rifagut? Is it safe for prolonged usage??
How do I test for SIBO in the lab in XXXXXXX XXXXXXX ?? What test name??
Any herbal remedies would be appreciated.
Brief Answer:
It can be bacterial overgrowth or functional bowel problem.
Detailed Answer:
Hi,
Welcome to the 'Ask A Doctor service'.
I have reviewed your query and below is my answers for your questions.
_ It can be bacterial overgrowth syndrome or functional bowel problem.
However celiac disease also should be considered as another possibility.
_Rifagut can be taken for 7-10 days. If symptoms reoccur then after two to three week another course for 7-10 days can be prescribed.
_If no improvement than prolonged course not recommended.
Nausea, vomitting, abdominal pain etc are common side effects.
_You can get tested by breath test for bacterial overgrowth or invasive test like small intestine aspirate culture.
Also get investigated for celiac disease by anti tissue transglutaminase estimation.
_for your gas problem follow below instructions as well..
*take less fatty foods
*regular exercise
*avoid smoking and stress
*restrict alcohol and carbonated drinks
I would like to suggest you to take simethicone containing tablet like flatuna as well which will help in disintegrate gas bubble.
If no improvement then I recommend endoscopy for further work up.
Hope I have answered your question.
Let me know if I can assist you further.
Best regards
It can be bacterial overgrowth or functional bowel problem.
Detailed Answer:
Hi,
Welcome to the 'Ask A Doctor service'.
I have reviewed your query and below is my answers for your questions.
_ It can be bacterial overgrowth syndrome or functional bowel problem.
However celiac disease also should be considered as another possibility.
_Rifagut can be taken for 7-10 days. If symptoms reoccur then after two to three week another course for 7-10 days can be prescribed.
_If no improvement than prolonged course not recommended.
Nausea, vomitting, abdominal pain etc are common side effects.
_You can get tested by breath test for bacterial overgrowth or invasive test like small intestine aspirate culture.
Also get investigated for celiac disease by anti tissue transglutaminase estimation.
_for your gas problem follow below instructions as well..
*take less fatty foods
*regular exercise
*avoid smoking and stress
*restrict alcohol and carbonated drinks
I would like to suggest you to take simethicone containing tablet like flatuna as well which will help in disintegrate gas bubble.
If no improvement then I recommend endoscopy for further work up.
Hope I have answered your question.
Let me know if I can assist you further.
Best regards
Above answer was peer-reviewed by :
Dr. Yogesh D
Hi,
Due to this bloating, I get a discomfort near the liver area (not actual pain) and some muscle pain on the mid back behind the liver.
Is this anything to do with the liver problem, as I have a fatty liver due to alcohol?
How do I ascertain my self that the discomfort or muscle pain is nothing to do with Liver issues?
Please advice
Due to this bloating, I get a discomfort near the liver area (not actual pain) and some muscle pain on the mid back behind the liver.
Is this anything to do with the liver problem, as I have a fatty liver due to alcohol?
How do I ascertain my self that the discomfort or muscle pain is nothing to do with Liver issues?
Please advice
Brief Answer:
It doesn't seem to be liver problem. Detailed below.
Detailed Answer:
Hi,
Welcome to the 'Ask A Doctor service'.
I have reviewed your query and here is my advise.
If you have liver problem like hepatitis means inflammation of liver then fever, yellow discolouration, weight loss, vomitting etc like complaint associated.
Fatty liver doesn't lead discomfort usually.
And it is reversible disease with life style modification.
However to exclude any form of liver injury or liver inflammation you can investigate with sgpt, sgot, serum total protein estimation.
Hope I have answered your question.
Let me know if I can assist you further.
Regards
It doesn't seem to be liver problem. Detailed below.
Detailed Answer:
Hi,
Welcome to the 'Ask A Doctor service'.
I have reviewed your query and here is my advise.
If you have liver problem like hepatitis means inflammation of liver then fever, yellow discolouration, weight loss, vomitting etc like complaint associated.
Fatty liver doesn't lead discomfort usually.
And it is reversible disease with life style modification.
However to exclude any form of liver injury or liver inflammation you can investigate with sgpt, sgot, serum total protein estimation.
Hope I have answered your question.
Let me know if I can assist you further.
Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
No need of taking Flagyl or orni tablet just now.
Detailed Answer:
Hi,
Welcome back to the 'Ask A Doctor service'.
I have reviewed your query and here is my advise.
Your stool frequency and consistency normal as per mentioned history and motion not affected.
If you have diarrhea then we could think to start Flagyl that is metronidazole.
Just now no need of it.
If you develop diarrhea then revert back or else you can follow mentioned advise in my answer.
You can discuss all these with your treating physician.
Hope I have answered your question.
Let me know if I can assist you further.
Regards
No need of taking Flagyl or orni tablet just now.
Detailed Answer:
Hi,
Welcome back to the 'Ask A Doctor service'.
I have reviewed your query and here is my advise.
Your stool frequency and consistency normal as per mentioned history and motion not affected.
If you have diarrhea then we could think to start Flagyl that is metronidazole.
Just now no need of it.
If you develop diarrhea then revert back or else you can follow mentioned advise in my answer.
You can discuss all these with your treating physician.
Hope I have answered your question.
Let me know if I can assist you further.
Regards
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Above answer was peer-reviewed by :
Dr. Yogesh D
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