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Suggest Treatment For Abdominal Bloating And Diarrhea When Diagnosed With Uterine Cancer

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Posted on Mon, 13 Feb 2017
Question: A few weeks ago, I developed thrush in my mouth. The doctor gave me a thick liquid to swish in my mouth. It got rid of the thrush, but then I started having difficulty urinating...or feeling the urge to urinate. A lot of pressure on my bladder. Now, I'm bloating unbelievably in my upper and lower stomach. I am lactose and gluten intolerant...but the gas will not go away. I have a very loose stool and bloat immediately upon eating...anything! Is this IBS? I have had uterine cancer and a complete hysterectomy as of three years ago.
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Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Deplenished Gasro-intestinal flora due to oral intake of fluconazole!

Detailed Answer:
Hi,
Firstly thanks for using health care magic for your query!

As per your query yes it can be irritable bowel syndrome,But as you have a history of recent medicine uptake its more likely that the problem is more likely due to deplenished gastro intestinal flora.
Gut flora is the complex community of microorganisms that live in the digestive tracts of humans. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel. After Taking anti fungals orally this flora of gut get destroyed and lead to various problems with digestive system including belching, bloating and increased gas formation.

I would advise you to drink cleaner water. I would also advice you to take a probiotic daily for atleast 2 weeks along with a Proton pump inhibitor like Esomeprazole 40mg once daily. PPI will provide you symptomatic relief from feeling of belching,Bloating and gas formation. Once the intestinal flora is replenished your symptoms will gradually subside.

In case you are not relieved after taking PPI's and Probiotic for 14 days,We can treat and investigate it on lines of IBS.
However a recent history of intake of fluconazole is highly suggestive of deplenished G.I flora.

Thank you!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Suggest Treatment For Abdominal Bloating And Diarrhea When Diagnosed With Uterine Cancer

Brief Answer: Deplenished Gasro-intestinal flora due to oral intake of fluconazole! Detailed Answer: Hi, Firstly thanks for using health care magic for your query! As per your query yes it can be irritable bowel syndrome,But as you have a history of recent medicine uptake its more likely that the problem is more likely due to deplenished gastro intestinal flora. Gut flora is the complex community of microorganisms that live in the digestive tracts of humans. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel. After Taking anti fungals orally this flora of gut get destroyed and lead to various problems with digestive system including belching, bloating and increased gas formation. I would advise you to drink cleaner water. I would also advice you to take a probiotic daily for atleast 2 weeks along with a Proton pump inhibitor like Esomeprazole 40mg once daily. PPI will provide you symptomatic relief from feeling of belching,Bloating and gas formation. Once the intestinal flora is replenished your symptoms will gradually subside. In case you are not relieved after taking PPI's and Probiotic for 14 days,We can treat and investigate it on lines of IBS. However a recent history of intake of fluconazole is highly suggestive of deplenished G.I flora. Thank you!