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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bloating, Small Stools. CT Scan Shows Uneven Endometrial Thickening. Have Uterine Cysts

I saw my primary care for what I thought might be constipation ... regular (1x day) but small bm and bloating that makes me look pregnant. Xray refuted my theory so doc ordered cat scan(abdominal to pelvic ) and bllod work....no concerns. What was noted was uneven endometrial thickening. 18 months ago uterine polyp removed after 30+ days of heavy bleeding. Onset of menstruation age 10/11. No period since April 2013 and only 4 or 5 total since removal of polyp. Age 46, muscular but overweight(195) at 5 9 . Doc says most perimenopausal women will have uneven endometrial thickening. Ultrasound scheduled in November....is this the best hypothesis....also hx of uterine cysts. Thank you Melisa
Thu, 26 Sep 2013
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Internal Medicine Specialist,  's  Response
Dear Ms Melisa,

Thank you for reposing your faith in us. I fully understand your concern and will try my best- given my vast experience and knowledge- to effectively addressing your problems.

Chronic constipation with bloating can be due to several causes : deranged equilibrium of bacterial flora in the intestines; as a manifestation of Irritable Bowel Syndrome; peri-menopausal syndrome or a hypothyroid state. Even H.pylori infection can produce similar symptoms.

It would have been of great help had you mentioned if having peri-menopausal symptoms; gain of weight in the recent past; lethargy; easy fatigability etc...

Please revert back to me with further information as requested by me.

In the meanwhile, I will recommend that you start with Tab xxx10mg THRICE daily, 30 MINUTES BEFORE each meal.

Also, it would be a good proposition if you get your Thyroid hormonal assay done.

Please feel free to revert back to me as and when required. I will always be at your assistance.

Fond regards,

Dr. Karanwal
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Bloating, Small Stools. CT Scan Shows Uneven Endometrial Thickening. Have Uterine Cysts

Dear Ms Melisa, Thank you for reposing your faith in us. I fully understand your concern and will try my best- given my vast experience and knowledge- to effectively addressing your problems. Chronic constipation with bloating can be due to several causes : deranged equilibrium of bacterial flora in the intestines; as a manifestation of Irritable Bowel Syndrome; peri-menopausal syndrome or a hypothyroid state. Even H.pylori infection can produce similar symptoms. It would have been of great help had you mentioned if having peri-menopausal symptoms; gain of weight in the recent past; lethargy; easy fatigability etc... Please revert back to me with further information as requested by me. In the meanwhile, I will recommend that you start with Tab xxx10mg THRICE daily, 30 MINUTES BEFORE each meal. Also, it would be a good proposition if you get your Thyroid hormonal assay done. Please feel free to revert back to me as and when required. I will always be at your assistance. Fond regards, Dr. Karanwal