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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Continuous Flatulence After Eating, Extreme Bloating, Constipation, Muscle Cramps In Hands And Feet, Mouth Ulcers, Bumpy And Dry Skin Rash. Diagnosed With Vitamin B12 Deficiency. Remedy?

Hi there, i have been suffering over the last few months with a number of symptoms as follows, flatuence after eating, extreme bloating , constipation , muscle cramps in feet and hands, mouth ulcers over the last month, a skinrash that is bumpy and dry on my forehead and nose, and i also had a red bumpy itchy rash under my arm pits and chest twice in last 6 months that went as quickly as it came after a few weeks. i also was diagnosed with vitamin b12 defiency a few months ago because i was very tired. please help, this is really getting me down! AAAAAAA
Mon, 6 May 2013
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Emergency Medicine Specialist 's  Response
Hi Melyssa,
Thanks for writing your query.

Excessive flatulence can be due :-
1. Talking while eating or eating fast resulting in swallowing of more air.
2. Some foods like legumes and peas.
3. Infection of the gastrointestinal tract.

But after reading your post (flatulence and skin rash), it seems that you may need to do de-worming. You can take Albendazole 400 mg at night after consultation with your doctor.

You should avoid eating spicy and oily foods.

You should take Vitamin B supplements as this will also help in healing of mouth ulcers. Application of Benzocaine gel locally on your mouth ulcers before meals will decrease the pain sensation.

You should take medicines after getting yourself examined by your doctor.

I hope this is helpful to you.
Thanks.
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Pediatrician Dr. Neha Jain's  Response
Dear patient

first dont get puzzle . with your symptom diagnosis is correct . you have vitamin B12 deficiency anaemia . mouth ulcers are also because of vit b 12 deficiency .
1.you should take multivitamin capsule contaning vitamin B12 . or B complex . should eat more milk product . if you are non - vegetarian than good to have Shellfish . this is a great source of vitamin B12 and can be eaten raw, baked, steamed, fried, or made into chowder. In addition to vitamin B12 shellfish are a good source of zinc, copper, and iron . cheese and eggs are also good source of vitamin b12.



2. in case of your itchy rashes under arms , keep it dry properly after properly cleaning . if itching is more u can take antihistaminic medication as cetrizine 10 mg morning and evening for 5 days , apply calamine lotion 2 times / daily .



3. have balanced diet . more consumtion of water and fruits .dont eat spicy food .

4. u can apply zentian violet on on mouth ulcers .
5. if you are suffering from increased flatulence try to avoid pulses , cabbage .avoid water during the meal .

thanks
dr neha jain





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Continuous Flatulence After Eating, Extreme Bloating, Constipation, Muscle Cramps In Hands And Feet, Mouth Ulcers, Bumpy And Dry Skin Rash. Diagnosed With Vitamin B12 Deficiency. Remedy?

Hi Melyssa, Thanks for writing your query. Excessive flatulence can be due :- 1. Talking while eating or eating fast resulting in swallowing of more air. 2. Some foods like legumes and peas. 3. Infection of the gastrointestinal tract. But after reading your post (flatulence and skin rash), it seems that you may need to do de-worming. You can take Albendazole 400 mg at night after consultation with your doctor. You should avoid eating spicy and oily foods. You should take Vitamin B supplements as this will also help in healing of mouth ulcers. Application of Benzocaine gel locally on your mouth ulcers before meals will decrease the pain sensation. You should take medicines after getting yourself examined by your doctor. I hope this is helpful to you. Thanks.