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Suffering with abdominal discomfort and frequent bloating. Expeiencing vasovagal reflex. Taking Ezetimbe and asperin. Suggestions.

I am a relatively fit 59 yrar old male but for 10 years + I have been suffering with abdominal discomfort and frequent bloating which was diagnosed as probably IBS. On occasions this has triggered an episode of atrial fibrillation which lasted a few hours. This was not diagnosed until I had a bad episode which lasted 2 days and needed beta blockers to stop it. I am now carefull about what I eat and need to wait until I have emptied my bowels in the morning before I do any exercise or exertion. This can be a real nuisance and inconvenience - but if I don't it can trigger the problem again. More recently I have been expeiencing symptoms similar to a vasovagal reflex (stopping just short of actually passing out) which seems to coincide with trapped gas or abdominal bloating. I was wondering if this is all connected and if there is anything else I can do to treat it? I have had a recent ECG and echo test which shows my heart to be normal - albeit with a slightly low resting rate of about 50bpm. I am fed up of permanently feeling unwell and being worried everytime I have arranged to do anything early mornings in case I am unable to empty my bowels before I go out. the only drugs I take are Ezetimbe for cholesterol (statins didn't suit me) and 75mg asperin since AF was diagnosed. Any suggestions would be much appreciated.
Asked On : Mon, 25 Mar 2013
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General & Family Physician 's  Response
Hello Good Evening,

You are suffered from bloating, which may cause constipation due to decreased bowel movements and constipation may also caused bloating.

There are many causes of bloating, including: diet, irritable bowel syndrome, lactose intolerance, re flux, and constipation and some more.

Gas and bloating is a sign that food is not being digested correctly by the body. An inadequate intake of water will cause excessive stomach bloating.

Water benefits the body by aiding with digestion because it supports a majority of the body's daily functions.

Fatty foods cause a formation of fat cells to develop throughout the body and contribute to bloating as well. A build up of fat cells slows down the body's ability to empty the stomach.

Dairy products also contribute to excessive cramps, gas, and bloating.
Persons who are intolerant to lactose products experience this effect more than others.

Following steps should follows to lessen the bloating:

-Walk after eating a meal.
-Avoid coffee and chocolates.
-Avoid Meals that are high in fat.
-Avoid extremely hot or cold food.
-Avoid bubble gum or bubbly beverages.
-Avoid alcohol and smoking

If needed then medication should be included antacids, PPI, digestive enzymes and some laxatives.


Dr. Naresh Jain.
Answered: Sun, 21 Jul 2013
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