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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Diet For Old Lady With Abdominal Pain And Gassy Gut

Mom 82 yrs. young never sick a day in her life; has been complaining of abdominal pain, gassy gut, bloated feeling, dizzy because she doesn't want/wont eat or drink much. 5' 133 lbs. down to 125 since xmas. had ct scan yesterday everything came back normal; felt so bad went to er thought she might be dehydrated, blood results indicated everything was normal no acute issues; electro lites in balance. given 2 IV's nexium and something for nausea; released; follow up with gastro and gp. she felt much better following iv's and nexium; insurance changed and reg. gastro won't see her; any suggestions for diet between now and next week; she can't afford to loose anymore weight.

Mon, 3 Nov 2014
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Dietitian & Nutritionist 's  Response
Does she take milk and is she having these symptoms after consuming milk? As you say that her test results are all normal and there is no serious medical issue, just check what she has been eating/drinking of late which might be causing problems. If she is having difficulty in digesting milk, then she must be lactose intolerant. Generally people in old age have a hard time digesting milk and present with symptoms such as diarrhoea, constipation, gas, bloating sensation in stomach and abdominal cramping.

Try to feed her small quantites of food and liquid containing glucose at regular short intervals to ensure she doesn't become weak. Omit any foods which might be causing discomfort and give only simple, well-cooked, easily digestible foods. Avoid fibre rich foods and give cabohydrates to meet her energy needs like starchy foods such as boiled rice,potatoes, bread. Avoid gas forming foods like raw onions, cabbage, beans etc. If non-vegetarian, you can give mutton, chicken, eggs and fish. If she is not accepting solid foods, you can prepare thick soups both veg and non-veg, add corn starch for thickening, some butter or cream for energy. Give her bananas, curd, fresh fruit juices with added sugar. Hope this will help you in feeding your mother well.
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Suggest Diet For Old Lady With Abdominal Pain And Gassy Gut

Does she take milk and is she having these symptoms after consuming milk? As you say that her test results are all normal and there is no serious medical issue, just check what she has been eating/drinking of late which might be causing problems. If she is having difficulty in digesting milk, then she must be lactose intolerant. Generally people in old age have a hard time digesting milk and present with symptoms such as diarrhoea, constipation, gas, bloating sensation in stomach and abdominal cramping. Try to feed her small quantites of food and liquid containing glucose at regular short intervals to ensure she doesn t become weak. Omit any foods which might be causing discomfort and give only simple, well-cooked, easily digestible foods. Avoid fibre rich foods and give cabohydrates to meet her energy needs like starchy foods such as boiled rice,potatoes, bread. Avoid gas forming foods like raw onions, cabbage, beans etc. If non-vegetarian, you can give mutton, chicken, eggs and fish. If she is not accepting solid foods, you can prepare thick soups both veg and non-veg, add corn starch for thickening, some butter or cream for energy. Give her bananas, curd, fresh fruit juices with added sugar. Hope this will help you in feeding your mother well.