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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Distended Abdomen Due To Colon Without Using Alpha-galactosidase

Hi, My wife has a diffuse dilitational colon with low motility that fills with gas and causes an extemely distended abdomen. She is also diabetic. I realize that the alpha galactosidase can cause blood sugar to increase. However, the question arises as to how to balance the dangerously distended abdomen(colon) against the use of Alpha-galactosidase to at least reduce the generation of gas. Also because of an impaired liver she takes neomycin and lactulose to reduce the amount of ammonia that would enter her blood stream. Your comments please. Gus
Mon, 2 Mar 2015
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General Surgeon 's  Response
Hi.
Thanks for your query for your diabetic wife suffering from gases and bloating.
Alpha-galactosidase helps in breakdown of the complex sugars in terminal colon hence reducing the chances of formation of the gas. It may not increase the blood sugars and you can always keep an eye on the blood sugars and stop it the moment you feel there is increase in blood sugar you can stop it or increase the dosage of Insulin or other medicines.
Neomycin itself can be a reason for gas production.

I would advise :
-Stop all the foods and beverages including carbonated drinks that cause increased problems like bloating and gas formation.,
-Try another antibiotic with Tinidazole
-Reduced stress and anxiety as they do cause aerophagia.
-Colonoscopy
CT scan of the abdomen to rule out any other problems like cancer.
-Movements - ambulation in house .
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Suggest Treatment For Distended Abdomen Due To Colon Without Using Alpha-galactosidase

Hi. Thanks for your query for your diabetic wife suffering from gases and bloating. Alpha-galactosidase helps in breakdown of the complex sugars in terminal colon hence reducing the chances of formation of the gas. It may not increase the blood sugars and you can always keep an eye on the blood sugars and stop it the moment you feel there is increase in blood sugar you can stop it or increase the dosage of Insulin or other medicines. Neomycin itself can be a reason for gas production. I would advise : -Stop all the foods and beverages including carbonated drinks that cause increased problems like bloating and gas formation., -Try another antibiotic with Tinidazole -Reduced stress and anxiety as they do cause aerophagia. -Colonoscopy CT scan of the abdomen to rule out any other problems like cancer. -Movements - ambulation in house .