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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bloating And Gas In Stomach?

I am having stomach issues. I feel bloated and gassy a lot. I have had an mri and it showed nothing. Sometimes I cant go to the bathroom and sometimes its very loose. I get nauseous often. My primary doctor put me on nexium a while back and it seemed to help for a while. He thought maybe an ulcer. I find that certain foods will trigger it. Sometimes its feel like there is a ball under my rib cage. Don t know what it is.
Mon, 26 Oct 2015
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General & Family Physician,  's  Response
Hi,
Welcome to health care magic,

Stomach bloating is caused mainly because of air swallowing known as erophagia.

The other causes are irritable bowel syndrome or dyspepsia or constipation or peptic ulcer which needs to be diagnosed by clinical examination and various investigations.

If you already started tab.nexium and still having abdominal bloating or distension then you should continue that antacid medication or take pantoprazole or rabeprazole with antacid gel like digene or sucralfate,
avoid excess carbohydrates and fatty foods,
avoid oily and spicy foods.

If you still have these problems then you should go for routine blood tests with ultrasound abdomen and upper GI endoscopy if had not done earlier.

MRI scan have not much role in this type of GI symptoms but endoscopy can give some clue if you have a problem since long time.

Feeling of ball under rib cage should be due to this gas trouble or stomach bloating but X-ray will help to rule out any other bony abnormality.

Consult to gastroenterologist again and ask for various investigations to treat underlying cause.

Regards,
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What Causes Bloating And Gas In Stomach?

Hi, Welcome to health care magic, Stomach bloating is caused mainly because of air swallowing known as erophagia. The other causes are irritable bowel syndrome or dyspepsia or constipation or peptic ulcer which needs to be diagnosed by clinical examination and various investigations. If you already started tab.nexium and still having abdominal bloating or distension then you should continue that antacid medication or take pantoprazole or rabeprazole with antacid gel like digene or sucralfate, avoid excess carbohydrates and fatty foods, avoid oily and spicy foods. If you still have these problems then you should go for routine blood tests with ultrasound abdomen and upper GI endoscopy if had not done earlier. MRI scan have not much role in this type of GI symptoms but endoscopy can give some clue if you have a problem since long time. Feeling of ball under rib cage should be due to this gas trouble or stomach bloating but X-ray will help to rule out any other bony abnormality. Consult to gastroenterologist again and ask for various investigations to treat underlying cause. Regards,