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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Distended Stomach With Soft Stools?

My stomach is distended and I can t pass gas even when I use gas x. I have very soft stools daily and my stomach is always making strange noises. I m uncomfortable and can barely eat because of this. My clothes don t fit my waist even though the scale says I am at or below my normal weight. This has been going on for months. I also had an MRI for PCS and they had to do another one because there was too much bowel movement to read the MRI. They gave me a shot of medicine (which caused severe pain in my arm) to slow the movement down before redoing the second MRI. Could this be a gallbladder or pancreas issue that I should see a gastroenterologist about or is it just IBS, which is pretty much untreatable long term?
Wed, 28 Dec 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of distention of stomach, unable to pass gas in spite Gas-X, very soft stools daily, and stomach makes strange noises. This makes it uncomfortable, can barely eat, clothes do not fit well. All this going on for months, MRI was not possible in spite of injection to slow the bowel movements, wants to know whether this be a gall bladder issue or of pancreas, or IBS...
The cause of such ongoing distension not responding to Gas-x can be due to the following reasons:
Small intestinal bacterial overgrowth.
Anxiety and/or stress.
Aerated drinks.
Intolerance to certain foods and beverages.
Specific diseases like tuberculosis or so.
I would advise you the following:
Tests of stool for three consecutive days.
Blood: CBC, Thyroid, liver and kidney functions as such derangement can also be the cause.
X-ray of the abdomen, ultrasonography, CT scan of the whole abdomen.
Colonoscopy
All these tests will help to confirm or rule out the specific causes, if found will be treated according to the diagnosis.
If all the tests are normal, this can be taken as due to IBS and treated accordingly wherein control of stress and/or anxiety plays a very important role.
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What Causes Distended Stomach With Soft Stools?

Hi. Thanks for your query. Noted the history of distention of stomach, unable to pass gas in spite Gas-X, very soft stools daily, and stomach makes strange noises. This makes it uncomfortable, can barely eat, clothes do not fit well. All this going on for months, MRI was not possible in spite of injection to slow the bowel movements, wants to know whether this be a gall bladder issue or of pancreas, or IBS... The cause of such ongoing distension not responding to Gas-x can be due to the following reasons: Small intestinal bacterial overgrowth. Anxiety and/or stress. Aerated drinks. Intolerance to certain foods and beverages. Specific diseases like tuberculosis or so. I would advise you the following: Tests of stool for three consecutive days. Blood: CBC, Thyroid, liver and kidney functions as such derangement can also be the cause. X-ray of the abdomen, ultrasonography, CT scan of the whole abdomen. Colonoscopy All these tests will help to confirm or rule out the specific causes, if found will be treated according to the diagnosis. If all the tests are normal, this can be taken as due to IBS and treated accordingly wherein control of stress and/or anxiety plays a very important role.