Lower abdominal pain. Took medication and exercise. Not cured. Now? - Online Doctor Chats
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Practicing since : 2003
Answered : 1559 Questions
Hi
hi Dr
I had a chat with Dr XXXXXXX a couple of months ago
ok
its about pain in the loer abdomen
lower
ok
she suggested a change in my diet, some exercise and medication
ok
though there was some improvemnt for a while
i seem to have gone back to the same situation
Is it right or left side of the abdomen or middle?
i seem to be having sever indigestion for the last few days
What is your age, are you married?
it started with left and then also the right
yes, am married, am 48 yearsold
is it below the belly button or at the level of it
Can you describe the pain?
have done sonographies and basic tests but nothing shows there
When were they done?
just feel like theres a lot of gas inside
Do you mean fullness in the lower abdomen?
in jun
sort of
Do you pass out gas from the anus, is it disturbing you?
i do, no that does not dosturb me so much. its more like an uneasy feeling and belching
Do you belch?
yes
Doyou bring out acid into the mouth>?
no
sour taste in the mouth
but i have a funny taste in my mouth
So you bring out air from the stomach to the mouth
maybe
How much time do you take to complete meal? average at office or home?
5-10mins
Do you talk or watch tv while having food?
yes
Do you have fruits and salad while having food?
sorry anytime during day
not during meal
mostly a banana immediately 5mins after food
salad?
yes salad - beetroot with afternoon meals mostly
becos have an anaemia problem also
How is your stool consistency, is it regular ?
yes
Do you have pain while passing stool
but sometimes feel constipated
is it hard or soft?
no pain but just a feeling that its not complete
mostly soft stools
Do you take enough water in a day?
how many glasses?
yes, have about one litre a day
That is not sufficient you should have 8 to 10 glasses per day
ohok
Now let me put my opinion here
ok
You seem to be forming too much of gas or swallowing a lot of air, that is a causing problems
it is accompanied by lower fluid intake
ok
You should eat slowly and chew slowly while you have meal
ok
This may not be problem yet but as you age so do the gut
You should have meal at least 15 to 20 min
any specific foods that i hd avoid?
That is the reason why you should utilize the whole one hour lunch break
You should not talk while you eat, you tend to swallow a lot of air
ok
along with it you should avoid startch and carbohydrate XXXXXXX food
example uncooked vegetables, root vegetables
cabbage, cauliflower etc
so salads and beetroot not advisable?
which form gas
I would ask you to restrict
the root
Do not avoid them
ok
what about milk and milk products like curd
Restrict
what is the safest food to have in that case - dhal & rice daily? and no non-veg?
Eat in moderation
you can get stool analysis done
that was also done as part of the health check up
Sometimes bacteria can cause such excess gas producton
so breath test is done to detect that
ok
wd u suggest an endoscopy or colonoscopy? i have been thinking strongly on these lines
Most likely they do not reveal anything
Let us manage conservatively
ohok
Restrict carbohydrates, add asafoetida to the food at home
It helps
Avoid onion and carbo XXXXXXX foods and uncooked things
but i dont seem to be putting on any weight - currently weigh 49kgs
Restrict milk if this can be a case of lactose intolerance
i used to be atleast 53 kgs a few months ago
is it becos i think about this problem too much
Buy 'Yakult' from the grocery
and try for a week if the above measures do not help
ok - what is yakult and how will it help me?
it is a probiotic drink
it helps in balancing the bacteria
ok
it is t be had immediately after meals?
Empty stomach
i mean between meals
ok
so i shdnt worry about my weight right now then doctor?
no
cause i consciously eat less for fear that i wont be able to digest
so i will try eating slower and see if it helps
I understand that
Even if it does not help that is all it should be
and also try and avoid some things as u have suggested
Yes
Do you have any more queries?
no thanks doctor
you have been very helpful
Thanks for consulting me. pleasure
in case i dont see any improvemnt will get back to you in a couple of weeks
hope thats ok
yeah
Thanks again
sure get a stool test again
and have a great weekend
ok - what shd i specifically tell them to do? take a breath test?
Stool analysis, reducing substances
Breath test is not required now
let us do one by one
ok
thanks
Bye
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