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Lower abdominal pain. Took medication and exercise. Not cured. Now? - Online Doctor Chats

Date : 04-Jun-2013
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

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