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Hi, I Have A Relative Who Has Been Experiencing Bloating

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Posted on Tue, 12 Nov 2019
Question: Hi,

I have a relative who has been experiencing bloating and vomiting after quite heavy meals the past two weeks. She has experienced this on three occasions. The bloating seems to occur quite a few hours after the meals so is not immediate and suggestive of bacterial or viral issues.

She has had higher than normal range testosterone levels and has tried diabex tablets 500 mg twice daily with meals. The GP has stated that this could be a treatment for the high testosterone levels.

She has also had tablets previously for an underactive thyroid.

Could the diabex tablets be leading to these symptoms or should they be investigated further?


Thankyou,
Regards.
doctor
Answered by Dr. Elona (1 hour later)
Brief Answer:
Diabex is not the cause.

Detailed Answer:
Hi
I have gone through your query.
I can understand your concern.

The most common cause of high testosteron levels in females is Polycystic Ovary Syndrome(PCOS) and Metformin(Diabex) is one of the recommended treatement for this condition.
So,i can deduce that your wife has PCOS.

Diarrhea,Nausea,vomiting and abdominal cramps are common side effects of metformin.Usualy,these symptoms appear when you start taking Metformin.
In your wife's case,the symtopms are not related to Diabex.

If she had not fever and diarrhea(that can be suggestive of viral gastroenteritis) abdominal bloating and nausea can be related to foods sge eat.
These symptoms will typically resolve after your body has had time to digest whatever has upset your stomach.

My advice is to consult physically a local gastroenterologist because the symptoms persist for 2 weeks.
About the treatement for underactive thyroid ,it is very important to take this treatement in the morning 20 min before breakfast.

Hope this is helpful.
Let me know if i can assist yuou further,
Take care




Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Elona (3 hours later)
Thankyou Dr. Elona,

Yes the diabex tablets were taken as my wife was suspected of having PCOS. However, there were no signs of this on an ultrasound scan for the issue.

The bloating and vomiting did start after taking metformin as it was started roughly three weeks ago. However, the bloating did not immediately appear at first and appeared about a week after starting the course of medication and there was a diet change at that point to heavier meals in the evening. Could the symptoms still be caused by metformin intake?

I will also see if I can follow up with a gastroenterologist.


Thankyou,
Regards.
doctor
Answered by Dr. Elona (2 hours later)
Brief Answer:
Metformine can explain the symptoms.

Detailed Answer:
Hi again
If the symptoms(bloating and vomiting) appear the first days after your wife start the treatement with Metformin,than the connection is possible.
As i said earlier,Metformine can cause gastrointestinal symptoms as side effect.

In this case ,the symptoms will disappear,if you stop taking Metformin.

If the gastrointestinal symptoms persist and your wife can not tolerate them,i suggest to discuss with your wife's treating doctor about the possibility of "Stop Metformine" or change therapy for PCOS.

Hope i have answered to your questions.
Wish you all the best.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Elona

Endocrinologist

Practicing since :2008

Answered : 939 Questions

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Hi, I Have A Relative Who Has Been Experiencing Bloating

Brief Answer: Diabex is not the cause. Detailed Answer: Hi I have gone through your query. I can understand your concern. The most common cause of high testosteron levels in females is Polycystic Ovary Syndrome(PCOS) and Metformin(Diabex) is one of the recommended treatement for this condition. So,i can deduce that your wife has PCOS. Diarrhea,Nausea,vomiting and abdominal cramps are common side effects of metformin.Usualy,these symptoms appear when you start taking Metformin. In your wife's case,the symtopms are not related to Diabex. If she had not fever and diarrhea(that can be suggestive of viral gastroenteritis) abdominal bloating and nausea can be related to foods sge eat. These symptoms will typically resolve after your body has had time to digest whatever has upset your stomach. My advice is to consult physically a local gastroenterologist because the symptoms persist for 2 weeks. About the treatement for underactive thyroid ,it is very important to take this treatement in the morning 20 min before breakfast. Hope this is helpful. Let me know if i can assist yuou further, Take care