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Suggest Remedy For Abdominal Bloating And Pain

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Posted on Mon, 7 Dec 2015
Question: I have had rectal pressure on and off for over a year. Recently the last few months I have begun to have bloating and occasional pain in the my abd. I've had an intravaginal ultrasound to rule out any problems with ovaries and a ct a few weeks ago to rule out appendicitis. But my main concern is the rectal pressure and bloating which has become more persistent
doctor
Answered by Dr. Amit Jain (5 hours later)
Brief Answer:
Blaoting, rectal pressure, and abdominal pain with normal CT suggest IBS

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

Rectal pressure, bloating and occasional abdominal pain in background of normal CT scan suggest IBS that is irritable bowel syndrome. Few things I want to elaborate about IBS so that you can understand it.

1. Is a chronic disease which has relapsing and remitting course
2. It will never harm you even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms
4. Intestine becomes hypersensitive so even discomfort is perceived as pain
5. Increase gas production leading to abdominal fullness and bloating and rectal pressure
6. No alarming features like weight loss, gastrointestinal bleeding, or fever
Now comin to management part:
1. Do regular aerobic exercise at least 30 minutes / day
2. If you are obese or overweight then you should reduce your weight again by exercise and low caloric diet
3. Observe when you take milk or milk products whether these symptoms worsen, if yes then please avoid them
4.. Avoid carbonated drinks, wine or beer and smoking if you do
5.Take a proton pump inhibitor along like rabeprazole with a prokinetic agent like domperidone
6. Take tablet librax twice a day 1/2 hr before meals, it will take care of both abdominal pain and rectal pressure
7. Also take capsule simethicone thrice a day
I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Amit Jain (4 hours later)
I take ativan hs. Would this replace the librax sinc both are benzos ? e
doctor
Answered by Dr. Amit Jain (4 hours later)
Brief Answer:
you can use both simultaneously as both have different action

Detailed Answer:
Welcome back. Both are different in the sense that ativan is mainly sedative. While librax is combination of antispasmodic agent and chlordiazepoxide which are very less sedative. So you can use both simultaneously. Wish you a good health
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Amit Jain

Gastroenterologist

Practicing since :2000

Answered : 1524 Questions

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Suggest Remedy For Abdominal Bloating And Pain

Brief Answer: Blaoting, rectal pressure, and abdominal pain with normal CT suggest IBS Detailed Answer: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). Rectal pressure, bloating and occasional abdominal pain in background of normal CT scan suggest IBS that is irritable bowel syndrome. Few things I want to elaborate about IBS so that you can understand it. 1. Is a chronic disease which has relapsing and remitting course 2. It will never harm you even if it will persist for whole life 3. Stress, life events, and anxiety leads to aggravation of symptoms 4. Intestine becomes hypersensitive so even discomfort is perceived as pain 5. Increase gas production leading to abdominal fullness and bloating and rectal pressure 6. No alarming features like weight loss, gastrointestinal bleeding, or fever Now comin to management part: 1. Do regular aerobic exercise at least 30 minutes / day 2. If you are obese or overweight then you should reduce your weight again by exercise and low caloric diet 3. Observe when you take milk or milk products whether these symptoms worsen, if yes then please avoid them 4.. Avoid carbonated drinks, wine or beer and smoking if you do 5.Take a proton pump inhibitor along like rabeprazole with a prokinetic agent like domperidone 6. Take tablet librax twice a day 1/2 hr before meals, it will take care of both abdominal pain and rectal pressure 7. Also take capsule simethicone thrice a day I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.