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Suggest Treatment For IBS And Abdominal Bloating Along With Dizziness

Posted on Wed, 22 Jun 2016

Question: Hi doctor, I have IBS and bloating and gas is my biggest (if not only) complaint. It's always coupled with dizziness. Why would my tummy make me dizzy I wonder? Have you had patients who only have bloating/gas problem, and what do you think the root cause is? Please kindly advise. Many thanks, XXXXXXX

Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Bloating/gas are known features of IBS. These symptoms can also occur if you have gastroparesis ( slow functioning of stomach) and bowel infection.
Check your blood glucose levels as diabetes is one of the causes for gastroparesis. Also get a stool analysis done to rule out infection.

The following may be done for relief -

1. T.Rifaximin 400 mg 1-1-1 for 2 weeks
2. C.VSL #3 1-0-0 for 4 weeks
3. T.Librax 1-0-1 for 4 weeks
4. Low FODMAP diet

( Go to this link for Low FODMAP diet - https://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf)

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (5 hours later)

Dear Dr.R.K.,

Thank you very much for your advice. May I please ask:

1. Will T.Rifaximin kill the good bacteria in C. VSL #3 when taken together?
2. I have actually been on T.Rifaximin for 6 days and these couple of days, have been feeling more bloated/ gassy than usual. Would it be the die-off effect of bacteria?
3. Before I can get a stool test done, could you kindly advise what symptoms I may experience or see in my stool that could be an indication of bowel infection?

Many thanks for your help again.

Warm regards, XXXXXXX

Follow up: Dr. Dr.P.Ratnakar Kini (1 minute later)

Dear Dr.R.K.,

I neglected to ask, could you also please advise why I feel dizzy when I have a bloated tummy? What is the relation between my head and my tummy?

Thank you again, XXXXXXX

Answered by Dr. Dr.P.Ratnakar Kini (17 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,

No Rifaximin can be taken along with VSL #3.
The bloating is not due to Rifaximin. Continue taking it.

You may have any of the following symptoms if you have bowel infection -
1. Abdominal pain
2. Abdominal bloating
3. Loose stools
4. Increased flatulence

Abdominal bloating does not cause dizziness. You need to be examined for knowing the cause of dizziness.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar