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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for abdominal bloating and flatulence

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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 1958 Questions

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Posted on Tue, 7 Mar 2017 in Digestion and Bowels
Question: Thank you. Burning on off 1 year sometimes with food, sometimes water near stomach, now foul gas, bloating, pasty stool, weight gain(10 lbs since New Years, <97.6 consistently, perimenopausal(56), low grade lung congestion(sound like smoker when I laugh without ANY exposure)no other health issues(no HBP, DIab, CHol). Average height and weight, active at work and home. Started with episodes of burning. Does this clearly fir any pattern?
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Answered by Dr. Ramesh Kumar 5 hours later
Brief Answer:
GERD with gastritis and depleted intestinal flora.

Detailed Answer:
Hi,
Thanks for choosing HCM.

Most likely your symptoms are because of Gatro esophageal reflux disease (GERD),It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe . The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat are often the presenting complaints however every patient does not have all symptoms.Both acid reflux and heart burn are a part of GERD.Our biody has its own enviroment called gut flora..Gut flora is the complex community of microorganisms that live in the digestive tracts of humans. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel.Destruction of this flora can lead to various problems with digestive system like indigestion belching, bloating and increased gas formation loose motion or constipation.I would suggest you to start good quality probiotics for a few days.
Ask your gastroenterologist to start you on pantroprazole or esomeprazole,Pantoprazole can be used in dosage as high as 40 mg twice daily ,Ash him to add Domepridome 30mg slow release once daily,This will slow down the reflux of acid back and would provide symptomatic relief.An antacid containing local anaesthetic could be added to drug regimen.

Apart from medicines few other life style changes are adviced-
- Increase XXXXXXX warm water intake
- Do not drink water during and after meals
- Eat small meals (rich in fiber),Avoid spicy,oily and heavy meals.
- Eat plentiful "fresh oranges" and "pear "
- Drink COLD milk and and AVOID junk food.
- avoid beverages / alcohol/ soft drinks
- do some exercise early in the morning
- avoid carbonated drinks
Thanks follow up after a week.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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