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Suggest Treatment For Chronic Gas Problem

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Posted on Mon, 18 Sep 2017
Question: I had kidney transplant in 2002.Now I am 63.My creatin level is presently hovering around 5 since last two years.I am on steroid,omnacortil 5 with MYCEPT 750 BD.
At present I am suffering very badly from chronic gas problem.Previously I had been taking Pantocid for last 8 years.
Now I am taking Esmaprazole in the morning and rantidine 150 inthe evening.
Even then I am having heavy problems due to gas and very uncomfortable and unable to seat or sleep.
My haemoglobin is 9.8 and I am taking Erythropoietin. 4000 weekly once.
PLEASE ADVISE.
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Dietary fiber intake needs to be increased

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Continue to take Esomeprazole and ranitidine.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully that should help.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (9 hours later)
If required can I take Pantocid DSR?
This gives me a lot of relief.,
Being a kidney patient is it advisable?
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Can be taken if needed

Detailed Answer:
Yes, you can take Pantocid DSR if required.
Being a kidney patient minimal medication is advisable. But ultimately you would need to take care of the problems.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (19 hours later)
I am also having frequent watery stool 4. to 5 times a day if I am taking some spicy foods.
Please advise any medicine for this.
doctor
Answered by Dr. Prof. Kunal Saha (21 minutes later)
Brief Answer:
Dietary modification advisable

Detailed Answer:
As you have already mentioned, spicy food is the trigger. In other words, malabsorption seems to be the cause. You would have to alter your diet accordingly. Medicines are not likely to help.

Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Chronic Gas Problem

Brief Answer: Dietary fiber intake needs to be increased Detailed Answer: Thanks for asking on HealthcareMagic. I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. In order to relieve yourself, you need to do the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Avoid alcohol intake (if it a part of your habit). * Continue to take Esomeprazole and ranitidine. * Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake. * Regular morning walk and exercise to keep the bowel movements proper. * Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. * Stress reduction has a very important role to play. Yoga and meditation should help. Hopefully that should help. Let me know if I could help further. Regards