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Weight gain around lower body, bloated stomach, extremely gassy, increased no of bowels, pelvic cramps. On cryselle birth control. Advise?

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Internal Medicine Specialist
Practicing since : 1998
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I am a 20 year old female. For the past three months I have had odd weight gain around my lower body although I have not had a change in diet. I have been feeling really bloated. In fact, I tend to feel especially full even if I had a small meal. I have been extremely gassy and the smell has been embarrassingly offensive. I also have spontaneous diareah-like bowl movements or I just may use the bathroom 3 times in one day. Still I usually only go once a day. I also feel spontaneous pain in my pelvic area-like cramps.

I have been on Cryselle Birth control pill and I have had regular periods.

I plan to see a doctor after finals, unless you believe I need a more urgent evaluation.

Thank You,
Posted Thu, 14 Jun 2012 in Women's Health
Answered by Dr. Jasvinder Singh 2 hours later
Thanks for posting your query.

These symptoms are suggestive of early satiety which is feeling of fullness even before completion of meals. In your case, coupling your other symptoms as well, it can be due to gastritis or Irritable bowel syndrome is characterized by mild to severe abdominal pain, discomfort, bloating and alteration of bowel habits like alternate constipation and loose stools.

1)     First of all, I advise you to make some lifestyle changes. Alterations in diet, like gradual addition of more fibre in your diet like whole grain breads, XXXXXXX leafy vegetables & fruits can ease your symptoms. Avoid taking cabbage, cauliflower, broccoli, beans and lentils, caffeinated drinks (tea, coffee) aerated drinks, fried and spicy foods.

2)     Also drink plenty of fluids and water and try to stop smoking or alcohol if there is history of intake of any such substance.

3)     Also start doing daily exercises, brisk walks and XXXXXXX breathing exercises.

4)     Try raising the head of your bed about four inches with blocks.

5)     It also might help to avoid eating or drinking for two hours before you lie down. Also avoid taking two or three heavy meals. Instead, take regular frequent small meals. Avoid taking tea or coffee prior to bedtime and concentrate more on a healthy diet.

6)     To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods. Further, avoid eating any junk food or oily, spicy food. Take a healthy, balanced and nutritious diet consisting more of fruits, salads, soups and raw vegetables (after proper washing). Also increase the protein content in your diet instead of carbohydrates and fats. An advice from a dietician will be helpful.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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