HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Fullness After First Meal And Stomach Distension With Chronic Constipation?

default
Posted on Wed, 25 May 2016
Question: My stomach distends only when standing. The most distended is my hypogastric/mom's pubis region. Possible helpful info I do have chronic constipation, which itake medicine for and notice no difference in the look of the area after a bowel movement. I'm 5'4''128 lbs. I do maybe eat 1000 calories on average then also binge eat 3 times a week. I usually am full after my first meal(lunch) and then don't get the urge to eat again.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (21 hours later)
Brief Answer:
Gastroparesis

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

You have dyspeptic symptoms.
You have completed treatment for SIBO.

Feel full after the first meal, delayed emptying of stomach with a normal pylorus ( exit of the stomach) point towards gastroparesis only. It can be confirmed with a gastric emptying scan.

You may get relief with prokinetic medications like Reglan, Itopride etc.

Let me know if you have any more questions.

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (31 minutes later)
Thank you for getting back to me. I attached some pictures of the distention. Would this correspond with the gastroparesis? Or a symptom of a symptom caused by gastroparesis? Anyway to flatten it out?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Gastroparesis cannot be diagnosed by looking at how much tummy is distended.
As I said earlier, a gastric emptying scan should be done to confirm the diagnosis.
Looking at the picture, it does not look very much distended.

As suggested earlier, you can take prokinetics for relief.

Regards,
Dr.R.K.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Fullness After First Meal And Stomach Distension With Chronic Constipation?

Brief Answer: Gastroparesis Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. You have dyspeptic symptoms. You have completed treatment for SIBO. Feel full after the first meal, delayed emptying of stomach with a normal pylorus ( exit of the stomach) point towards gastroparesis only. It can be confirmed with a gastric emptying scan. You may get relief with prokinetic medications like Reglan, Itopride etc. Let me know if you have any more questions. Regards, Dr.R.K.