question-icon

What Causes Severe Abdominal Bloating During The Night In An Elderly Person?

default
Posted on Sat, 15 Oct 2016
Question: My father is 97 years old and has severe bloating at night. He is basically bedridden. He has problems sleeping because he feels hot internally although his temperature is good. Normal anti-gas meds don't seem to help. What should I feed him or give him to ease the bloating?
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Pathophysiology explained

Detailed Answer:
Thanks for asking on Healthcaremagic.

I have gone through your query and understand your concerns. It is very important to maintain a minimum level of mobility especially at advanced at like your father's. Unless that is the case, the joints dysfunction more easily and the bowel movements get irregular. 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. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation or bloating.

In order to relieve him, he need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Taking omeprazole once daily before breakfast, or any other anti-gas medicine may only provide partial relief as unless the gastrointestinal motility is restored the problem would continue.
* Prokinetics like itopride (prescription medicine) may help.
* He needs to take plenty of green leafy vegetables as well as other sources of dietary fibres. Take fibre supplements like isabgol/psyllium husk or senna. I would insist him to increase your dietary fibre intake.
* Regular walk within the room or corridor along with some freehand exercise is essential to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.

Let me know if you have further queries.

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

General & Family Physician

Practicing since :1954

Answered : 4468 Questions

premium_optimized

The User accepted the expert's answer

Share on

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

152 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 Severe Abdominal Bloating During The Night In An Elderly Person?

Brief Answer: Pathophysiology explained Detailed Answer: Thanks for asking on Healthcaremagic. I have gone through your query and understand your concerns. It is very important to maintain a minimum level of mobility especially at advanced at like your father's. Unless that is the case, the joints dysfunction more easily and the bowel movements get irregular. 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. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation or bloating. In order to relieve him, he need to do the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Taking omeprazole once daily before breakfast, or any other anti-gas medicine may only provide partial relief as unless the gastrointestinal motility is restored the problem would continue. * Prokinetics like itopride (prescription medicine) may help. * He needs to take plenty of green leafy vegetables as well as other sources of dietary fibres. Take fibre supplements like isabgol/psyllium husk or senna. I would insist him to increase your dietary fibre intake. * Regular walk within the room or corridor along with some freehand exercise is essential to keep the bowel movements proper. * Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. Let me know if you have further queries. Regards