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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes stomach gas?

Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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Posted on Sat, 7 Jun 2014 in Digestion and Bowels
Question: I have continues Stomach Gas problem sine last few months, now its increased and unbearable. I take breakfast at 9AM, lunch at 1:30 PM and dinner at 8PM. In breakfast I take eggs, milk and brown bread. In lunch I take wheat porridge with some vegetables and salad. In dinner I take chapatis with vegetables. The Gas problem dramatically increase after 4PM. I have tried to change my diet several times but there is no permanent solution for the problem. Please tell me what exactly my problem is? Is this some kind of infection or a Gastric ulcers.

Thanks in advance.
doctor
Answered by Dr. Anshul Varshney 1 hour later
Brief Answer:
I need details.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.
This can be due to:
1. Acid peptic disease
2. Peptic Ulcer Disease
3. Malabsorption syndrome.

I need a few more details to help you better:
1. Since when are you suffering from this?
2. How is your motion?
3. Any history of constipation?
4. Any history of Pain Abdomen?
5. Any history of Alcohol consumption or smoking?
6. Any history of food regurgitation?
7. Any specific diet that worsens your problem like wheat products, Dairy products.
8. Any history of anemia.

This is my best advise for you based on available details. If you have any further query please ask me and revert with the answers of the questions i have asked preferably in point wise manner.

Stay Healthy.
Dr Anshul Varshney, MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney 1 hour later
1. Since when are you suffering from this?
- Since 45 Days
2. How is your motion?
- Mostly liquid
3. Any history of constipation?
- Yes, but approx. 1 year ago.
4. Any history of Pain Abdomen?
- Yes, frequent
5. Any history of Alcohol consumption or smoking?
- No, Once in a blue moon. Not more then 500 ml per year.
6. Any history of food regurgitation?
- No
7. Any specific diet that worsens your problem like wheat products, Dairy products.
- I have taken Rajma, Chapati & Golden gram last night which made it worse. I follow fixed diet plan (which I have previously mentioned), I have changed it since last week but there is no relief. Thats why I think It might be not because of my diet.

I have started taking "Animal Flex" (a supplement for joints) 2 months back but I am not taking It since last one month for precaution. I take 25g "ON Whey Protein" daily which I am taking since last 2-3 years.

8. Any history of anemia.
- No

doctor
Answered by Dr. Anshul Varshney 7 hours later
Brief Answer:
Detail Follows.

Detailed Answer:
Dear XXXXXXX
Since you have chronic loose stools associated with Pain abdomen, i would keep the following two possibilities:

1. Irritable Bowel Syndrome (Diarrhea Predominant).
2. Malabsorption syndrome like Celiac disease / Lactose intolerance.

I would advise you following:
1. Upper GI endoscopy
2. IgA Anti TTG Antibody
3. Stool examination for ova, parasites.
4. To take a combination of drug like Pantoprazole and Domperidone once a day.
5. To try diet free of dairy products for a few days. And see the response.
6. Also try gluten free diet (avoid wheat , barley, rye and oat) and notice any relief.

Review with the reports and your observation following the dietary pattern 5 and 6 (Both at different times). Like to observe 5 for 5 days and then observe 6 for 5 days starting back on dairy products.
If you have any further query, please ask me.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney 6 hours later
Could you please suggest a local drug name for pantoprazole & domperidone with a appropriate dosagen
doctor
Answered by Dr. Anshul Varshney 7 hours later
Brief Answer:
Detail Follows

Detailed Answer:
Dear Friend.

This combination is available with name like Pantocid DSR (Pantoprazole40 mg and Domperidone 30 mg Sustained release) , Pan - D.

This tablet should be taken daily empty stomach in morning before breakfast.

If you have any further query, please ask me, else close the discussion and rate it.

Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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