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Dr. Andrew Rynne

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What could cause excessive flatulence and bloating every time I eat followed by diarrhea?

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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 1929 Questions

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Posted on Thu, 15 Nov 2018 in General Health
Question: I am having massive gas and bloating every time I eat . I swell up in the abdomen and it is very painful I belch and it tastes like rotten eggs huge belches. I have massive diarrhea after eating at least three times. I is worst after the evening meal but does not seem to change with different foods or portion size. I have lost almost 30 pound and have diabetes. And the problem seems to be getting worst each day.
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Answered by Dr. Saddiq Ulabidin 1 hour later
Brief Answer:
Need upper GI endoscopy and colonoscopy

Detailed Answer:

Hi,

It's sad to know what you had been going through lately. Based on the history you have shared, most alarming among all symptoms is such significant weight loss and need prompt work up and detailed evaluation preferably by a gastroenterologist.

Though other symptoms correlate much with inflammatory bowel syndrome but with history of diabetes, complications like diabetic gastroparesis may also present like this but to rule out more aggressive conditions causing these set of symptoms, we need work up with baseline blood tests like complete blood counts, hemoglobin count, serum electrolytes and calcium to rule out malabsorption syndrome related to such symptoms.

Vitamin D3 levels and albumin may also guide with the same, however, more aggressive blood work up like upper GI endoscopy and colonoscopy may be needed inevitably. Fecal calprotectin and occult blood may also be needed.

Using motility agents like Domperidone or Itopride and antacids like Omeprazole before meals may help meanwhile. Avoid junk food and heavy protein or fatty diets and spicy or sour meals. Wishing you a speedy recovery.

Hope this has answered your query.

Regards,
Dr. Saddiq Ulabidin,
General & Family Physician
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