Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

151 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What do persistent abdominal bloating, fatigues and itchy spots on the skin indicate?

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2073 Questions

default
Posted on Thu, 30 Mar 2017 in Liver and Gall Bladder
Question: I am concerned about my husband. Symptoms he has had for weeks include upper abdomen bloating and discomfort, constant fatigue, hair loss in patches, itchy spots on skin. His doctor also diagnosed him with non alcoholic fatty liver and ordered more tests, but he refuses to do the tests. He is 55. He is not fat but carries a few extra pounds in his belly. He has chronic hepatitis B. I fear he may have liver disease
doctor
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Can be liver cirrhosis.

Detailed Answer:
Hi,
Thanks for posting query on this forum.

The most common causes of cirrhosis are Hepatitis and Non-alcoholic fatty liver disease.Abdominal bloating and discomfort can be because of improrer digestion of food.liver is an important digestive organ because it produces bile. Bile aids in the emulsification of fats. Bile is not an enzyme, but it does contain bile salts that emulsify large fat droplets.Improper emulsification of fats in diet can cause severe belching and bloating.Apart from that fecal calprotectin should be done to rule out inflammatory disease or problem as a possible cause of symptoms.
Hair loss and rashes on skin are symptoms of hepatocellular insufficiency.
It can be a liver disease no doubts,And tests are the only way to find out the cause of problem.

Some base line tests adviced are-
Liver function test
Serum bilirubin-Direct and indirect.
Ultra sound addomen if alreadt done Ct abdomen for a better picture.
Fecal calprotectrin.
Serum iron,calcium and vitamin D levels.

Diet advice-
Low fat diet should be taken.
Natural juices should be taken.
Avoid aerated drinks and processed food.
Carbohydrate rich diet would be better(NATURAL).
For symptomatic relief from bloating Nexium 40 mg twice daily can be taken.
Itching and rashes can be due to elevated bilirubin or livwer enzymes,Till tests are done,Anti histaminic like Allegra(fexofenadine 180mg)can be taken once daily for relief in itching.

But again to treat the problem we need to know Root cause.So convince him to go for basic investigations and follow up with reports.

Hope i answered your query well,Follow up questions are welcome.

Regards


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests ,  

Recent questions on  Abdominal bloating

doctor1 MD

hi doctor, in October 2008 I was in my colonoscopy and bowel perforated sigmoid affected in such equipment. for 7 days taken any action in the hospital, and then I surgery, colon removed, washed, cut because of peritonitis, and sepsis. then resting the colon. small intestine removed double barrel, and I use a stoma bag. since the center was my stomach heartburn every day. Then in August 2009, I returned to surgery to insert small intestine is cut 10 cm, and my bowel back through the anus, but constipation, sometimes diarrhea, although I've eaten the apple, banana and high fiber. heartburn and abdominal bloating, pass gas a smell. previously did not like this, but I've got irritable bowel syndrome. According to my doctor, there is still sticky bowel surgery out, but finished second surgery, I was in the suspect ileus obstruction. how to handle this? thanks

doctor1 MD

Ms. GOPA IYER from Kolkata (INDIA). Age 42. Irritable bowel syndrome . Acidity. Bitter taste in mouth in morning. Unpredictable stool / bowel. Comfortable sleep with cold milk at night. Otherwise sleepless. Occasionally bloating and pain in abdomen. Anemia ( Hemoglobin 8.5). Others (like hormone, liver function test ) normal. But problems with vegetables, oils. Anxiety. If prothioden is prescribed, please say under what name it is available in India.

doctor1 MD

Hello,my age is 26 male,from the past 10-11months i m suffering with consistent bloating ,full or tight stomach,alternating diarrhea and constipation,irregular bowels,pencil shaped stools at times or feeling of not completing the bowel, insomnia ,history of diarrhea when spicy food taken,no pain and no blood in the stools,recently nausea also,had ultrasound done and found gall bladder stone of0.8mm in gall bladder but the doctor said those are asymptomatic so no need to worry about them.please guide me the next course of action and the best hospital or doctor to meet in bangalore

doctor1 MD

I have been feeling nausea,dizzy and light headed when Im on the train or move around. I have headaches and abdominal pain and bloating after eating like a muffin. I feel tired and have been having pinkish discharge for less then a week. What s wrong with me?

doctor1 MD

I suffer from OIC. I have osteoporosis and degenerative bone decease. I have noticed increased abdominal bloating within the last month and a half. I am an 8 yr throat cancer survivor. I'm concerned whether this condition is minor or if it's a...

doctor1 MD

I have Parkimsons so it is difficult to type. Question is for wife who won't see MD. She has to go to bathroom constantly. Colonoscopy one month ago was normal, sometimes loose stools sometimes diarrhea . Abdominal bloating .. no blood in stools...

doctor1 MD

I have been post menopausal for well over 5+ years. I have had lower abdominal discomfort (not pain), breast tenderness and occasional nausea for the past month or so. Abdominal discomfort started first, then breast tenderness a couple weeks...