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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Constipation, Bloated After Eating, Have Fiber Myalgia. Done Colonoscopy, Taken Laxatives, Stool Softeners

Yes, my step sister suffers from fiber myalgia. She has now a protruding stomach and problems going to the bathroom. She has had a colonoscopy and they have seen nothing wrong. Has tried patches, laxatives, stool softeners,etc. Is in pain and nobody seems to be able to help. So I suggested y'all. She is constipated and cleaning her out had no effect. She also feels full after a few bites of food. Has been miserable for about eight years. Nobody seems to be able to help.
Mon, 24 Jun 2013
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Gastroenterologist,  's  Response
hello! You havent mentioned about the medications your sister is taking for fibromyalgia a s this all may be due to side effects of some medications used for fibromyalgia especially tricyclic antidepressents. You need to visit a gastroenterologist. As the symptoms involve whole of the GI tract as you are having both UGI (bloating, protuding stomach)and Lower GI tract symptoms (constipation). above all these symptoms are persisiting even after taking medications. You may require investigatios like Blood sugar, Thyroid profile, Serum calcium and if they are normal you may require to undergo manometry test to see for any motility test. However youmay try pan prokinetics like Itopride 150mg od bbf, proton pump inhibitor and laxative which are stimulant like bisacodyl (2tab hs) or syp picosulphate for constipation.Avoid food like milk and milk products, broccoli and cabbage family vegetables. If symptoms are not relieved with these you should seek the opinion of Gastroenterologist. I hhope this will help you. Remain in touch
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Have Constipation, Bloated After Eating, Have Fiber Myalgia. Done Colonoscopy, Taken Laxatives, Stool Softeners

hello! You havent mentioned about the medications your sister is taking for fibromyalgia a s this all may be due to side effects of some medications used for fibromyalgia especially tricyclic antidepressents. You need to visit a gastroenterologist. As the symptoms involve whole of the GI tract as you are having both UGI (bloating, protuding stomach)and Lower GI tract symptoms (constipation). above all these symptoms are persisiting even after taking medications. You may require investigatios like Blood sugar, Thyroid profile, Serum calcium and if they are normal you may require to undergo manometry test to see for any motility test. However youmay try pan prokinetics like Itopride 150mg od bbf, proton pump inhibitor and laxative which are stimulant like bisacodyl (2tab hs) or syp picosulphate for constipation.Avoid food like milk and milk products, broccoli and cabbage family vegetables. If symptoms are not relieved with these you should seek the opinion of Gastroenterologist. I hhope this will help you. Remain in touch