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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Abdominal Bloating And Constipation Be Treated?

Hi, My daughter is 15 years old now, a 25 week preemie that had Grade iV intraventricular hemmorhage at birth and among the many surgeries had a Nissen fundoplication. She is a toddler in mind now, runs around, repeats what we say and is generally happy but has a lot of bloating, gassiness, constipation, still not toilet trained etc. We have changed diets, put her on laxatives, etc. but the gassiness and the bloatiness is always there and she can t burp. We are considering reversing her fundoplication. She eats soft foods, loves to eat, has good appetite generally and I don t think has reflux issues anymore. Please advice. Thanks, Uma
Thu, 29 Nov 2018
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General Surgeon 's  Response
Hello,

The symptoms are suggestive of gastritis secondary to acid reflux.

As a first line management she can take antacids like omeprazole or pantoprazole for symptomatic relief.

If symptoms persists you can consult a gastroenterologist and plan for an endoscopy.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shinas Hussain,
General & Family Physician
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How Can Abdominal Bloating And Constipation Be Treated?

Hello, The symptoms are suggestive of gastritis secondary to acid reflux. As a first line management she can take antacids like omeprazole or pantoprazole for symptomatic relief. If symptoms persists you can consult a gastroenterologist and plan for an endoscopy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician