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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Solution For Constipation And Bloating

I get severe pains in my left side....right below my rib cage. I am constantly constipated and always bloated. I don't respond well to fiber and the only relief I get is from a daily dosage of Miralax. I notice I get other symptoms when I eat or drink certain things. Bread based products make me feel worse and I get headaches, alcohol makes me extremely flushed and upsets my stomach. With the constipation I have been experiencing blood during my bowel movements. My bowel movements are extremely painful, hard to pass and produce very hard stool. A few months ago I had a problem with impaction. This bout I'm having now has caused my face to break out all along my jaw line and nothing is helping. I have an appointment with a GI doctor next week but I am nervous and afraid as to what they are going to say. I've gone to doctors and to the ER several times and they all tell me I need more fiber. After I tell them I don't respond well to fiber because I appear to be so "backed up" they give me a script for Nexium or some equivalent and tell me to eat more fruits and veggies and send me on my way. Please give me some advice as to what this can be and also any tips you may have as to what tests I should ask for and what questions I should ask during my appointment. thank you
Wed, 5 Dec 2018
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General Surgeon 's  Response
Hi,

A certain degree of bloating is normal but in case of excessive bloating, it may be a sign of food allergy, hiatal hernia, IBS or inflammatory bowel diseases.

So you should do gastroenterologic work up but first, try to change your dietary habits, it means: eat smaller meals but more frequently, avoid fried and spicy food, take mint tea, avoid alcohol and coffee, eat probiotics and milk products, boiled food and vegetables.

Also, there are medications such as Flobian, Magnesium oxide or certain Laxatives which may relieve such symptoms of this continue. If there won't be an improvement on these measures, you should consider doing diagnostic tests such as colonoscopy, anal sphincter manometry and food allergy testing.

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

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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Suggest Solution For Constipation And Bloating

Hi, A certain degree of bloating is normal but in case of excessive bloating, it may be a sign of food allergy, hiatal hernia, IBS or inflammatory bowel diseases. So you should do gastroenterologic work up but first, try to change your dietary habits, it means: eat smaller meals but more frequently, avoid fried and spicy food, take mint tea, avoid alcohol and coffee, eat probiotics and milk products, boiled food and vegetables. Also, there are medications such as Flobian, Magnesium oxide or certain Laxatives which may relieve such symptoms of this continue. If there won t be an improvement on these measures, you should consider doing diagnostic tests such as colonoscopy, anal sphincter manometry and food allergy testing. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon