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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Gas And Frequent Urination And Bowel Movement

I have downs syndrome, am 40 years old. for the last 18 months I have had a lot of abdominal gas, go to the bathroom 5-6 times a day, for both urine a bowel. mostly for bowel discharge. Even after I go I can sometimes still have the gaseous pain in my stomach. Sometimes I sit on the toilet for 20 minutes just trying to get rid of the pain. I have dropped from 118 pounds to 106 over that time period. I do have a good appetite and work out 3 times/week along with the jobs that I have. I am healthy otherwise and have good energy. Have taken a pro biotic for the last 3 months but no change. Thoughts? Robyn
Mon, 15 Feb 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history that you have Down's syndrome and suffer from frequency of passing motion 5 to 6 times a day, feels inadequate evacuation, has to sit in bathroom for 20 minutes sometimes, lost weight, and there is always gaseous pain in stomach in spite of probiotics that you are taking for the last 3 months.
The most probable causes are intestinal infection that has caused such a problem.
I would advise you the following:
Get stool tested on 3 consecutive days.
Tests the blood for thyroid and other routine tests for.
Ultrasonography of the abdomen.
This will give an idea.
Get a 5 day course of an antibiotic, metronidazole, continue probiotics, activated charcoal.
If this cures your problem well and good.
If not plan for a visit to a Gastroenterologist,
Get CT scan and Colonoscopy and biopsy and further treatment .
If all the reports are normal, this is obviously IBS, that is irritable bowel syndrome and get symptomatic treatment.
Make a list of all the foods and beverages that instigate or enhance the problems and stop them altogether. This may be a trial and error method and may have to stop milk and milk products and so on.
Gluten intolerance can be another reasons and get tested for this too.
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Suggest Treatment For Abdominal Gas And Frequent Urination And Bowel Movement

Hi. Thanks for your query. Noted your history that you have Down s syndrome and suffer from frequency of passing motion 5 to 6 times a day, feels inadequate evacuation, has to sit in bathroom for 20 minutes sometimes, lost weight, and there is always gaseous pain in stomach in spite of probiotics that you are taking for the last 3 months. The most probable causes are intestinal infection that has caused such a problem. I would advise you the following: Get stool tested on 3 consecutive days. Tests the blood for thyroid and other routine tests for. Ultrasonography of the abdomen. This will give an idea. Get a 5 day course of an antibiotic, metronidazole, continue probiotics, activated charcoal. If this cures your problem well and good. If not plan for a visit to a Gastroenterologist, Get CT scan and Colonoscopy and biopsy and further treatment . If all the reports are normal, this is obviously IBS, that is irritable bowel syndrome and get symptomatic treatment. Make a list of all the foods and beverages that instigate or enhance the problems and stop them altogether. This may be a trial and error method and may have to stop milk and milk products and so on. Gluten intolerance can be another reasons and get tested for this too.