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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acidity And Bloating

I started on 10mg carbimazole 5 days ago for mild grave's thyrotoxicosis. I am a 22 year old female, 9st 4lb. I was wondering is there anything I can do to ease gas and bloating caused by carbimazole e.g. avoid certain types of food? Becaue it's very uncomfortable, I couldn't sleep last night. I'm going on holiday next week and I'd hate to have it ruined by side effects.
Tue, 28 Nov 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about a 22 year old lady and understood the concerns.
Grave's Thyrotoxicosis itself can cause many a gastrointestinal disturbances like loose stools, menstrual changes and so on.
Carbimazole is the drug of choice and if it has started causing so many problems then you can discontinue to see if stopping Carbimazole helps to abate the symptoms of gas and bloating.
If this is so then you may have to stop the medications and go for the thyroid reduction surgery , although it needs a lot of preparation before surgery.
Also needed is the tests of blood particularly for CBC to see whether Carbimazole has caused any changes and possible bone marrow suppression or any other problems.
If the stool shows any infection, a course of an antibiotic and metronidazole can help you to have good control.
Also identify the foods and beverages that are causing such problems and stop these altogether.
It is imperative to rule out other causes of your symptoms so that a proper cause be found and treated accordingly.
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Suggest Treatment For Acidity And Bloating

Hi. Thanks for your query. Noted the history about a 22 year old lady and understood the concerns. Grave s Thyrotoxicosis itself can cause many a gastrointestinal disturbances like loose stools, menstrual changes and so on. Carbimazole is the drug of choice and if it has started causing so many problems then you can discontinue to see if stopping Carbimazole helps to abate the symptoms of gas and bloating. If this is so then you may have to stop the medications and go for the thyroid reduction surgery , although it needs a lot of preparation before surgery. Also needed is the tests of blood particularly for CBC to see whether Carbimazole has caused any changes and possible bone marrow suppression or any other problems. If the stool shows any infection, a course of an antibiotic and metronidazole can help you to have good control. Also identify the foods and beverages that are causing such problems and stop these altogether. It is imperative to rule out other causes of your symptoms so that a proper cause be found and treated accordingly.