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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Abdominal Distention

chronic abdominal distention with digestive symptoms that cause forceful belching, excessive gas, and sometimes a sense of sulfer tasting gas from stomach. H-Pylori, giardia and fecal matter tests all negative. Have started with pitting edema now, primarly in ankle/foot area. Body seems to retain water despite trying a diuretic. The more water I drink the more weight I gain. Using probiotics sporadically. Have pretty much ruled out dairy and wheat intolerances. Digestive issues seem to change from day to next, eating the same food. RX list extensive, (includes Remeron, Buspar, and recently added Lipitor). 20 lb. weight gain. No weight loss with reduced intake of fat/sugar, and increased activities within last month. Gained 3 lbs. when using the diuretic from drinking increased water. Thanks for any insite.
Thu, 13 Oct 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your history of abdominal distension, edema in spite of diuretics, taking a long list medications, H pylori, giardia negative. Gaining weight.
Since the problem is against the routine that you are gaining weight in spite of diuretics and have attendant problems.
I would advise you in such a situation the following:
You need first of all, a very good clinical evaluation by a Physician so that a clinical diagnosis can be thought about and investigations advised accordingly.
You may need:
Tests for electrolytes, kidney functions, thyroid profile, and other hormone, Ultrasound for kidney and abdomen.
Pituitary evaluation.
This is going to be a tedious study, opinions of multiple Specialists.

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Suggest Treatment For Chronic Abdominal Distention

Hi. Thanks for your query. Noted your history of abdominal distension, edema in spite of diuretics, taking a long list medications, H pylori, giardia negative. Gaining weight. Since the problem is against the routine that you are gaining weight in spite of diuretics and have attendant problems. I would advise you in such a situation the following: You need first of all, a very good clinical evaluation by a Physician so that a clinical diagnosis can be thought about and investigations advised accordingly. You may need: Tests for electrolytes, kidney functions, thyroid profile, and other hormone, Ultrasound for kidney and abdomen. Pituitary evaluation. This is going to be a tedious study, opinions of multiple Specialists.