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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Bloating And Constipation While Suffering From Lactose Intolerance?

I am a 75 year old woman and I weigh about 168 almost all of which is on my stomach. I have fairly severe abdominal bloating for several years with no really bothersome symptoms. I have a thyroid condition, lactose intolerance, moderate hiatal hernia, constipation for several years all under control. I get little to no exercise due to severe, inoperable spinal issues inc. rods, screws, etc. Lately the size of my stomach is causing problems breathing when I go to bed and uncomfortable pressure. I m never hungry so my calorie intake is very seldom above 1000 per day. I am often uncomfortable after I eat even though my diet doesn t include greasy foods or other problem foods, not even coffee or soda. Non-smoker. Extremely active until spinal problems in my mid 60 s; heavy work, whitewater kayaker, etc.
Fri, 8 Mar 2019
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General Surgeon 's  Response
Hi,

Certain degree of bloating is normal but in case of excessive bloating it may be 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 menta 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 wont be 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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What Causes Abdominal Bloating And Constipation While Suffering From Lactose Intolerance?

Hi, Certain degree of bloating is normal but in case of excessive bloating it may be 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 menta 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 wont be 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