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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 Nausea While On Buprenorphine Sublingual?

I am 56 year old female with RA, fibro, depression, chronic migraine, well-controlled hypertension, hypothyroidism, and high cholesterol who is morbidly obese. I take Humira, methotrexate inj, prednisone, hydrochloriquine, lyrica, Prozac, Wellbutrin, lithium, synthroid, lovastatin, and benazapril. I recently started buprenorphine sublingual for pain and use Imitrex prn. I have been feeling bloated and using GasX for attempts at relief. Having trouble with nausea and vomited a few times over past week. Wet the bed TWICE in one night this weekend - never happened before. I feel sick and sleep a lot. My eyes are watery and a bit crusty - assume it s the Sjogrens that I also was dxn ed with. Headaches have been constant for two weeks and feel different than normal for me. Is Dr. House out there? I need help to figure out what is going on. Thank you.
Tue, 9 Oct 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 is no improvement in 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 Nausea While On Buprenorphine Sublingual?

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 is no improvement in 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