hello concerned boyfriend.thanks for writing to HCM.
I have read your query and understand your concern is regarding the
bloating you girlfriend is experiencing
Coming to the query,you have mentioned the symptoms are constant bloating and
constipation,which is more so at school.
no,normally water or the 500ft elevation doesnot cause the bloating.
I would suggest the following if she was my patient:
-increase fibre content in diet(25g/day)avoid gassy vegetables like potato,beans etc
-drink plenty of water
-avoid carbonated drinks/artificially sweetened foods/chewing gum etc
-go low sodium on diet,eat slow and have small meals regularly
-take
pantoprazole twice daily for a week and see how it is
-ask her to exercise 30-45mins a day
-try to take probiotics like yogurt
-
liquid paraffin 15ml twice daily for a week for constipation
-ask her to relax and not to resist urge of passing stools or postpone them.
All this will help your girlfriend to go bloating free.
hope this clarifies and helps her and followup if needed.
Good day