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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Urge To Defecate And Abdominal Distension?

Should I check for parasites? Should I also be on the lookout for something else? I was told I have IBS- I am constipated (I have been taking two caps of Miralax a day for over a month now) just to use the bathroom and often times that is once a day and I still feel the need to go more, but can t. My stomach used to be distended after meals and later in the day, but now my stomach is always distended (I can look 3-5 months pregnant on a given moment). I have been on the FODMAP diet for weeks and I still get nauseous and lately feel full while eating on this diet and lately I have been so lethargic and moody. My doctor tested me for SIBO (I had the hydrogen breath test) and am waiting on results. Yet, I have been having these severe IBS symptoms since May, especially the distended gut and was told by a friend I should check for parasites. Is parasites a possibility and if I have parasites is it easy to get rid of. Also, should I be on the lookout for something else?
Mon, 6 May 2019
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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 sign of food allergy, hiatal hernia, IBS or inflammatory bowel diseases.

So you should do gastroenterology 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 won't be an 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.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes An Urge To Defecate And Abdominal Distension?

Hi, A 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 gastroenterology 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 won t be an 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. Take care Regards, Dr Ivan R. Rommstein, General Surgeon