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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Diarrhea,bloating Of Stomach And Nausea?

I am trying to determine if I have the parasite Giardia or a stomach virus. For the past four weeks I have been really sick. I have had bouts of diarrea, that eventually passes. I have also felt bloated after eating very small amounts of meals. In addition, I am constantly naseous. The nausea goes away when I burp. I also have lots of gas and abdominal cramping. My stool is also very foul smelling, and when I wipe it appears slightly yellow. I read online that Giardia patient have all of these symptoms. I however, currently attend University and am in no contact with children. I also live on campus and have not traveled outside the United States. I have been to the doctor three times and they just say its my diet. In addition they prescribed me an antacid which made me feel even sicker. After I stopped taking the antacid, I felt a lot better. Could I have Giardia the parasite?
Mon, 25 May 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

Stomach bloating is caused mainly because of air swallowing known as erophagia.

The other causes could be irritable bowel syndrome,dyspepsia, constipation,bowel obstruction or parasitic infestation etc

You might need to undergo routine blood count,stool examination for routine microscopy/ova/cyst and ultrasound abdomen and if symptoms persists then upper GI endoscopy.

You should start some medication like proton pump inhibitors( pantoprazole or rabeprazole) witth avoid excess carbohydrates and fatty foods,
avoid oily and spicy foods.

You foul smelling stool could be due to some parasite infection,so yes you will require antibiotics like ofloxacin with ornidazole,antihelminthic like albendazole 400 mg once only with other symptomatic treatment.

If you still have these problems then u should go to gastroenterologist who will know all the investigations and can treat underlying cause.

Regards,
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What Causes Chronic Diarrhea,bloating Of Stomach And Nausea?

Hi, Welcome to health care magic, Stomach bloating is caused mainly because of air swallowing known as erophagia. The other causes could be irritable bowel syndrome,dyspepsia, constipation,bowel obstruction or parasitic infestation etc You might need to undergo routine blood count,stool examination for routine microscopy/ova/cyst and ultrasound abdomen and if symptoms persists then upper GI endoscopy. You should start some medication like proton pump inhibitors( pantoprazole or rabeprazole) witth avoid excess carbohydrates and fatty foods, avoid oily and spicy foods. You foul smelling stool could be due to some parasite infection,so yes you will require antibiotics like ofloxacin with ornidazole,antihelminthic like albendazole 400 mg once only with other symptomatic treatment. If you still have these problems then u should go to gastroenterologist who will know all the investigations and can treat underlying cause. Regards,