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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes severe abdominal bloating?

I am gassy every day. It doesn t seem to matter what I eat. It gets worse as the day progresses and usually is worst by evening after dinner. There is some discomfort, but mostly bloating and overly full feeling. And it is all lower gi - not burping, just passing gas.
Fri, 7 Dec 2018
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General & Family Physician 's  Response

There can be various issues as:
intestine motility issues, gallbladder calculus of other inflammation, bile drainage system problems, liver swelling, stomach or duodenum infections, food pattern related, low mobility or lack of exercises causing indigestion or other issues.

A detailed case study, clinical examination with supportive evaluation of an ultrasound of the abdomen & pelvis with or without upper GI endoscopy are useful tools to best guide.

Primary relief with PPI as pantoprazole, GI motility-related drugs as levosulpiride and bulk-forming laxatives as Ispaghula husk help best till you consult your doc.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Purva Patel,
General & Family Physician
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