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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Bloating With Acid Reflux?

I'll try to make it short. I am going to start when I believe my problems started. I started taking birth control pills last year, and after 6 months had excruciating abdominal pain lasting for hours. I tested positive for H Pylori, and an ultrasound showed gallstones. I took the antibiotics for two weeks to eradicate H Pylori (tested negative for it 6 weeks later) and I took Ursodiol to dissolve the gallstones (had an ultrasound 6 months later showed no gallstones). Anyway ever since I took the antibiotics and the first ultrasound showed gallstones, I have been bloated constantly and have acid reflux. It doesn't matter what I eat. I quit eating for two weeks just to see if I would feel better, and I didn't. I have been taking probiotics off and on for a few months and eating yogurt every day and haven't felt any better. Do you have any suggestions of what could possibly be wrong?
Fri, 22 Sep 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
With the detailed history of H pylori, its treatment for 2 weeks, Ursodiol for gall stones which were not seen on consecutive ultrasound, development of bloating and acid reflux in spite of probiotics on and off and daily yogurt indicate the need of further evaluation:
I would advise you the following in such a situation:
Get an upper GI Endoscopy examination.
Barium swallow and follow through.
Tests of stool on three consecutive days.
Tests of blood: CBC, liver and other functions as may be needed.
Clinical evaluation by a Gastroenterologist to see for probable clinical diagnosis to be supported and finalized by reports of investigations so that a proper management can be done.
If the stool tests shows sort of infection then a course of an antibiotic, metronidazole can help.
Change the probiotics.
It is also possible that stress and anxiety are playing their parts causing aerophagia and thus causing gases and bloating, hence get a control over these if you have any.

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What Causes Stomach Bloating With Acid Reflux?

Hi. Thanks for your query. Noted the history and understood your concerns. With the detailed history of H pylori, its treatment for 2 weeks, Ursodiol for gall stones which were not seen on consecutive ultrasound, development of bloating and acid reflux in spite of probiotics on and off and daily yogurt indicate the need of further evaluation: I would advise you the following in such a situation: Get an upper GI Endoscopy examination. Barium swallow and follow through. Tests of stool on three consecutive days. Tests of blood: CBC, liver and other functions as may be needed. Clinical evaluation by a Gastroenterologist to see for probable clinical diagnosis to be supported and finalized by reports of investigations so that a proper management can be done. If the stool tests shows sort of infection then a course of an antibiotic, metronidazole can help. Change the probiotics. It is also possible that stress and anxiety are playing their parts causing aerophagia and thus causing gases and bloating, hence get a control over these if you have any.