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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes weight gain and abdominal bloating?

I have been going to the gym three days a week, walking 2.5 - 3 miles on the treadmill, using all of the weight machines, cycling for 1 mile and no change in eating habits. I have gained a couple pounds and my abdomen is bloated all the time. I am a 69 year old female and had a partial hysterectomy (uterus only) in 1987.
Wed, 21 Feb 2018
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern

1. As you are maintaining an active lifestyle and still gaining weight and bloating is there, [symptoms are persisting], call your primary care doctor since it can be symptoms of underlying illness or infection which require medical intervention. [initially to exclude underactive thyroid, low hemoglobin, liver disease]

2. the most probable diagnosis could be functional IBS [irritable bowel syndrome] which is a collection of symptoms ranging from bloating, diarrhea, abdominal pain, and constipation, so consult a Gastroenterologist for necessary examination and investigation, till then

. maintain proper hydration [to prevent dehydration] and replace with electrolytes [avoid apple, grapes, pear juice which can make stomach upset].

- Avoid fiber-rich diet, since it can make bloating worse [instead take plain white rice, boiled potato, plain toast]
- avoid eating dairy products, spicy food, and spicy condiments, stay away from artificial sweeteners.
- take less of strong spices (ginger, garlic), oily-fried-fatty food and flatus producing foods (peas, beans, dals)
- eat slowly, avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion
- since it is a psychosomatic disease thus tranquility of mind is must, as such Medhya drugs or a mild tranquilizer are useful.

PS. weight gain and bloating post hysterectomy is fairly common [since it causes surgical menopause], as such due to declining estrogen level above symptoms are common and worsened by hormonal fluctuations, so maintaining the dietary regime and lifestyle changes [as provided above] can surely help you to overcome the symptoms.
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