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Gastroenterology (Expert Forum)
Gas/Bloat Syndrome
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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Gas/Bloat Syndrome
by CGTMHI, Nov 19, 1999 12:00AM
, Nov 19, 1999 12:00AM
Hello I was diagnosed with gas/bloat syndrome s/p nissen Fundoplication two years ago. My abdomen distention was comparable to a ninth month pregnancy, Doctors were amazed. September 29th I had the surgery taken down. Since the take down my symptoms are less severe and less frequent. I tend to distend to a sixth month size now and it happens every week and a half to two instead of daily. I also have been told I have colonic inertia to chronic pseudo-obstruction. I take 3-4 ducolax and 17gr. of miralax nightly. I have a movement daily but after a week and a half I distend. On xray the large and small bowel has some stool and gas throughout but basically unremarkable while I am extremely distended. I take cytotec 200mcg four tabs at hs when this happens along with my regular meds to get releif. It seems as if I have to have diarrhea daily be very cleaned out in order to avoid this bloating. My Doctor wants me to cut back on the laxatives and stopped the cytotec a month or so ago. I only take it now when I need relief from the distention. I do distend somewhat nightly, but tollerable. When I distend very large I have pressure in the rectum and low back pain and even breathing tends to be slightly labored. My meds are also propulsid 20mg four times a day, prilosec 20mg twice a day. I do have reflux back with mainly throat symptoms since the Nissen take down. Have you ever heard of Gas/ bloat syndrome? Can diet help? If so what kind. I need help . My doctor says there are no answers for this. It is rare and not much treatment. Is there any information on this or support groups for this. I really want information on what I can try to help me. Please help with any insight on this you can and any direction you can give me. Thankyou ever so much
Jane
Jane
Doctor's Answer
by HFHSm.D.-Gastro-rf, Dec 05, 1999 12:00AM
Dear Jane,
After a fundoplication, individuakls are unable to belch. Accu,ulation on gas in th estomach or small intestine can cause the gas bloat syndrome that you describe. The offending gas may come from digested food although usually it is the result of swallowed air. the air can come from outh breathing or talking when eating.
The take down of the fundoplication should have relieved your symptoms. The propulsid should also be helpful. Given th epersistence of symptoms, one must wonder about altered gastric motility even with the [rokinetic therapy. A gastric emptying study is warranted.
With regard to diet avoid foods associated with gas e.g. beans, cabbage, milk if you are lactose intolerant. You may want to ask your doctor about the use of antigas medications e.g. simethicone or charcoal in an attempt to improve your symptoms.
Best of luck
After a fundoplication, individuakls are unable to belch. Accu,ulation on gas in th estomach or small intestine can cause the gas bloat syndrome that you describe. The offending gas may come from digested food although usually it is the result of swallowed air. the air can come from outh breathing or talking when eating.
The take down of the fundoplication should have relieved your symptoms. The propulsid should also be helpful. Given th epersistence of symptoms, one must wonder about altered gastric motility even with the [rokinetic therapy. A gastric emptying study is warranted.
With regard to diet avoid foods associated with gas e.g. beans, cabbage, milk if you are lactose intolerant. You may want to ask your doctor about the use of antigas medications e.g. simethicone or charcoal in an attempt to improve your symptoms.
Best of luck
The doctor has her off of milk products to see if she is lactose intolerant. She doesn't have any symptoms like diarrhea or gas.
What could cause her stomach to appear so bloated?
Any ideas? Help.
Help. Help. Help.
***@****
I felt compelled to write to, if anything, let you know that there is someone else out here suffering something similiar. I am 29 and have been diagnosed years ago with IBS. Now I've been diagnosed with chronic constipation. I bloat to about a 5 months pregancy size. Though I eat high fiber daily and drink about 1/2 a gallon of water (at least) a day, I still have trouble passing stools. My colon seems to stop passing mid-stream. I walk around bloated and uncomfortable. My colon spasms, which causes pain. My blood pressure goes up during one of these episodes - from 120/80 to 130/90 or slightly higher. I feel weakened and sometimes breathless. It's a vicious cycle. My doctor told me to refrain from laxatives, but prescribed Lactulose syrup, which helps. You might try this syrup. Good luck.
AND BLOATED AFTER EATING SMALL AMOUNTS OF
FOOD. THIS HAS BEEN GOING ON FOR 3-4
YEARS. I HAVE BEEN ON PROPULSID PRILOSEC,
AND PREVACID WITHOUT RELIEF. I CANNOT EAT
ANY MEAT, I CAN GO FOR 15 DAYS, VOMITING
UP EVERYTHING I EAT, THEN LIKE THIS TIME,
10 DAYS WITH NO PROBLEM, AND THEN, LIKE
TONIGHT (IT IS 1.00 A.M.) I HAVE TO GET
OUT OF BED AND INDUCE VOMITING BECAUSE I
CANNOT SLEEP. WHEN I DO VOMIT, IT IS JUST
YELLOW LIQUID, BITTER AND BURNING.TODAY I
HAVE A PAIN IN MY RIGHTSHOULDER BLADE
LIKE SOMEONE IS STABBING ME IN THE BACK,
WHICH IS NOT RELIEVED BY ANY PAIN
PILLS,BUT THE HEATING PAD HELPS. I AM 51
YRS OLD, 5FT 7IN AND 158LBS. LAST WEEK I
HAD A 5 HR GLUCOSE