How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17536
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

On the 17th April this year I had a triple by pass from which

Customer Question

On the 17th April this year I had a triple by pass from which I have recovered very well.
Whilst waiting in hospital for the operation it was discovered that I had a bleeding ulcer.
This was successfully treated with antibiotics before my heart surgery. I had two endoscopes - the first to establish that I had the bleeding ulcer, the second two week later to re assure the surgical team that the antibiotics had cured the problem which they had.
I am very happy with my recovery from the surgery and am able, without difficulty to do a mile and a half dog walk each morning over undulating Cotswold country.
However I am suffering from extreme flatulance which causes uncontrollable farting. I am also suffering from constipation. I was as regular as clockwork before my heart problems.
The flatulence is accompanied by extremely foul smells.
I am seventy eight years old and have an extremely healthy diet with masses of fruit and veg.
Is it possible that these problems are the after affects of the bleeding ulcer or are they caused by my drug regime which is the usual one for by pass recovery patients.
Can you suggest medication to relieve my symptoms. My GP is a woman and I do not find it easy to raise these problems with her.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.
Hello from JustAnswer.
There is no single drug regimen for someone after heart bypass.
What medicines are you currently taking for this or any other medical problem?
Customer: replied 1 year ago.
Clopidogrel
Atorvastatin
Bisoprolol
Expert:  Dr. D. Love replied 1 year ago.
Thank you for the additional information.

It is common for certain heart medicines to affect bowel function, but the medicines that you are taking are not typically a cause of flatulence or constipation, although both the atorvastatin and bisoprolol can cause diarrhea in about 5% of patients.

It is therefore, more likely that this is a residual effect of the ulcer disease. Since the ulcer disease is better, it is likely that it is a residual effect of the ulcer disease, but there also should be some consideration of whether there has been some recurrence of an acid irritation syndrome, even if not an ulcer. There is some risk of acid irritation syndrome and ulcer disease following heart surgery, called a stress ulcer, and the risk is greater in someone that has a history of ulcer disease. I notice that you are not taking any medicine for ongoing treatment of an acid irritation syndrome, so it may be helpful to start a medicine to suppress stomach acid, such as omeprazole.

There also are a couple medicines that can be used to directly relieve the symptoms. The most commonly used is simethicone, which is available in a wide variety of brand name products. Another option would be activated charcoal, such as in CharcoCaps.

If I can provide any further information, please let me know.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions