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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28198
Experience:  MD
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I'm a fit 72 yr old but I get a lot of stomach problems,imsuffering

Customer Question

I'm a fit 72 yr old but I get a lot of stomach problems,imsuffering from chronic wind and sore pains in my upper abdomen I cannot sleep at night for this problem,if I do drop off theres so much wind in my stomach it seams to stop me breathing and that wakes me I'm blown up like a balloon up after a big belch or a toilet trip it eases of then I'm ok until it builds up again,my stomach is really sore under my breast bone. John.
Submitted: 10 months ago.
Category: Medical
Expert:  Dr Basu replied 10 months ago.
Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.These symptoms can also be due to the gallbladder problem.Excess bile acid will cause intestinal irritation.When the gallbladder is not functioning well, the bile flow to the intestine may increase causing these symptoms.This will result in bloating, belching and also diarrhea especially after meals.These symptoms can be treated with a medication called Cholestyramine 4 gram twice daily will meals.Malabsorption syndrome is another strong possibility.Malabsorption syndrome includes the follow possibilities:1. Excess bacterial overgrowth in the small intestine known as SIBO syndrome.This is not usually diagnosed by the colonoscopy.Small intestinal aspirate can be sent for bacterial count.Carbohydrate breath test (D xylose) is a simple test to diagnose this condition.But, the treatment is much easier.A 14 day course of Rifaximine improves the symptoms dramatically.2. Lactose intolerance--- regular milk, dairy products.3.Gluten sensitivity or celiac disease--- Wheat based products.4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.5. Gastroparesis -- delayed gastric and intestinal movement.-- treated with metoclopramide or domperidone daily.You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.Please go to this link for detailed information:http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.Culturelle 30 Counts twice daily should be fine.Simethicone and activated charcoal can be taken before meals to reduce gas and bloating.Lastly, there can be chronic infections like C difficile, Giardia, Amoeba, Aeromonas etc.These infections may be diagnosed by checking 3 stool samples taken on successive days.They will require proper antibiotics for the treatment.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/

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