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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29081
Experience:  MD
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There, past couple of years I've been experiencing

Resolved Question:

Hi there,
For the past couple of years I've been experiencing tummy bloating and excessive gas.
It started quite suddenly one week after eating some meat that didn't taste right.
Up till then I had a completely flat tummy and no complaints at all.
I am 28 years old, 6 foot tall and 70 kg. I'm in good health, have no acid reflux or heartburn, or any stool issues (I've always had a very good metabolism).
There is also no pain in my tummy, it's purely excess gas - which leads me to believe that this isn't a simple case of IBS.
I don't smoke or drink alcohol, fizzy drinks, red meat or much in the way of bread etc.
I have a spin bike in my apartment which I use.
I've seen my local doctor a couple of times - the first time she prescribed Omeprazole and I had a battery of blood tests for coeliac, lactose intolerance, h pylori etc. All of the tests came back normal. She even booked me in for a UV scan and found nothing of concern.
I've tried a few herbal remedies, windeze, activated charcoal etc.
I do notice that slow-release probiotics relieve about 30% of the bloating, which makes me wonder if this is a bacterial imbalance issue?
I have read about Small Intestinal Bacterial Overgrowth, which is treated with Rifaximin (Xifaxan) and Neomycin, normally alongside strong probiotics to minimise damage to any good bacteria in the gut. Would you recommend that I try antibiotics?
Many thanks and best wishes,
Daniel
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.
Hi Daniel,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.Excessive gas production is due to the action of the bacteria on undigested food in your intestine.Methane producing bacteria are not the normal flora.They can come from food or water.Small intestinal bacterial overgrowth is diagnosed by e carbohydrate ( D xylose) breath test.If the test is positive, then you will definitely benefit from a 14 day course of Rifaximin.Please follow a low fodmap diet which you are mostly doing.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 authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/
Customer: replied 1 year ago.
Hi there,Is there any other kind of bacterial condition that I could get tested for?
Or can it only be SIBO and H Pylori?
Also would I get the test at my local doctor?Thanks,Daniel
Expert:  Dr Basu replied 1 year ago.
Not likely since you do not have any diarrhea or blood in stool.Best wishes
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