
Distended Abdomen, Possible Hernia Problem. Is It Due To Age?

In 1998 I lifted something too heavy and thought I would pass out. Surprising the pain mostly in my lower back went away. For a few years I would get a mild reminder of the incident but nothing serious. By 2009 I couldn’t remember the last time it bothered me. In 2009 I went to an ear nose and throat doctor and was diagnosed with reflux protocol (those symptoms I still have, as in an excessive amount of saliva). A few months later I was back with full on Gerd. I actually wrote about the experience and found that it was related to my taking Benadryl to sleep and being nasally congested. I actually wrote a funny story about the experience.
WWW.WWWW.WW
Another year went by where the symptoms were minimal and I could live with them when in April of 2010 I was having trouble breathing and noticed my abdomen was now distended. I looked like I was pregnant. I went to a doctor and was diagnosed (without an xray or any lab tests) with a ventral hernia. He told me to make an appointment with a surgeon right away and have the operation. The surgeon, one of the most respected surgeons in the country) immediately debunked the idea of the ventral hernia took some xrays and said to find a real doctor. At the time I was a vegan but upon reading up on a ventral hernia went back to eating red meat.
After three real doctors and numerous lab tests and an ultra sound the last gastro doctor said maybe I was just fat. At the time the discomfort and distension was reduced and I decided to just live with it. About six months ago I got dehydrated from the stomach flu and even then the distension would not completely go away. At the time I got every lab test possible, blood urine, stool. All the tests said I was normal. During the last few years my urine smelled so bad I couldn’t wait to flush the toilet. That has gone away and now my urine is mostly clear and although urination is not painful or especially difficult it is in uncomfortable but the odor is gone. A few months ago I started waking up with the salty taste in my mouth so bad I had to rinse immediately. That symptom is now almost gone. I am back to the unsightly abdomen no matter how little I eat. I have tried every digestive cure imaginable. For the first time in my life I am belching and of course it feels better after. Yesterday I bought an abdomen corset and it is comfortable when I wear it and possibly some difference when I eat but not that much. The digestive enzymes make a difference when I depress my abdomen. Eating the wrong foods it takes about 12 hours before the pressure is relieved. My bowel movements are normal and usually precede my stomach pressure going down in the morning.
I am beginning to wonder if it isn’t just my age since I am 68.
Thanks for posting your query
Generalized abdominal prominence can be due to the following causes:
• Fat
• Fluid: This can secondary to either reduced protein levels in the blood, liver or renal disease.
• Flatus: Can arise due to intestinal dysmotility and secondary bacterial overgrowth. This is common in elderly
• Faeces: Usually get accumulated due to an intestinal obstruction which presents as an acute condition.
These can be differentiated by a good history and a physical examination and if required some basic tests.
Hernia usually causes a localised bulge where as the above mentioned causes produce a more diffuse bulge.
In addition, you also have reflux disease which can arise due to poor lower esophageal sphincter tone. Diaphragmatic exercises, a proton pump inhibitor like omeprazole and prokinetics should produce relief.
Regards
Dr XXXXXXX


What are your thoughts?
If it is air that is causing the problems, then one had to rule out - Hypothyroidism, diabeties mellitus and vit B12 defeciencies as these are esily remediable causes.
Diaphragmatic exercises may appear difficult earlier and you will need help from proton pump inhibitors and prokinetics like itopride or cinatapride. Belching will be less if you avoid swallowing air.
You may also benifit from correcting the bacterial overgrowth by using an intetine specific antibiotic like rifaximin
Regards
Dr XXXXXXX

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