
Suggest Treatment For Abdominal Bloating And Weight Gain

I would explain as follows.
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and appreciate your concerns.
Most common causes of chronic pain in left ilaic fosaa are-
Gastroenteritis
Diverticulitis
Severe constipation especially in patients with history of IBS.
Sigmoid colon is located in left side of abdomen. 95% cases of diverticulitis usually involve sigmoid colon.Therefore whenever a patient presents with history of pain in left iliac fossa initially he/she should be investigated thoroughly for Diverticulitis.Constant pain persisting for several days is a specific feature of diverticulitis.
Initially few baseline tests of gastroenterology should be done to rule out the possibility of involvement of diverticula.
Test sugggested are-
Stool routine and microscopy-To see if there is any bacterial,Protozoal or hemnithic infection in intestines.
CT scan of abdomen- can indicate inflamed or infected pouches and confirm a diagnosis of diverticulitis. CT can also indicate the severity of diverticulitis and guide treatment apart from that any other abdominal pathology would be clearly reflected in CT scan like volvulus.
Please answer the following questions so i can give you a better professional advice-
Pain was sudden in onset or gradual?
How can you describe it whether dull ache or sharp stabbing?
Does the pain move anywhere?
Any symptoms/signs associated with the pain like nausea vomiting loose stools etc?
How has the pain changed over time? Is the intensity of pain same or has increased or decreased?
Any Exacerbating or Relieving factors - Does anything worsen or relieve the pain?
How bad is the pain on a scale of 1(mild) to 10 (worst ever)?
Appetite - If any nausea or vomiting is there and hows your appetite?
Bowels - Frequency ,consistency,color and volume?
Constipation?
Life style and food habits?
Waiting for your answers.Kindly revert back soon so that i can give you a differencial and treatment guideline.
Kind regards.


All problems are inter related.Treat the root cause.
Detailed Answer:
Hello,
Thanks for follow up.
Our intestine consists of trillions of good bacteria's termed specifically as gut flora.Gut Bacteria Help Digest and Absorb Foods. The most plentiful and important bacteria in the small intestine is the Lactobacillus species. Lactobacillus helps ferment indigestible carbohydrates. Gut bacteria helps in production of mucous and digests food properly hence prevent constipation.Toxins produced by food,old age etc are among various factors causing dysbiosis in which the good bacterial colonies get deplete while bad bacteria's over number them.This causes problem with digestion like constipation,bloating belching etc.
Frankly speaking all these entities from from constipation to enteritis to diverticulitis are inter related,For eg constipation causes undigeated food to accumulate in diverticulas.This food acts as a source of culture for toxic bacteria's and protozoans which grows multiplies and replicates there leading to production of gases and inflammtion of intestine(enteritis).
Tramdol is not very effective in spasmodic pains.You have to get a prescription for antispasmodic like Drotraverine.
On the other hand stress stimulates the autonomous nervous system which increases the moments of inflammed intestines adding up to spasmodic pain.
As you are in financial stress right now i won't suggest you to go for costly investigations rather follow whatever i am prescribing below.You should definitely respond to it in a week or so.
Start taking a laxative like Polyethyklene gyycol 15 ml once daily at night.This will help clearing up your intestines.
Psyllium husk(natural fiber) should be taken 2 tsf once daily soake in ahlfa cup of XXXXXXX warm water.It incraeses the bulk of stool,Lubrictaes stool and relieves constipation.
TakeProbiotic containing Lactobacillus species twice daily with food.This will help to replenish the depleted gut flora.As the good gut flora is restored overall digestion will improve.
Take Anti anxiety medications like benzodiazepenes for few days.They will calm your nerves.
To provide symptomatic relief in bloating take Omeprazole 40 mg once daily.
Take food rich in fibers.
Try to increase fibres intake gradually.
Avoid overeating.
Take lots of curd in food.
Avoid juices for few days.
Take fruits like Banana,Grapes and Oranges.
Sprinkle olive oil over green salad and have it.
Get a stool test done to see if there is a bacterial or protozoal infection.
Follow all these things for a week and revert me after that.
I wish you a great luck and fast recovery.
Kind regards.

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