Brief Answer:
You need to increase your energy expenditure.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation and hence the bloating.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fibre intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep 20 mg tablet once daily for at least 2 months (it may take time for the action to set in).
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.

About the weight gain, I would insist you to get your thyroid profile checked. Let me know the reports after you get them. You also need to increase your total energy expenditure. For you to lose weight, the energy taken in as food must be lesser than the total energy expenditure. So, you need to increase your workout on one hand and reduce your energy intake on the other. Electrical muscle stimulation therapy (available at may slimming centers or with physical therapists) should help.

Hope that helps.

Let me know if I could help further.

Regards

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