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What Causes Bloating Of Stomach And Gas After Eating?
Question: Hi Doctor !
AA) Symptoms
I am suffering from stomach discomfort ( gas, bloating and burping after eating). Frequent change in stool from hard to semisolid but no diarrhea. I can feel gas movement inside my stomach.
Symptoms first started on 20th XXXXXXX 2015 after eating garlic bread with citric acid drink I had vomiting soon after eating but i did not have any other vomiting since then. But i have been experiencing symptoms since then such as bloating and burping after eating, frequently changing bowel movement from hard to soft stool, and indigestion. But no blood in the stool and wight loss since 1st April 2015. I lost about 4 KG in the month of Feb 2015.
No heart burn or return of food , no pain or cramping
BB) Diagnosis caried out
1) Endoscopy of upper GI date 25th Feb 2017 : found mild gastiritis and errosion
2) CLO test negative ( dt 25th feb 2015)
2) Colonoscopy : Normal colon , Hyperemia of ileum ( ileitis) ,
3) Biopsy of ileitis : Mild inflamation with no significance
4) Blood tests ( two times 23rd feb and 20th March)
5) CT scan : Normal / fecal loaded bowel ( 25th March 2015)
6) Ultrasound : Normal / slightly fatty lever ( 17th March)
7) ECG : Normal
8) H-Pyroli breath test ( 28th XXXXXXX 2015 ) - Negative
CC) Doctors consulted
4 - GI specialists
4 -GP
Doctor's diagnosis
functional problem IBS & non significant inflmmation of ileum
Current Medication :
Rabeprazole 20 mg/ levosulpride : twice daily since 24th April 2015
Mabeverine 200 mg : does not suit at all cause pulpitation and increase symptoms tried intermittantly but worsen my condition
Probiotics ( saccharomyces boulardii) : 2 times in a day for last 3 week : respond very well and improve bowel movement but sometimes cause constipation and gastric pulpitation in stomach
Taken Anti-Parasite medication for 3- days
Antacid syrup
digestive enzymes
Medicines tried earlier
1) Fomatidine 20 mg twice daily for 15 days
2) Ranitidine 150 mg twice daily for 15 days
3) Omeprazole 20 mg 30 days
4) active charcoal tablets - 1 week
5) rabeprazole 20 mg twice daily 3 weeks
5) Oflaxacin 200 mg twice daily for 5 days
Q.1 What can cause me symptoms gas and bloating after eating ? and how to cure it ?
Q2. What is hyperemia of ileum and how to cure mild non significant chronic inflammation of ileum and whether it is linked to my symptoms. My GI specialist did not talk about it after seeing biopsy report and said there is no need to be worried. He prescribed me rabeprazole 20 mg for 1 month and 3 days anti parasite medicines course.
Thanks & regards XXXXXXX
AA) Symptoms
I am suffering from stomach discomfort ( gas, bloating and burping after eating). Frequent change in stool from hard to semisolid but no diarrhea. I can feel gas movement inside my stomach.
Symptoms first started on 20th XXXXXXX 2015 after eating garlic bread with citric acid drink I had vomiting soon after eating but i did not have any other vomiting since then. But i have been experiencing symptoms since then such as bloating and burping after eating, frequently changing bowel movement from hard to soft stool, and indigestion. But no blood in the stool and wight loss since 1st April 2015. I lost about 4 KG in the month of Feb 2015.
No heart burn or return of food , no pain or cramping
BB) Diagnosis caried out
1) Endoscopy of upper GI date 25th Feb 2017 : found mild gastiritis and errosion
2) CLO test negative ( dt 25th feb 2015)
2) Colonoscopy : Normal colon , Hyperemia of ileum ( ileitis) ,
3) Biopsy of ileitis : Mild inflamation with no significance
4) Blood tests ( two times 23rd feb and 20th March)
5) CT scan : Normal / fecal loaded bowel ( 25th March 2015)
6) Ultrasound : Normal / slightly fatty lever ( 17th March)
7) ECG : Normal
8) H-Pyroli breath test ( 28th XXXXXXX 2015 ) - Negative
CC) Doctors consulted
4 - GI specialists
4 -GP
Doctor's diagnosis
functional problem IBS & non significant inflmmation of ileum
Current Medication :
Rabeprazole 20 mg/ levosulpride : twice daily since 24th April 2015
Mabeverine 200 mg : does not suit at all cause pulpitation and increase symptoms tried intermittantly but worsen my condition
Probiotics ( saccharomyces boulardii) : 2 times in a day for last 3 week : respond very well and improve bowel movement but sometimes cause constipation and gastric pulpitation in stomach
Taken Anti-Parasite medication for 3- days
Antacid syrup
digestive enzymes
Medicines tried earlier
1) Fomatidine 20 mg twice daily for 15 days
2) Ranitidine 150 mg twice daily for 15 days
3) Omeprazole 20 mg 30 days
4) active charcoal tablets - 1 week
5) rabeprazole 20 mg twice daily 3 weeks
5) Oflaxacin 200 mg twice daily for 5 days
Q.1 What can cause me symptoms gas and bloating after eating ? and how to cure it ?
Q2. What is hyperemia of ileum and how to cure mild non significant chronic inflammation of ileum and whether it is linked to my symptoms. My GI specialist did not talk about it after seeing biopsy report and said there is no need to be worried. He prescribed me rabeprazole 20 mg for 1 month and 3 days anti parasite medicines course.
Thanks & regards XXXXXXX
Brief Answer:
CT enterography should be done and Rifaximine treatment tried.
Detailed Answer:
Hello!
Thank you for the query.
Before answering your questions I would like to give some information. I have read your reports and In my opinion few very important tests are missing. As your symptoms might be caused by chronic bacterial infection (present in small intestine) or partial bowels obstruction (due to some narrowing in the intestine) you definitely should have stool culture test (not just regular stool test) which can detect bad bacteria in the stool. For obstruction diagnosis CT enteroclysis or MRI enterography should be done. This kind of tests can visualize narrowing in small intestine.
As there is stool in the large intestine seen in the CT, you were not prepared enough to this test and not everything could have been seen.
For small bowels chronic infection you should try Rifaximne treatment. Please discuss it with your doctor. This is a special antibiotic which can greatly help in such non specific symptoms.
Answering your questions:
1. Gas and bloating after eating can be caused by mentioned above bacterial infection. Bacteria produce gas. Rifaximine can cure it. Gas and bloating can be a sign of partial bowels obstruction as well. Especially that you have stool pattern change.
2.Hyperemia is an increased blood flow through intestine wall. This is a one of inflammation signs. Inflammation can be treated with antiinflammatory medicines. If its about intestine, Mesalazine should be tried at your case.
Hope this will help. Feel free to ask further questions.
Regards.
CT enterography should be done and Rifaximine treatment tried.
Detailed Answer:
Hello!
Thank you for the query.
Before answering your questions I would like to give some information. I have read your reports and In my opinion few very important tests are missing. As your symptoms might be caused by chronic bacterial infection (present in small intestine) or partial bowels obstruction (due to some narrowing in the intestine) you definitely should have stool culture test (not just regular stool test) which can detect bad bacteria in the stool. For obstruction diagnosis CT enteroclysis or MRI enterography should be done. This kind of tests can visualize narrowing in small intestine.
As there is stool in the large intestine seen in the CT, you were not prepared enough to this test and not everything could have been seen.
For small bowels chronic infection you should try Rifaximne treatment. Please discuss it with your doctor. This is a special antibiotic which can greatly help in such non specific symptoms.
Answering your questions:
1. Gas and bloating after eating can be caused by mentioned above bacterial infection. Bacteria produce gas. Rifaximine can cure it. Gas and bloating can be a sign of partial bowels obstruction as well. Especially that you have stool pattern change.
2.Hyperemia is an increased blood flow through intestine wall. This is a one of inflammation signs. Inflammation can be treated with antiinflammatory medicines. If its about intestine, Mesalazine should be tried at your case.
Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor
As you have mentioned that CT enterography is required in my case, a CT scan (without and with IV contrast) was done on 25th March and doctor did not find any laminar thickening or build up of mass or lession or any sign of obstruction. I discussed same thing with my GI specialist who ruled out the possibility of that.
Please advise after CT scan with IV contrast of full abdomen I still need CT enterography?
I will discuss with my doctor about the stool culture. Could you please specify the exact description of test so i can suggest my doctor. I am from Hong Kong and need referral from doctor.
thanks and best regards XXXXXXX
As you have mentioned that CT enterography is required in my case, a CT scan (without and with IV contrast) was done on 25th March and doctor did not find any laminar thickening or build up of mass or lession or any sign of obstruction. I discussed same thing with my GI specialist who ruled out the possibility of that.
Please advise after CT scan with IV contrast of full abdomen I still need CT enterography?
I will discuss with my doctor about the stool culture. Could you please specify the exact description of test so i can suggest my doctor. I am from Hong Kong and need referral from doctor.
thanks and best regards XXXXXXX
Brief Answer:
Please try Rifaximine treatment.
Detailed Answer:
But we are talking about small bowel condition. Please note that this part of gastrointestinal tract is much harder to diagnose than any other part. Neither gastroscopy or colonoscopy can not reach it fully. Regular CT is also not enough. Yes, there is no sign of complete bowels obstruction. This can be diagnosed with regular CT. But partial bowel obstruction caused by some narrowing wont be seem in the CT. That is why in my opinion this test is a good idea. Especially that you have already tried so much tests and solutions.
Stool culture is a test which can identify bacteria in the stool. The stool sample is incubated in the special specimen. In case of bacteria presence in the sample, it can be seen in the specimen.
Please also try Rifaximine treatment. It is very important. If this will help, consider quitting drugs like Omeprasole or Rabeprazle as this anti acids can cause bacteria grow in small intestine.
Regards.
Please try Rifaximine treatment.
Detailed Answer:
But we are talking about small bowel condition. Please note that this part of gastrointestinal tract is much harder to diagnose than any other part. Neither gastroscopy or colonoscopy can not reach it fully. Regular CT is also not enough. Yes, there is no sign of complete bowels obstruction. This can be diagnosed with regular CT. But partial bowel obstruction caused by some narrowing wont be seem in the CT. That is why in my opinion this test is a good idea. Especially that you have already tried so much tests and solutions.
Stool culture is a test which can identify bacteria in the stool. The stool sample is incubated in the special specimen. In case of bacteria presence in the sample, it can be seen in the specimen.
Please also try Rifaximine treatment. It is very important. If this will help, consider quitting drugs like Omeprasole or Rabeprazle as this anti acids can cause bacteria grow in small intestine.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor
Thanks for your prompt reply.
I will ask my doctor to prescribe this medicine . Request you to advise me the suitable dose and duration of the course of Rifaximine. It is available in two preparation 200 mg and 400 mg . Kindly suggest.
thanks & regards
XXXXXXX
Thanks for your prompt reply.
I will ask my doctor to prescribe this medicine . Request you to advise me the suitable dose and duration of the course of Rifaximine. It is available in two preparation 200 mg and 400 mg . Kindly suggest.
thanks & regards
XXXXXXX
Brief Answer:
3x 400mgs for 7 days.
Detailed Answer:
It should be taken 400 mg three times a day. The therapy should last at least 7 days. It is not absorbed into a bloodstream so you should not have any side effects. And please add probiotic when taking it. You should also avoid coffee, caffeinated drinks, sweets, chocolate.
3x 400mgs for 7 days.
Detailed Answer:
It should be taken 400 mg three times a day. The therapy should last at least 7 days. It is not absorbed into a bloodstream so you should not have any side effects. And please add probiotic when taking it. You should also avoid coffee, caffeinated drinks, sweets, chocolate.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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