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What Causes Loss Of Appetite, Anxiety, Bloated And Gassy Feeling?

Posted on Sat, 27 Sep 2014

Question: hi, i`m a 60 year old male and about three weeks ago symptoms started--loss of appetite, gassy and bloated, and a feeling of anxiety running through my chest and abdomen. my legs and feet tingle when the anxiety (because I know of any other way to describe it) attack happens. I have been prescribed prilosec and ativan (as needed). nothing seems to help. ct scan of abdomen and blood work look good

i also cant pass gas aggravating the bloating.

colonoscopy done 13 months ago ---clean

Answered by Dr. Dr Samir Patil (1 hour later)

Brief Answer:
Need UGI

Detailed Answer:
Hello,
I have gone through your symptoms.
I would like to clarify a few points
1. Have you lost any weight in the past one month?
2. Do you smoke or consume alcohol is yes how often?
3.Did you get a blood glucose levels in the past one month?
4. How much was your hemoglobin level?
5. Do you exercise regularly

In would suggest to add a pro kinetic like Domeridone to your current prescription.
Since this is the first time you have experienced these symptoms and you have not responded to pirlosec I would advice you to undergo an upper GI endoscopy.
I would advice you to avoid Pain killer meds. And !ilk products for the time being
Do get back incase of further queries

Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Dr Samir Patil (38 minutes later)

1. 17 lbs since this started

2. no smoking since 1975

3. as of 9/3 glucose 97 65-99 mg/dl

4. as of 9/3 hgb 15.8 13.1-17.2 g/dl

5. light walking and lifting

also when these (anxiety attacks) come on i feel like I must walk. I not sure if this makes me feel better but it is what I need to do. My main problem is the panic attacks but I think it is being caused by my gastro. I took Linzess this morning and after my bowel movement I went into one of those attacks that lasted about 6 hours.

forgot to mention I started taking pen vk this week for an infected tooth.

Answered by Dr. Dr Samir Patil (21 minutes later)

Brief Answer:
Advice Upper GI endoscopy

Detailed Answer:
Hello,
I would also like to get an ECG done to look for heart rhythm related problems
You have lost a significant amount of weight,
1. Iwould advice to get an upper GI endoscopy done.

2.If it is normal the I would suggest domperidone and continue omeprazole

3 And get a psychiatry consult for the anxiety.

As abdominal symptoms can trigger anxiety and anxiety in turn can worsen gastric symptoms.

Avoid caffeine, mint and chocolate, alcohol, red meat.
Hope this helps
Do get back in case of further queries

Regards

Dr Samir Patil

Above answer was peer-reviewed by : Dr. Prasad