What Causes Stomach Bloating, Flatulence And Diarrhea?

Posted on Thu, 8 Jan 2015

Question: Hi ,

I am having stomach bloating and bleching with sounds and loose stools/motion for more than two months. This is happening after continuous one week loose motion.

My endoscopy result is (OG Junction:Lax XXXXXXX Gastric mucosal poalapse) (final impression:LAX LES/HIATUS HERNIA).

Now a days even for white rice am getting this symptoms.can anyone pls advise me

Answered by Dr. Tushar Kanti Biswas (56 minutes later)

Brief Answer:
Irritable bowel syndrome with dyspepsia

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
It seems that it could be Irritable bowel syndrome (IBS), which can give rise to constellation of symptoms like increased belching or flatulence, stomach bloating with sounds and alteration in bowel habits like loose stools/motion.

In patients with concurrent symptoms of dyspepsia, esophago-gastro-duodenoscopy may reveal evidence of lax LES/Hiatus hernia which is unlikely to cause loose motions as you are having.

Some patients with IBS-D (diarrhoea) may have undiagnosed celiac sprue. Serum antibodies—IgA antigliadin, IgA antiendomysial, and IgA anti-tTG antibodies are the serological tests for celiac sprue.

Commonest cause however is intestinal infestation with Giardia lamblia or other parasites which may cause similar symptoms.

I feel you should undergo stool for routine examination, if not done already.

Kindly consult your Gastro-enterologist again as your symptoms persist for 2 months now.

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Tushar Kanti Biswas (35 minutes later)

Hi XXXXXXX

Thanks! Yes i had stool routine test, only muscus and ecoli found.
As i browsed only certain food causes IBS but for me early morning even in empty stomach am feeling stomach disturbance, am eating only white now a days but that is also creating problem.
I already visited Gastro, he advised me to do Yoga and it will resolved automatically and no medicine was advised.
I am worried whether i have any bacteria imbalance, parasite or some internal infection which is causing this.
can I consult infectious disease doctor for this problem?.
Could you kindly advise some test for bacteria imbalance and also some vitamin to have daily because at present am taking only white rice.

Regards,
XXXX
0000

Answered by Dr. Tushar Kanti Biswas (30 minutes later)

Brief Answer:
Follow-up query

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

As a therapeutic trial, one should avoid any foodstuffs that appear to produce symptoms but at the same time one should avoid nutritionally depleted diet(only white rice).

Nutritional supplement like multivitamins should be taken if you are not taking fresh fruits or green vegetables or dairy products.

Modulation of Gut Flora:-Antibiotic treatment benefits a subset of IBS patient. Rifaximin(standard dose -400 mg three times daily) is the only antibiotic with demonstrated sustained benefit.
Probiotics to naturally alter the flora. Bifidobacterium infantis has shown significant improvement in the composite score for abdominal pain, bloating/distention, and/or bowel movement in two placebo-controlled trials.

Doctor, yes if available infectious disease specialist will be able to tell you better.
Yoga may be effective for some IBS patients, especially poses which exercise the lower abdomen.
Relaxation techniques such as meditation also helps.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Tushar Kanti Biswas (28 hours later)

Hi Sir,
Thanks!

My query is whether the problem is due to LAX LES/Hiatus hernia because i feel like air sounds in stomach and air entering in upper stomach.

REgards, XXXXXXX

Answered by Dr. Tushar Kanti Biswas (32 minutes later)

Brief Answer:
Gastroesophageal reflux disease (GERD)

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Your problem is partly due to LAX LES/Hiatus hernia.
The major esophageal symptoms are heartburn, regurgitation, chest pain, dysphagia, odynophagia, and globus sensation.
Air sounds in stomach and air entering in upper stomach is due to aerophagia.
Avoid sipping fluids during meals and aerated drinks.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Tushar Kanti Biswas (44 hours later)

Hi,
Thanks a ton for your detailed answer.

I more question to ask. whenever i drink water fastly or eating fastly or doing walking I could hear heart beat sound in stomach.can you advise in it.
Recently i took stool culture and nothing was found.

Answered by Dr. Tushar Kanti Biswas (1 hour later)

Brief Answer:
Drinking liquids too quickly..etc with hiatus hernia

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

You should drink water slowly. It's not good to drink so fast that you can hear and feel it sloshing around in your belly.

Lax LES/Hiatus hernia allows fluid to regurgitate into the lower esophagus and too fast drinking will only aggravate symptoms ,as the stomach may not have relaxed enough to accommodate the fluid;similar effects occur with too fast eating also.

Palpitations can occur due to cardiac compression by the hernial sac filled with fluids. Sudden physical exertion like fast walking,can also cause increased pressure in the abdomen resulting in hiatal hernia.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj