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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Abdominal Bloating Along With Nausea And Flatulence Be Treated?

I have a 30 year history of Crohn s disease with one small bowel resection in 1991. I have had 3 episodes of pancreatitis in the past 10 years. In September 2017, I was diagnosed as having EPI and put on 36,000 units of Creon 3x/day. For the past month I have been experiencing discomfort under the left breastbone with pain radiating to my back, which is getting worse on a daily basis. I also have bloating, flatulence, am slightly nauseated all the time and am extremely uncomfortable. Recent blood work suggests my digestive enzyme levels are still low, despite the Creon. My gastroenterologist thinks this may be SIBO and has put me on 550 mg 3/day of rifaximin for 2 weeks, followed by a prescription-only probiotic. Is it possible this is just SIBO and not something more?
Thu, 1 Mar 2018
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General Surgeon 's  Response
Hello,

In most cases, our dietary choices could lead to excessive flatulence. Some foods that increase gas include beans, cabbage, broccoli, raisins, lentils, prunes, apples, foods high in fructose or sorbitol, such as fruit juices. These foods can take a long time to digest, leading to the unpleasant smell associated with flatulence. If your diet doesn’t contain a large number of carbohydrates or sugars, and you don’t swallow excessive air, your excessive flatulence may be due to a medical condition. Potential conditions underlying flatulence range from temporary conditions to digestive problems such as inflammatory bowel diseases, gastroenteritis, diabetes or peptic ulcer.

As remedies you should: Look at your diet. If it contains a large number of carbohydrates that are difficult to digest, try to replace them. Carbohydrates that are easier to digests, such as potatoes, rice, and bananas, are good substitutes. Also, try to eat around five to six small meals a day instead of three larger ones to help your digestive process.

Chew properly to avoid doing anything that may increase the amount of air that you swallow. It includes making sure that you are chewing your food properly, and avoiding chewing gum or smoking. Also, drink some peppermint tea, chamomile tea, and ginger.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
 Dr. Ivan R. Rommstein
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How Can Abdominal Bloating Along With Nausea And Flatulence Be Treated?

Hello, In most cases, our dietary choices could lead to excessive flatulence. Some foods that increase gas include beans, cabbage, broccoli, raisins, lentils, prunes, apples, foods high in fructose or sorbitol, such as fruit juices. These foods can take a long time to digest, leading to the unpleasant smell associated with flatulence. If your diet doesn’t contain a large number of carbohydrates or sugars, and you don’t swallow excessive air, your excessive flatulence may be due to a medical condition. Potential conditions underlying flatulence range from temporary conditions to digestive problems such as inflammatory bowel diseases, gastroenteritis, diabetes or peptic ulcer. As remedies you should: Look at your diet. If it contains a large number of carbohydrates that are difficult to digest, try to replace them. Carbohydrates that are easier to digests, such as potatoes, rice, and bananas, are good substitutes. Also, try to eat around five to six small meals a day instead of three larger ones to help your digestive process. Chew properly to avoid doing anything that may increase the amount of air that you swallow. It includes making sure that you are chewing your food properly, and avoiding chewing gum or smoking. Also, drink some peppermint tea, chamomile tea, and ginger. Hope I have answered your query. Let me know if I can assist you further. Regards,  Dr. Ivan R. Rommstein