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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bloating, Belching And Smelly Bowel Movements

Hi, I am experiencing bloating, discomfort in my upper abdomen, belching and oily and smelly bowel movements after eating rich food such as cream, butter, cheese, curry (this has never been an issue before). Onset about 1 month ago. I follow a strict gluten free diet due to ceoliac disease, and have had a lap band in place for 6 yrs. any suggestions for me to follow up with my GP? thank you .
Tue, 21 Feb 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of bloating, discomfort in upper abdomen, belching and smelly bowel movements after eating foods rich in cream, butter, cheese and curry. This was not the issue in the past. Started one month ago, follow strict gluten free diet due to celiac disease, had a lap band 6 years ago, wants suggestions for follow up with the GP...
Since this is a new development of abdominal symptoms with particular foods, only for the last month, this indicates the following:
Either there is intolerance to the foods rich in cream to curry as you have mentioned or there can be pancreatic insufficiency not allowing these feed ingredients to be digested.
Sprue would have loose stool too.
Hence I would advise you the following in dealing with the GP.
Get the stool checked as it will given an idea about the possible cause.
CT scan of the abdomen to see for any changes in liver, gall bladder and pancreas
Stop the foods and beverages that you have noticed to cause the problems.
Also ask for the pancreatic supplements as they may help resolve many of your problems.
Ask for a reference to the Gastroenterologist for further investigations and proper management. Ans also to see if there is nay complication of the lap band if not yet removed.

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Suggest Treatment For Bloating, Belching And Smelly Bowel Movements

Hi. Thanks for your query. Noted the history of bloating, discomfort in upper abdomen, belching and smelly bowel movements after eating foods rich in cream, butter, cheese and curry. This was not the issue in the past. Started one month ago, follow strict gluten free diet due to celiac disease, had a lap band 6 years ago, wants suggestions for follow up with the GP... Since this is a new development of abdominal symptoms with particular foods, only for the last month, this indicates the following: Either there is intolerance to the foods rich in cream to curry as you have mentioned or there can be pancreatic insufficiency not allowing these feed ingredients to be digested. Sprue would have loose stool too. Hence I would advise you the following in dealing with the GP. Get the stool checked as it will given an idea about the possible cause. CT scan of the abdomen to see for any changes in liver, gall bladder and pancreas Stop the foods and beverages that you have noticed to cause the problems. Also ask for the pancreatic supplements as they may help resolve many of your problems. Ask for a reference to the Gastroenterologist for further investigations and proper management. Ans also to see if there is nay complication of the lap band if not yet removed.