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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bloating In The Upper Mid Quadrant, Nausea And Fatigue.

digestive system
Hi. Im a 37 year old female. I am 5'4 and weigh 165 pounds. I have no major health problems. Here is my concern....

For going on 3 weeks, Ive noticed bloating in my upper mid quadrant. It comes and goes daily. My job requires me to sit at a computer 8 hours a day and while sitting, Ive noticed when ever Im bloated, contraction like feelings tightening for an extended period of time. I dont feel this tightening when ever I am up and moving around. I dont really have pain on my belly, just dicomfort. I also have had constipation at times. When ever I do have a bowel movement (small to medium, once a day or every other day) but I just dont feel as though "everything" is coming out. Ive tried a fleet enema twice, one that included a natural oil in it. Ive tried sennosides, and magnesium solfate several times. Nothing seems to help. At times Ive had fatigue and slight nausea but no vomiting. Could you tell me what this might be? Do you have any suggestions for treatment. Any insight you have would be greatly appreciated. Im starting to get worried.
posted on Fri, 14 Mar 2014
Twitter Wed, 19 Jul 2017 Answered on
Twitter Wed, 19 Jul 2017 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Discomfort in the upper mid-quadrant for three weeks, constipation, nausea, vomiting, feeling incomplete evacuation and bloating indicate that you may have one of the following problems:
Constipation causing the transverse colon to have impacted fecoliths that do not pass easily.
With or without acidity related problems giving nausea and vomiting.
This can be diagnosed by the following:
An actual examination of the abdomen by a General Surgeon.
X-ray of the abdomen in standing position and if fecoliths are present that are not amenable to the fleet enema and other measures, only soap-water enema in a traditions way helps for evacuation.
ALso needed is to take a stool softener and laxatives whichever gives smooth passage of stool on a daily basis and give a sense of complete evacuation.
Take a PPI like Omeprazole to tackle the acidity related problems and if not effective an upper GI Endoscopy may be needed.
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Suggest Treatment For Bloating In The Upper Mid Quadrant, Nausea And Fatigue.

Hi. Thanks for your query. Noted the history and understood the concerns. Discomfort in the upper mid-quadrant for three weeks, constipation, nausea, vomiting, feeling incomplete evacuation and bloating indicate that you may have one of the following problems: Constipation causing the transverse colon to have impacted fecoliths that do not pass easily. With or without acidity related problems giving nausea and vomiting. This can be diagnosed by the following: An actual examination of the abdomen by a General Surgeon. X-ray of the abdomen in standing position and if fecoliths are present that are not amenable to the fleet enema and other measures, only soap-water enema in a traditions way helps for evacuation. ALso needed is to take a stool softener and laxatives whichever gives smooth passage of stool on a daily basis and give a sense of complete evacuation. Take a PPI like Omeprazole to tackle the acidity related problems and if not effective an upper GI Endoscopy may be needed.