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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Bloating While On Omeprazole And Miralax?

I am a 54 yr old female, at least 2 yrs since my last period. I take prem pro for menopause symptoms, and omeprazole. I exercise 4 days a week. I do not smoke, I drink one beer a day. I am not over weight. I have had h-pylori twice. I have a digestive systems that is very slow so after my last colonoscopy the gastroenterologist recommended I use Miralax. I also have stomach that seems to be always bloated, full and uncomfortable after most meals. Not sure if related but sometimes after I eat and my stomach acts up my face will flush and my ears get red and warm to the touch. Not sure what to do?
Tue, 13 Nov 2018
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Internal Medicine Specialist 's  Response
Hi,

Hot flushes of the face, red ear, warm touch etc goes more in favour of the post-menopausal syndrome.

You are already on Prempro (conjugated estrogens/medroxyprogesterone acetate) for symptoms of menopause.

The post-menopausal syndrome usually lasts for 1–2 years after menopause in most women, but may continue for up to 10 years or longer in others.

Alternatively Neuroendocrine Tumors of the Gastrointestinal Tract particularly Carcinoid Tumors can cause paroxysmal flushing, in view of GI symptoms (bloating, uncomfortable feeling after meals).

The laboratory diagnostic test most frequently used to detect carcinoid syndrome is the quantitative measurement of 5-HIAA levels in a 24-hour urine sample (normal range, 2 to 8 mg/24 h).

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

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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What Causes Abdominal Bloating While On Omeprazole And Miralax?

Hi, Hot flushes of the face, red ear, warm touch etc goes more in favour of the post-menopausal syndrome. You are already on Prempro (conjugated estrogens/medroxyprogesterone acetate) for symptoms of menopause. The post-menopausal syndrome usually lasts for 1–2 years after menopause in most women, but may continue for up to 10 years or longer in others. Alternatively Neuroendocrine Tumors of the Gastrointestinal Tract particularly Carcinoid Tumors can cause paroxysmal flushing, in view of GI symptoms (bloating, uncomfortable feeling after meals). The laboratory diagnostic test most frequently used to detect carcinoid syndrome is the quantitative measurement of 5-HIAA levels in a 24-hour urine sample (normal range, 2 to 8 mg/24 h). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist