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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Distention And Frequent Constipation?

My 30-yr-old daughter is a stage 4 breast cancer patient who s pet scans have been negative for two years. About a year ago she began having frequently recurring episodes of her [otherwise flat] abdomen swelling up like a basketball, frequent constipation, becoming ravinous but then unable to eat very much, and vomiting. She has repeatedly gone to e.r. with symptoms of infection and been sent back home when they can t find any infection. Do you have any ideas?
Wed, 17 Apr 2019
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General Surgeon,  's  Response
Hi,

This may be related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest running colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible:
- fissures due to chronic constipation
- hemorrhoids

In both cases, you need to take measures to reduce constipation that would trigger such problems:
- do more physical activity
- increase water consumption
- take more foods high in fiber content
- fiber supplements can help
- can use laxatives once in a while to improve the symptoms.

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Abdominal Distention And Frequent Constipation?

Hi, This may be related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel. I suggest running colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible: - fissures due to chronic constipation - hemorrhoids In both cases, you need to take measures to reduce constipation that would trigger such problems: - do more physical activity - increase water consumption - take more foods high in fiber content - fiber supplements can help - can use laxatives once in a while to improve the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon