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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain, Distention, Bloating, Discomfort And Bruising?

Hi, may I answer your health queries right now ? Please type your query here... I have had a colonoscopy, endoscopy, Ultrasound, chest xray, and I still have no real diagnosis of why I continue to have extreme abdominal distention, bloating, upper abdominal discomfort, and extreme fullness when I eat anything, even small portions. Now I have discovered 2 bruised areas on my abdomen, near my naval and to the right of it. I look like I am about 4 months pregnant. I am 60 years old, female. I have high cholesterol, HTN. I have been told I have some diverticulosis, a hiatal hernia, take prilosec which does nothing. I do not experience reflux. I feel like they think I am making these symptoms up, but it is pretty obvious if you look at me.The upper abdominal pain i have is center and to the right slightly, and is always there like a constant discomfort.
Wed, 18 Feb 2015
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General Surgeon 's  Response
Hi Madam.
Thanks for your query and an elucidate history.
Read and understood your problem at the age of 60 years looking like 4 months pregnant.
All the investigations you did like colonoscopy, Endoscopy ultrasonography, X-ray of the chest may not show everything.
Your Symptoms of pain in abdomen, bloating discomfort can be mainly die to the Anxiety and or stress, allowing you to have lots of aerophagia meaning swallowing air, you may have dentures or the change of taste for foods and soda and colas etc.
Another reason can be you are taking foods with nuts or so , that give the similar symptoms.

I would advise you the following:
Get a course of an antibiotic and metronidazole along with probiotics, activated charcoal tablets and an Anxiolytic drug and see the results.
Stop all the foods and beverages which you must have noticed to cause such symptoms and I hope you will be fine.
Control of the stress and / or anxiety is the key.
If there is not much of a response, please undergo few more tests like Enteroclysis and CT scan of the abdomen.
If all the tests are normal, get an opinion of a Gastroenterologist and start getting treated for IBS, the Irritable Bowel Syndrome.
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What Causes Abdominal Pain, Distention, Bloating, Discomfort And Bruising?

Hi Madam. Thanks for your query and an elucidate history. Read and understood your problem at the age of 60 years looking like 4 months pregnant. All the investigations you did like colonoscopy, Endoscopy ultrasonography, X-ray of the chest may not show everything. Your Symptoms of pain in abdomen, bloating discomfort can be mainly die to the Anxiety and or stress, allowing you to have lots of aerophagia meaning swallowing air, you may have dentures or the change of taste for foods and soda and colas etc. Another reason can be you are taking foods with nuts or so , that give the similar symptoms. I would advise you the following: Get a course of an antibiotic and metronidazole along with probiotics, activated charcoal tablets and an Anxiolytic drug and see the results. Stop all the foods and beverages which you must have noticed to cause such symptoms and I hope you will be fine. Control of the stress and / or anxiety is the key. If there is not much of a response, please undergo few more tests like Enteroclysis and CT scan of the abdomen. If all the tests are normal, get an opinion of a Gastroenterologist and start getting treated for IBS, the Irritable Bowel Syndrome.