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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Abdominal Bloating While Suffering With Endometrial Hyperplasia?

I was anemic, 9 1/2 in May. I underwent a colonoscomy, upper gi, barium esophogram and CT scan of the small intestine to determine bleeding in the gi tract. Everything turned up normal exept an enlarged uterus that showed up on the CT scan. After further testing of a transvaginal sonogram and endometrial biopsy, I was diagnosed with endometrial hyperplasia and will have an endometrial ablasion soon. My question is this, why am I having such awful swelling in my abdomen and gas. My gynecologist turned me back over to my gastroenterologist and then he in turn turned me back over to my gynecologist. Neither has an answer to me after all of the testing. What could be the cause of such terrible gas and bloating? I am a good eater. I have acid reflux therefore I am always conscious of eating well and maintaining a healthy lifestyle.
Fri, 24 Aug 2018
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General & Family Physician 's  Response
Hello,

Your abdominal bloating may be due to acid reflux and nothing to do with endometrial problems.

Consult a gastro-enterologist.

Gastritis can be caused by irritation due to excessive alcohol use, chronic vomiting, stress, or the use of certain medications such as Aspirin or other anti-inflammatory drugs. It may also be caused by any of the following:
•     Helicobacter pylori (H. pylori): A bacteria that lives in the mucous lining of the stomach; without treatment, the infection can lead to ulcers, and in some people, stomach cancer.
•     Pernicious anemia: A form of anemia that occurs when the stomach lacks a naturally occurring substance needed to properly absorb and digest vitamin B12
•     Bile reflux: A back flow of bile into the stomach from the bile tract (that connects to the liver and gallbladder)
•     Infections caused by bacteria and viruses

To diagnose gastritis, your doctor will review your personal and family medical history, perform a thorough physical evaluation, and may recommend any of the following tests:
•     Upper endoscopy. An endoscope, a thin tube containing a tiny camera, is inserted through your mouth and down into your stomach to look at the stomach lining. The doctor will check for inflammation and may perform a biopsy, a procedure in which a tiny sample of tissue is removed and then sent to a laboratory for analysis.
•     Blood tests. The doctor may perform various blood tests, such as checking your red blood cell count to determine whether you have anemia, which means that you do not have enough red blood cells. He or she can also screen for H. pylori infection and pernicious anemia with blood tests.
•     Fecal occult blood test (stool test). This test checks for the presence of blood in your stool, a possible sign of gastritis.

Treatment for gastritis usually involves:
•     Taking antacids and other drugs (such as proton pump inhibitors or H-2 blockers) to reduce stomach acid
•     Avoiding hot and spicy foods
•     For gastritis caused by H. pylori infection, your doctor will prescribe a regimen of several antibiotics plus an acid blocking drug (used for heartburn)
•     If the gastritis is caused by pernicious anemia, B12 vitamin shots will be given.
•     Eliminating irritating foods from your diet such as lactose from dairy or gluten from wheat. Once the underlying problem disappears, the gastritis usually does, too.

Follow some lifestyle tips
1. Do not eat spicy food
2. Take medications for gastritis- Pantop/Omez/Rantac
3. Take little food at frequent intervals. Breakfast around 8 am, small snack at 11 am, lunch at 1 pm, small snack at 4 pm and dinner at 8 pm
4. Drink plenty of water
5. Do not smoke, take alcohol or tobacco and even excess of coffee and tea
6. Do not take much of stress. Stress aggravates gastritis
7. Do regular exercise. At least half an hour per day.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Chronic Abdominal Bloating While Suffering With Endometrial Hyperplasia?

Hello, Your abdominal bloating may be due to acid reflux and nothing to do with endometrial problems. Consult a gastro-enterologist. Gastritis can be caused by irritation due to excessive alcohol use, chronic vomiting, stress, or the use of certain medications such as Aspirin or other anti-inflammatory drugs. It may also be caused by any of the following: •     Helicobacter pylori (H. pylori): A bacteria that lives in the mucous lining of the stomach; without treatment, the infection can lead to ulcers, and in some people, stomach cancer. •     Pernicious anemia: A form of anemia that occurs when the stomach lacks a naturally occurring substance needed to properly absorb and digest vitamin B12 •     Bile reflux: A back flow of bile into the stomach from the bile tract (that connects to the liver and gallbladder) •     Infections caused by bacteria and viruses To diagnose gastritis, your doctor will review your personal and family medical history, perform a thorough physical evaluation, and may recommend any of the following tests: •     Upper endoscopy. An endoscope, a thin tube containing a tiny camera, is inserted through your mouth and down into your stomach to look at the stomach lining. The doctor will check for inflammation and may perform a biopsy, a procedure in which a tiny sample of tissue is removed and then sent to a laboratory for analysis. •     Blood tests. The doctor may perform various blood tests, such as checking your red blood cell count to determine whether you have anemia, which means that you do not have enough red blood cells. He or she can also screen for H. pylori infection and pernicious anemia with blood tests. •     Fecal occult blood test (stool test). This test checks for the presence of blood in your stool, a possible sign of gastritis. Treatment for gastritis usually involves: •     Taking antacids and other drugs (such as proton pump inhibitors or H-2 blockers) to reduce stomach acid •     Avoiding hot and spicy foods •     For gastritis caused by H. pylori infection, your doctor will prescribe a regimen of several antibiotics plus an acid blocking drug (used for heartburn) •     If the gastritis is caused by pernicious anemia, B12 vitamin shots will be given. •     Eliminating irritating foods from your diet such as lactose from dairy or gluten from wheat. Once the underlying problem disappears, the gastritis usually does, too. Follow some lifestyle tips 1. Do not eat spicy food 2. Take medications for gastritis- Pantop/Omez/Rantac 3. Take little food at frequent intervals. Breakfast around 8 am, small snack at 11 am, lunch at 1 pm, small snack at 4 pm and dinner at 8 pm 4. Drink plenty of water 5. Do not smoke, take alcohol or tobacco and even excess of coffee and tea 6. Do not take much of stress. Stress aggravates gastritis 7. Do regular exercise. At least half an hour per day. Hope I have answered your query. Let me know if I can assist you further.