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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Abdominal Bloating In An Elderly Person?

I am 71 yrs old diabetic for 30 years on tablets well controlled, had a quadruple Cabbage 18 yrs ago, had 5 stents 4 and half years ago. I am on beta blocker Imdure and few others. Presently for past few months suffering from short of breath with lower abdominal bloating with tightness with pain and lead to chest pain starting from right going across to left side. Also at night time when sleeping and going up one flight of stairs. there is relief after couple Nitro spray. YYYY@YYYY Thanks
Fri, 5 May 2017
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Diabetologist,  's  Response
Hi,

Thanks for your question.
Noted your concern.

Considering your 30 years of diabetes, history of stroke and angioplasty done problem with blood flow is a likely cause for your symptoms.

Development of blockages in blood vessels lead to decreased blood flow to organ supplied by that blood vessel leading to symptoms related to that organ.

In case of conditions requiring increased blood supply leads to symptoms and Use of nitro spray causes dilatation of blood vessel improves blood flow and relieves symptoms.

Your symptoms related to heart and intestine.

I may suggest you to consult your doctor immediately with all available previous record of your health status.
There is a need for -
- Detailed physical examination.
- Investigations like
ECG need to compare with old ECG.
Complete Blood Count.
Kidney function test.
Liver function test.
HbA1c
Lipid profile.
Urine examination.
2DEcho of heart.

Depending upon it there may be need for Trade meal test, CT Angiography of abdomen and pelvis and coronary angiography.

Hope this helps you.

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What Causes Lower Abdominal Bloating In An Elderly Person?

Hi, Thanks for your question. Noted your concern. Considering your 30 years of diabetes, history of stroke and angioplasty done problem with blood flow is a likely cause for your symptoms. Development of blockages in blood vessels lead to decreased blood flow to organ supplied by that blood vessel leading to symptoms related to that organ. In case of conditions requiring increased blood supply leads to symptoms and Use of nitro spray causes dilatation of blood vessel improves blood flow and relieves symptoms. Your symptoms related to heart and intestine. I may suggest you to consult your doctor immediately with all available previous record of your health status. There is a need for - - Detailed physical examination. - Investigations like ECG need to compare with old ECG. Complete Blood Count. Kidney function test. Liver function test. HbA1c Lipid profile. Urine examination. 2DEcho of heart. Depending upon it there may be need for Trade meal test, CT Angiography of abdomen and pelvis and coronary angiography. Hope this helps you.