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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Bloating When Standing For Long Time?

Hi, over the last 6 months or more, I get to work at 3pm every day and stand up for 4 hours at the pub. Every day my stomach goes really bloated after about an hour of standing, and stays bloated,painful and solid until I sit down at home. I used to drink a small glass of coke while I was there but for the last 5 months I have only drunk flat drinks at work and home. Both my mum and sister have been diagnosed with ibs and my sister can t have gluten. I have looked up symptoms of ibs and nothing apart from the bloating fits.. Most mornings when I wake up I am sick but only bringing up bile. Although me and my partner are trying to get pregnant, I am definitely not, so unsure of why this might be as well . I would appreciate your help, regards, Fran Lee (24years old)
Mon, 3 Apr 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
The family history is so positive about IBS hence needs to be considered as a differential diagnosis. This is said to be IBS if all the relevant investigations are within normal limits.
I would advise advise you the following in such a situation considering your history of bile coming up in the morning and bloating:
Upper GI endoscopy.
CT scan of abdomen to rule out any intestinal obstruction, tuberculosis and such diseases.
Tests of stool, blood and urine.
Colonoscopy.
If all the investigations are normal the treatment is obviously for IBS.
If a specific cause is found, get it treated accordingly.
Stop aerated drinks, nuts or any other foods and beverages that cause bloating and bile reflux.
Get started on a PPI like Omeprazole, antacid and motility regulator like Domperidone.
.
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What Causes Stomach Bloating When Standing For Long Time?

Hi. Thanks for your query. Noted the history and understood your concerns. The family history is so positive about IBS hence needs to be considered as a differential diagnosis. This is said to be IBS if all the relevant investigations are within normal limits. I would advise advise you the following in such a situation considering your history of bile coming up in the morning and bloating: Upper GI endoscopy. CT scan of abdomen to rule out any intestinal obstruction, tuberculosis and such diseases. Tests of stool, blood and urine. Colonoscopy. If all the investigations are normal the treatment is obviously for IBS. If a specific cause is found, get it treated accordingly. Stop aerated drinks, nuts or any other foods and beverages that cause bloating and bile reflux. Get started on a PPI like Omeprazole, antacid and motility regulator like Domperidone. .