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Any Any Specific Suggestion For My Gas Or Bloating In Abdomen Since 7 Years After The Meal With Pain And Reports Are Normal Till Date?

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Posted on Mon, 9 Jul 2018
Twitter Mon, 9 Jul 2018 Answered on
Twitter Mon, 12 Dec 2022 Last reviewed on
Question : I've gas or bloating in abdomen since 7 years. I've taken lots of medications for years but nothing has made any difference. The bloating is usually after the meal with 7/10 pain. And 3/10 all the day only when I sit. I do see some undigested or raw food in my poop atleast twice in a day. Right now I'm taking Hyoscyamine 0.125 MG. I have recently done ultra sound, bloodtest and HIDA scan all were normal. Also, 4 years ago endoscopy and colonoscopy and blood test was done. All these reports are normal till date. I've tried homeopathy as well but no change. It was normal. I don't know if there is no cure for this that's fine. I'd live with it. I don't get any specific answer from doctor why do I've this pain and isn't there any way to find the root cause,
doctor
Answered by Dr. Ramesh Kumar (8 hours later)
Brief Answer:
Its irritable bowel syndrome.

Detailed Answer:
Hello Dear patient,
Have gone through your details and i appreciate your concerns.
Most likely you are suffering from irritable bowel syndrome.
Firstly small briefing for Irritable bowel syndrome and why every patient is a unique case when we deal with IBS.
In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.

Recent studies by French scientists have indicated that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors.


So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).

Some patients have symptoms of unformed stools some have bloating and some may have severe constipation. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same.

Our goal-
Every drug is not effective in every patient so we have to try different therapies till we find the drug which suits best our patient.All the below mentioned drugs slows down motility of intestines hence will decrease both frequency of motions as well as will increase your power to control them.


Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax.
Clidinium bromide is an anticholinergic (specifically a
It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.Can be used in combination with above mentioned medicines.


Thanks.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (6 hours later)
Thanks for your reply.

Isn't there any medical test to determine the root cause or do we just go my possibility of IBS?

I've been taking treatment for last 7 years. I feel like doctor's have tried every possible medicine. As said, I've done Blood test, LFT, ultrasound, HIDA scan recently (4 months). Endoscopy and colonoscopy 4 years ago. All the reports are normal.

However, the bilirubin levels were slightly higher 4 years back and normal 4 months ago. That was the only change.
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hello and thanks for follow up,
As explained earlier sir IBS is diagnosis of exclusion which means that when all tests are normal and yet the patient is symptomatic we label.the patient as having IBS.Its a functional disorder.
Have you tried the medications i advised you.
Get a prescription for the same you would definitely respond to it.
These salts in asian countries are available as trade name cibis 8mg to be taken.
Thanks.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2901 Questions

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Any Any Specific Suggestion For My Gas Or Bloating In Abdomen Since 7 Years After The Meal With Pain And Reports Are Normal Till Date?

Brief Answer: Its irritable bowel syndrome. Detailed Answer: Hello Dear patient, Have gone through your details and i appreciate your concerns. Most likely you are suffering from irritable bowel syndrome. Firstly small briefing for Irritable bowel syndrome and why every patient is a unique case when we deal with IBS. In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect. Recent studies by French scientists have indicated that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors. So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc). Some patients have symptoms of unformed stools some have bloating and some may have severe constipation. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same. Our goal- Every drug is not effective in every patient so we have to try different therapies till we find the drug which suits best our patient.All the below mentioned drugs slows down motility of intestines hence will decrease both frequency of motions as well as will increase your power to control them. Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax. Clidinium bromide is an anticholinergic (specifically a It may help symptoms of frequent stools. Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.Can be used in combination with above mentioned medicines. Thanks.