Suggest Treatment For Gas, Bloating, Constipation And Swelling In Legs

Posted on Fri, 6 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 6 May 2016 Answered on

Thu, 23 Jun 2016 Last reviewed on

Question : Hi Doctor

My dad 90 years old suffering with Gas, Bloating, constipation and legs swelling problems.

Please advise the counter prescriptions to try

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello and welcome

I appreciate your concern

Based on your description, these symptoms can signify a number of problems.

kindly answer the following to comment further

Is he diabetic and /or hypertensive
What medications is he currently using
Is he XXXXXXX meaning can he perform his daily life activities by himself or is there a restricted movement or bed bound patient.
Has an ultrasound of the abdomen and pelvis or the lower limbs been done previously.

let me know if you have any

wishing you best of health

Thanks

Dr M.S Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Hi Dr XXXXXXX

Is he diabetic and /or hypertensive ---- No
What medications is he currently using ---- Not much, local doctor prescription, using gas related pills.
Is he XXXXXXX meaning can he perform his daily life activities by himself or is there a restricted movement or bed bound patient.---> He is doing everything himself, but not eating solid food, only having crushed rice with butter milk and drinking milk, protien shake. Food(Rice) not getting digested.
Has an ultrasound of the abdomen and pelvis or the lower limbs been done previously.----> Doctors tried endoscopy, couldn't complete it due to pain he is getting during the process.

He is in XXXXXXX just looking to get some first level counter medicines to use for the gas, constipation and leg swelling releaf and for digestion.

Thanks, XXXXXXX

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

Based on your replies, the medication most appropriate for him would include a PPI like pantoprazole in combination with a pro kinetic like domperidone for at least one month.

Medication alone would help resolve the symptoms initially but lifestyle changes would also help in the long term control. Elevating the bed head, avoiding coffee, cola drinks, spicy foods, night time meals, taking regular exercise.

Ispaghula husk along with sodium picosulfate would be good options for constipation.

For the swelling in legs further investigations would be warranted as part of the workup. These include complete blood count , Serum albumin, urinalysis, renal function tests. Cardiovascular and pulmonary causes should also be assessed for by your doctor in this regard.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar