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Suggest Treatment For Swollen Abdomen And Pain

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Posted on Sat, 13 Sep 2014
Question: Chronic pancreatitis for 6 years. My addomen is very swollen and getting worse I take tramadol for pain and vicodin which destroys my tummy..any advice
doctor
Answered by Dr. Deepak Kishore Kaltari (8 minutes later)
Stop taking this medicines and better take Dicyclomine and Acetaminophen three times in day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (3 minutes later)
Could there be anything else causing an extremely bloated tummy...i look pregnant all the time, used all the anti gas meds, dont work..right after i eat it looks like it will explode :(
doctor
Answered by Dr. Deepak Kishore Kaltari (31 minutes later)
Brief Answer:
Further details required

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms XXXXXXX

Abdominal bloating could be due to many causes. Possibility of gastric distension secondary to acid peptic disease needs to be considered.

I would require additional information for me to be able to assist you further

1. Since how long are the symptoms present?
2. Is there any relationship to food intake
3. What are all the investigation done till date?
4. A detailed description of your symptoms since the onset of symptoms and the investigation done will be helpful.

Awaiting your response

Take Care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (15 minutes later)
My belly has been bloated for the last couple of years and within the last year it is awful. I look like im several months pregnant. When i eat is continues to get bigger. I fell like im going to burst and stomach is very hard..Ive had scans done where i drink a milky substance..result was my system moves very slow..they found something that was narrowed in my stomach-cant remember what..i get horrible stomach aches that takes a couple days to get better..not related to pancreatitis within the last month my belly and lower pelvis is so bloated i seriously look 9 mths pregnant..cant wear jeans..im constantly constipated now on top of this
doctor
Answered by Dr. Deepak Kishore Kaltari (23 minutes later)
Brief Answer:
Gastroparesis could be the cause

Detailed Answer:
Hi
Dear ms,

From the description given it is likely to be due to Gastroparesis: It is slow transit time of stomach and intestine causing feeling of early satiety and distension of abdomen.
The cause of constipation is likely to be due to

1. Low intake of water
2. Reduced intake of finer
3. Co-existing painful anal condition like anal fissure

Have you put on weight or only the abdominal area appear distended ?

The white material which you are made to drink is Barium and the investigation is Barium meal folio through .

I would suggest you the following

1. Gastroscopy
2. Nuclear scan for finding out gastric emptying time
3. Endocrine workup to rule it out as the cause of weight gain
4. Trial of Gastric motility increasing drug like Domperidone and Erythromycin.
5. Ensure adequate intake of water
6. High fiber diet

Take Care

Best regards
Dr Deepak
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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Suggest Treatment For Swollen Abdomen And Pain

Stop taking this medicines and better take Dicyclomine and Acetaminophen three times in day