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What Causes Bloating, Gas, Constipation, Night Sweats, Nausea And Pelvic Pain?

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Posted on Wed, 1 Jun 2016
Question: My daughter has had bloating, gas, constipation, night sweats, migraine, nausea, stomach and pelvic pain all to the point of it dominating her life while trying to carry on. She has been to many doctors and none can give her relief.. She has changed her diet to gluten free, and avoids any food that is known to cause these issue which is leading her to more weight loss. We do not know where to turn and we are sick with worry. We are desparate! Any advise? Email: YYYY@YYYY

Thanks for your attention,

Her parents: XXXXXXX & XXXXXXX XXXXXXX
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Dietary fiber intake has to be increased.

Detailed Answer:
Thanks for asking on Healthcaremagic.

I have gone carefully through the details. Unless there is a XXXXXXX ulcer, an upper GI endoscopy always might not always identify the underlying pathology. However, the entire presentation seems to sum up to one single cause i.e. slowing down of the bowel movements. Our bowels have a forward propulsive movement which moves the food forward as it is digested, absorbed and finally eliminated as feces. My suggestions would be to:
* Ask her to take omeprazole once daily before breakfast. Try it for at least a week and see if it makes a difference.
* She has to avoid long gaps between meals. She should take small but frequent meals.
* Spicy food has to be avoided.
* It is very important to exercise regularly.
* High dietary fiber intake has to be ensured. Plenty of green leafy vegetables are to be taken. Fiber supplements like psyllium husk can also be taken along. This has to be taken daily at dinner irrespective of whether the problems are present.
* She should discuss with her doctor about taking Prodep (fluoxetine) once daily for at least six weeks (it takes time for the action to set in). Although otherwise used for neurological or psychiatric purpose, this medicine can have a significant improvement in the complaint your daughter has.

A clinical examination was actually important but that is unfortunately beyond scope.

Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Causes Bloating, Gas, Constipation, Night Sweats, Nausea And Pelvic Pain?

Brief Answer: Dietary fiber intake has to be increased. Detailed Answer: Thanks for asking on Healthcaremagic. I have gone carefully through the details. Unless there is a XXXXXXX ulcer, an upper GI endoscopy always might not always identify the underlying pathology. However, the entire presentation seems to sum up to one single cause i.e. slowing down of the bowel movements. Our bowels have a forward propulsive movement which moves the food forward as it is digested, absorbed and finally eliminated as feces. My suggestions would be to: * Ask her to take omeprazole once daily before breakfast. Try it for at least a week and see if it makes a difference. * She has to avoid long gaps between meals. She should take small but frequent meals. * Spicy food has to be avoided. * It is very important to exercise regularly. * High dietary fiber intake has to be ensured. Plenty of green leafy vegetables are to be taken. Fiber supplements like psyllium husk can also be taken along. This has to be taken daily at dinner irrespective of whether the problems are present. * She should discuss with her doctor about taking Prodep (fluoxetine) once daily for at least six weeks (it takes time for the action to set in). Although otherwise used for neurological or psychiatric purpose, this medicine can have a significant improvement in the complaint your daughter has. A clinical examination was actually important but that is unfortunately beyond scope. Regards