What Causes Low Hemoglobin Count, Excessive Gas And Flatulence?

Posted on Fri, 10 Jul 2015

Fri, 10 Jul 2015 Answered on

Mon, 10 Aug 2015 Last reviewed on

Question : I am suffering from excessive gas and flatulence. My GP asked for few tests and that revealed low haemoglobin (10) and RBC's. Borderline creatinine and BUN.

GP felt it was a case of GI tract bleeding and prescribed Rebaprazole. I have taken for 6 months but not much relief is there. Kindly guide

Answered by Dr. Polash Sannigrahi (2 hours later)

Brief Answer:
Kindly provide few details

Detailed Answer:
Dear XXXXXXX

Thanks for your query.

Regarding the symptoms as mentioned in your post, kindly let us know about the following:
1. How did the symptoms start & since how many days is it present?
2. Is it associated with nausea, vomiting or blood in stool?
3. Any history of systemic illness like Hypertension, Diabetes, Thyroid disorder, etc.?
4. Any past or family history of Irritable bowel syndrome or Inflammatory bowel disease?
5. When were the investigations carried out & were they repeated again after an interval?
6. History of prolonged intake of any medication (other than Rabeprazole)?
7. Any history of stress, inadequate sleep or decrease appetite?
8. History of allergy to any food products?
9. Habit of smoking or alcohol consumption?
10. Any other associated symptoms?

A knowledge of the above mentioned facts will be helpful to make a better diagnosis and formulate an appropriate management plan.
If possible, kindly attach the laboratory investigation reports along with your post.

Wishing you a good health.
Take care.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Polash Sannigrahi (7 hours later)

Symptoms are there for almost a year, no nausea or vomiting is there. No diabetes. Hypertension was there 2 years back but now under control without medicines. I had hypothyroid problem 5 years back but now fine. I think i have IBS. Besides Rabeprazole i take rosaday F for cholestrol. I am a smoker and occassional drinker. No other symptoms are there

Answered by Dr. Polash Sannigrahi (23 hours later)

Brief Answer:
Confirmation of IBS is essential for further course of action.

Detailed Answer:
Dear XXXXXXX

Thanks for your follow up query and detailed case history.

A. Though the possibility of IBS is suspected, you need to undergo a proper clinical examination by a Gastroenterologist for confirmation of the diagnosis. Certain investigations like upper GI endoscopy, colonoscopy and biopsy of the intestinal mucosa will be helpful in clinching the diagnosis.

B. Once the diagnosis of IBS is confirmed, the treatment modality will change altogether. Rabeprazole alone would not be of any help.

C. Considering that you had a history of Hypertension and Hypothyroidism, presence of borderline BUN and creatinine can be attributed to that. Please get these investigations repeated and maintain a good control of your BP & Thyroid levels.

D. In addition you need to follow certain diet and lifestyle measures such as:
1. Take soft, plain, non-spicy foods
2. Drink lots of water to maintain adequate hydration
3. Avoid fast foods & gas producing food products like cabbage, etc.
4. Avoid smoking & alcohol
5. Keep away stress, think positive.
6. Exercise regularly & practice meditation.

There is no need to worry, you will be fine.
Wishing you a good health.
Take care.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Polash Sannigrahi (13 hours later)

Thanks

Answered by Dr. Polash Sannigrahi (14 hours later)

Brief Answer:
Thanks for the appreciation

Detailed Answer:
Dear XXXXXXX

Thanks for the appreciation.

Wishing you a healthy life.
Take care.

Regards,
Dr. Polash Sannigrahi

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E