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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Colecystectomy, Removal Of Intestinal Obstruction At Illium, Microsurgery Of Prostrate Gland. Having Abdominal Gas. Medications?

I am 77yrs.old.had colecystectomy,removal of intestinal Obstruction at illium, microsurgery of prostrate gland ( TURP ) in the years 1973 ,2003 &2004 respectively .I am suffering from abdominal gas both upper and lower ,relieved by eructation and passing lower wind. sometimes I feel mild pain in heart region due excessive upper gas which is relieved by forceful eructation .I am taking pantoprazole 40mg and domperidone 30mg daily before breakfast but getting no substantial relief .Can I take nutroline b plus caps.twice daily after meals? pl. advise me the medicines to be taken for relief of my abdominal troubles.
Tue, 26 Feb 2013
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General Surgeon 's  Response
Hi
You can shift to Rabeprazole and Itopride tablet instead of Pantaprazole and Domperidone.
You can take Nutroline b plus capsule after food
You also add Pre and Probiotic capsule daily along with smooth muscle relaxant like Dicyclomine.
Everything will be subsided.
Wish you good health
Regards
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Hi,
Thanks for posting your query.
With the available described symptoms, it can be concluded that you are suffering from dyspepsia.
When we eat food or drink water , a small amount of wind also enters in the upper gastrointestinal tract and major wind gets relieved by eructation while small amount goes ahead in the lower gastrointestinal tract. Here normal commensal microflora by digestion of food also helps in formation of gas.
If you are getting more than 20 times wind pass then it should be labelled as pathological and cause should be evaluated.
You should take food properly with better chewing.

Excessive flatulence could be due to spoiling of food in stomach and enhances after decreased gastrointestinal motility.
You should also follow few dietary restrictions such as avoid legumes, tomatoes, onion, garlic and citrus fruits.
Take 200 ml of milk only in morning hours.
Avoid putting dough and boiled potatoes in refrigerator.
Take care,
Dr. Mayank Bhargava
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Had Colecystectomy, Removal Of Intestinal Obstruction At Illium, Microsurgery Of Prostrate Gland. Having Abdominal Gas. Medications?

Hi You can shift to Rabeprazole and Itopride tablet instead of Pantaprazole and Domperidone. You can take Nutroline b plus capsule after food You also add Pre and Probiotic capsule daily along with smooth muscle relaxant like Dicyclomine. Everything will be subsided. Wish you good health Regards