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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation, Bloated Stomach And Passing Gas

Constipation, stomach bloated, passing gas. Reason, treatment? Hi I am 30 yr old and frm past 6 months i have constipated 3-4days once i go. My stomach get bloated and i feel i dont have strength to give it a try by breathing hard many time trying to poop. I fart a lot throughout the day.i uirinate number of times in a day.my face is fading feels heavy n lazy,i drink lot of coffee.i also smoke. When i wake up in the morning my stomach isn t as bloated but throughout the day it gets very bloated. I am not on any medication , i eat extremely healthy, i drink a lot of water and am professional athlete and i do fitness morning evening. Please can you help me doctor?
Tue, 6 Sep 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of you being an athlete yet have abdominal problems for the last 6 months, gets bloating progressively as the day passed, there is constipation, goes for bowel movement once in 3-4 days.Drinks lot of coffee, smokes, healthy diet and do fitness in the morning and evening.
The history of progressive bloating is suggestive that there may be aerophagia due to stress and/or anxiety.
The constipation can be due to hard fecoliths that have not passed to being hard but allows the escape of the gases.
I would advise you in such a situation the following:
Get an X-ray of the abdomen and if fecoliths are impacted, you need a regular soap and water enema as this alone helps followed by regular laxative in a dose to suit your requirement.
This needs to be followed by a colonoscopy and CT scan to rule out any mass or stricture to rule out cancer or polyposis.
Stop the foods and beverages that you must have noticed to cause constipation and bloating.
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Suggest Treatment For Constipation, Bloated Stomach And Passing Gas

Hi. Thanks for your query. Noted the history of you being an athlete yet have abdominal problems for the last 6 months, gets bloating progressively as the day passed, there is constipation, goes for bowel movement once in 3-4 days.Drinks lot of coffee, smokes, healthy diet and do fitness in the morning and evening. The history of progressive bloating is suggestive that there may be aerophagia due to stress and/or anxiety. The constipation can be due to hard fecoliths that have not passed to being hard but allows the escape of the gases. I would advise you in such a situation the following: Get an X-ray of the abdomen and if fecoliths are impacted, you need a regular soap and water enema as this alone helps followed by regular laxative in a dose to suit your requirement. This needs to be followed by a colonoscopy and CT scan to rule out any mass or stricture to rule out cancer or polyposis. Stop the foods and beverages that you must have noticed to cause constipation and bloating.