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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Distended Abdomen While On High Carbohydrate Diet?

Hi, I am a vegan particularly a low fat high carb plant based vegan but over the past 4 to 5 months or so I ve been having trouble, after I would eat a large meal or even a small meal my stomach will descend and look like I am 9 months pregnant... and also if I just ate a lot of food I will still feel hungry right after and my weight goes up and down and its hard for me to lose weight now... when I first went vegan I lost a lot of weight and looked really skinny I weighed 108 pounds and now I weigh 125 to 130 pounds and I m 5 6. can this be a carbohydrate sensitivity or insulin resistance or leptin resistance? I eat a lot of fruit too so I am not sure on what this means or what I should do. God Bless, Tori
Mon, 30 Mar 2020
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General Surgeon,  's  Response
Hi,

Noted your history about having pure vegan taking plant based low fat and high carbohydrate foods, developing distension of abdomen on eating large meal, feeling hungry even on eating just now, regaining weight which you lost after converting to pure vegan, wants to know whether this is due to carbohydrate sensitivity, insulin resistance or leptin resistance.
All these things can be diagnosed on proper clinical evaluation, appropriate investigations of the stool, blood for insulin and sugars.
CT scan of abdomen may be needed to see for any intestinal obstruction which can have similar picture, cancer needs to be ruled out.
Your keen watch as to which foods and beverages are causing these will help to stop/alter such things to get results if the CT scan is normal.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Distended Abdomen While On High Carbohydrate Diet?

Hi, Noted your history about having pure vegan taking plant based low fat and high carbohydrate foods, developing distension of abdomen on eating large meal, feeling hungry even on eating just now, regaining weight which you lost after converting to pure vegan, wants to know whether this is due to carbohydrate sensitivity, insulin resistance or leptin resistance. All these things can be diagnosed on proper clinical evaluation, appropriate investigations of the stool, blood for insulin and sugars. CT scan of abdomen may be needed to see for any intestinal obstruction which can have similar picture, cancer needs to be ruled out. Your keen watch as to which foods and beverages are causing these will help to stop/alter such things to get results if the CT scan is normal. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon