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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Bloating And Constipation Despite Having IBS?

I have been diagnosed with IBS.I have been on meds for a month with no change. I have a peppery tongue it is greyish in color and has two bright streaks near the center,constipation and bloating and a lot of belching. I have gained ten pounds since this began in October 2015.I have had a colonoscopy,ultra sound and a ct scan All tests came back normal.Please advise I am miserable
Mon, 2 Mar 2020
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General Surgeon,  's  Response
Hello,

* The stomach bloating and constipation indicate peristalsis issue with hypo level movements or lack of dietary enzymes from the pancreas most likely.

I would recommend following for better recovery

- vegan diet preferably
- avoidance of all spices, non-veg if consuming
- keeping the stomach empty by 25 % of satiety value
- intake of proton pump inhibitor (as omeprazole) with gut motility modifying agent (as itopride)
- pre and probiotics to cover the intestine flora
- bulk-forming laxatives as Ispaghula husk or Psyllium
- basic disease-modifying agents as Mesalamine or others
- GI specific antibiotics as Metronidazole or Rifaximin as per the case requirement and consultant choice.

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

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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What Causes Stomach Bloating And Constipation Despite Having IBS?

Hello, * The stomach bloating and constipation indicate peristalsis issue with hypo level movements or lack of dietary enzymes from the pancreas most likely. I would recommend following for better recovery - vegan diet preferably - avoidance of all spices, non-veg if consuming - keeping the stomach empty by 25 % of satiety value - intake of proton pump inhibitor (as omeprazole) with gut motility modifying agent (as itopride) - pre and probiotics to cover the intestine flora - bulk-forming laxatives as Ispaghula husk or Psyllium - basic disease-modifying agents as Mesalamine or others - GI specific antibiotics as Metronidazole or Rifaximin as per the case requirement and consultant choice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon