Answered by Dr. Ankur Jindal

Answered by Dr. Ankur Jindal

How to treat excessive flatulence and growling stomach?

Hello doctor,

I was diagnosed with IBS-D by a gastroenterologist. My CBC, abdominal ultrasound, and FOBT were all normal. I was put on a one-month medication that consisted of Rifagut 550 mg (twice a day), Colospa Retard (twice a day), and Librax. My only problem was aggressive BM, not diarrhea but a lot of gas after getting up in the morning followed by first BM, and then another BM in a span of two hours. I weighed 79 kg which then dropped to 72 kg. The doctor says this weight loss is clinically not scary. I did consult another doctor who says this to be gut flora Imbalance and not IBS as I have not had any relief from IBS medication and he believes my symptoms do not correlate with typical IBS. At present, I have frequently passing of gas, especially after eating food or dinner. My morning BM is smooth however I do feel the gas and pressure again in three hours' time and this trend is regular. The stomach gets settled after the second BM. I do hear my stomach growling and if I press my stomach hard I do feel pain like tenderness but only if I press hard otherwise there is not any pain, cramp, or anything. I was advised to take Nexium 40 mg empty stomach for three weeks and I am still continuing with my third week. I was asked to quit smoking, alcohol, and all non-vegetarian items which I have done for the past week. I am also taking one capsule of 64 Billion Probiotic daily along with 100 ml Kefir. My breakfast includes probiotic yogurt along with oats. I also have suspected migraine or occipital neuralgia owing to which I have had lots of Voltaren 50 mg tablets at least 10 to 15 days a month for the past four years. I really want to understand what is this gas, morning episode BM, and stomach growling all about and how can I get rid of this once and for all if it is an issue. Is this gut flora imbalance or IBS? How can I live an effective and healthy life?

09 Feb 2024 - 1 min read

What liver problem do the attached reports show?

Hi doctor,

Kindly take a look at the medical reports of the patient. He suffers from a liver problem, which suddenly started last week. Could you please diagnose the case and give your recommendations? Can the patient be treated with medication or should he go for surgery? Thank you.

28 Dec 2023 - 1 min read

What are the methods to treat fatty inflammation?

Hello doctor,

My wife's liver had symptoms of inflammation from a PET (positron emission tomography) scan that was done four months ago this year and a PET scan taken last month. Could you first recommend some non-invasive testing to see if the liver inflammation is still present? Second, what can be done to make it normal as before inflammation? I have included the two PET scan reports.

19 Dec 2023 - 1 min read

Are changes in bowel habits and varying stool consistency pointing towards IBS?

Hi doctor,

I am a 37 year old male. My only diagnosed health issues are mild hypertension and acid reflux. I take medicines for both. Over the past three months, I had been experiencing a change in bowel habits. It starts with normal stool, then a bout of constipation or hard stool and then loose or thin stool then normal again and it keeps changing. Sometimes, the abnormal stool would occur with abdominal discomfort and cramping. I had a normal colonoscopy about four years ago. I also recently had a normal KUB x-ray to check for any significant blockages.My gastroenterologist did not seem to be concerned with these symptoms and suggested a fiber supplement. I tried Benefiber (wheat dextrin) and that did not have much of an effect. About one week ago, I switched to Metamucil (psyllium) and within a few days of starting, I passed a large amount of stool. Since then, I have felt much better. There is no cramping and I have been passing stool about three to five times a day.

The last piece of the puzzle, though, for me, is that the stool I have passed over the past week has been of varying size and consistency. Some stool looks normal and in between, there are thin, firm and unusual rubbery strands formed together. I am concerned about these unusual stools and I have attached a photo. Is what I am describing consistent with IBS? Or could this be a parasite? Should I be concerned about this more serious?

30 Nov 2023 - 1 min read

What are the causes of upset stomach, noises, and loose motion on drinking milk?

Hi,

I have had a frequent gas problem for a month because of drinking energy drinks for many years. Doctor gave me Nexium 40 mg. I have been taking it for the last three days, but I am not sure it is helping and improving my condition. Whenever I drink milk, I get an upset stomach, noises, and get loose motion. Please help.

25 Oct 2023 - 1 min read

Dr. Ankur Jindal
Medical Gastroenterology
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