Dr. Ambalathu Veettil Hussain Shihaz
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My stomach makes a lot of loud noises even though I am not hungry. I have anemia and when I started to take Ferrous sulfate, my stomach noises begin again. I remember that eventually, I started to feel pain along with it. So my doctor adviced me to stop taking the medicine for a month until my stomach calms down and start taking the tablets again. I also switched to Ferrous fumarate but that does not help. I began taking the tablets again, at first I felt pain which eventually disappeared although the noises are back again and it is getting worse. It is also bothering me because it is loud especially when I am in the middle of the lecture in the university. Please help me.
Hi,
Welcome to icliniq.com.
Some people do have rumbling noise in the tummy. Is there any associated nausea or vomiting or abdominal distension? Have you lost weight? How is your appetite? You have not mentioned the reason for your taking Ferrous fumarate? What was the cause of your anemia? Was these cause related to any problem in your abdomen or intestines? Have you had any surgeries in the abdomen?
If you are continuing to have symptoms and you think it is related to taking Ferrous fumarate, you can substitute it with parenteral Iron infusion, but that would need a new prescription and visit to the day-care hospital or GP surgery on regular intervals till your body iron stores are stable. If you have copies of any previous tests, please upload. It would be informative to guide me in giving a comprehensive opinion.
Patient's Query
Thank you doctor,
So far I never vomited yet although I sometimes feel like I am going to vomit. I also felt discomfort in my stomach especially when I was still taking the Ferrous sulphate twice a day. I have not lost weight and I think my appetite is fine because I still try to eat something even though I feel like I do not want to eat. I take Ferrous fumarate as an alternative medicine (prescribed by my doctor) because the Ferrous sulphate caused me so much discomfort. They said the cause of my anemia is excessive bleeding (menstruation) because my period used to last more than a week, my longest one was almost three weeks but I did not get my period every month back then.
No, I never had any surgeries in the abdomen in the past. According to my last blood test, the doctor said that my blood levels are now normal. Although I was still prescribed to take one tablet a day to keep it stable. Is the parenteral Iron infusion like a needle?
Hi,
Welcome back to icliniq.com.
Ferrous fumarate is usually well tolerated in most people. If your anemia has been corrected, and recent hemoglobin and ferritin values were normal, you can consider discontinuing it. Parenteral Iron is given as an infusion through a venous access, it does involve needles. For the rumbling noise in the tummy, try having your meals on time or having a small snack in between meals, consumption of a moderate quantity of yogurt daily also helps. If this does not help, you could also try any over-the-counter probiotics for two weeks. These measures usually help. All the best.
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Medical Gastroenterology
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