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Bloated abdomen secodary to lactose intolerance.

Resolved Question:

I have bloated stomach for almost 6 mos.what should i do?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 30 Doctors Online

Hello and thankyou for approaching DoctorSpring with your query.
From what I understand you are having bloated stomach since 6 months?
Bloated abdomen could be as a result of a multiple causes. It cause be due to Indigestion, Lactose intolerance, Irritable bowel syndrome, Ascites and many others.
Hence we need to evaluate what is the cause of your bloated stomach.
Please can you answer a few questions and give me more details of any other symptoms so that I can give you an informed opinion.

1) Do you pass stools normally daily? Is there any blood or mucus in stools?
2) Do you have diarrhea frequently?
3) Is your urine output normal?
4) Do pass a lot of gass or burp often?
5) Do you feel you abdomen is tense?

Please can you reply as a follow and I shall advise you accordingly.

Patient replied :

i have a pass history of allergies, i do consume alcohol beer only once a week. I don't smoke.I dont have diabetes and hypertension.

1) Do you pass stools normally daily? Is there any blood or mucus in stools?
ans. Yes there is blood especially if i do extra effort to release my stool.I have hemoroid according to my doctor.Yes i do daily bowel movement.

2) Do you have diarrhea frequently?
ans. No.
3) Is your urine output normal?
ans. yes
4) Do pass a lot of gass or burp often?
ans. No
5) Do you feel you abdomen is tense?
ans. I feel that im always full even if i don't take my meals.


Thank you for the reply.

The bloated stomach could be due to a irritable bowel like bowel dysfunction. The approach needed here has to be step by step. First of all you need to do a Lactose free trial. Avoid all milk and milk products for 4 weeks and see if this makes any difference. If your symptoms are better you should discontinue milk and milk prodcuts.

Avoid foods that increase flatulence (beans, onions, celery, carrots, raisins, bananas, apricots, prunes, brussel sprouts, wheat germ, pretzels, and bagels).

You can take a probiotic drink or capsule twice a day for 3 days.
The bleeding is most likely from haemorrhoids. What you need to do it increase fibre containing food and avoid straining while passing stools.

I would say this is the first step approach. If the symptoms persists you will need further evaluation including a colonoscopy. Before this you need to give the dietary approach a whole hearted effort.

Hope this helps
Thank you

Patient replied :

Last Quest.Thank you for your reply Doc.
I dont drink milk i do coffee everyday and beer once a week.i forgot to tell you that i have a history in ULCER. my previuos doctor give me Omeprazole and motilium for intestine blockage, it relieve for a while but after a month when i go back my coffee and beer it is getting worst because my asthma has been triggered i dont know if it has its connection.when my stomach will bloat usually it start from 7am till noon my asthma will also attack its hard to breath and i also take anti asthma.Do i also need to undergo endoscopy? please advise.Thank you

It is better to get an endoscopy done, but it is NOT urgent. If Beer and Coffee is worsening the symptoms, then you should avoid them. As I said dietary approach is the first step. Do avoid the food items I have mentioned in the first reply. You can continue the Omeprazole. This is unlikey to be related to asthma.

Hope this helps
Feel free to ask followups
Thank you

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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