Digestive Disorders / Gastroenterology Expert Forum
massive gas
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massive gas

I am 83.  About two years ago I had allof my colon removed because it was bleeding--not cancer.

I am experiencing massive gas.  This is not the usual trivial faltulance.  Sometime it gets me up 3 or 4 times a night. Doctors have suggested varioius anti gas remidies which have had--taken over considerable periods-- abslolutly no effect except for mild stomach upset.

In your last answer, you suggested several things

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Infection, malabsorption, or irritable bowel syndrome can lead to increased gas, or the sensation of increased gas.  Other more atypical causes would be various causes of dyspepsia, GERD, pancreatitis, or gallbladder disease.

You can test the stool for fat malabsorption.  An abdominal ultrasound can be done to evaluate the liver and gallbladder.  To evaluate the upper digestive tract, an endoscopy can be considered and can evaluate for ulcers, or inflammation of the upper digestive tract.  Blood tests for amylase or lipase may be suggestive of pancreatitis - or you can consider a CT scan to evaluate for chronic pancreatitis.

More uncommon tests to consider would be a hydrogen breath test or jejunal aspirate looking for bacterial overgrowth.

These options can be discussed with your personal physician or gastroenterologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
http://www.straightfromthedoc.com
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