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Abdominal bloating
Hello Doctor, I have been experiencing abdominal bloating, especially at night while lying down. I also feel a sensation of tightness/pressure in my abdomen. I often feel like I need to pass gas, but when I try, I am usually unable to release it. Sometimes I stop trying because I am afraid that stool might come out along with the gas. Could this be due to trapped gas, constipation, IBS, or any other digestive problem? Please advise what could be the possible cause and whether I should take any medicine or follow any specific diet/remedy. Thank you.
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Answers (15)

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Symptoms are suggestive of functional bloating, constipation, or IBS, but IBS requires recurrent abdominal pain with altered bowel habits. Difficulty passing flatus should be assessed along with bowel movements and other symptoms.
Next Steps
Maintain good hydration, eat slowly, avoid carbonated drinks and foods that clearly trigger bloating. If constipation is present, psyllium or PEG may be considered.
Health Tips
If there is persistent vomiting, severe/worsening abdominal pain or distension, or inability to pass both stool and gas, seek prompt medical evaluation to exclude obstruction.
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Take small frequent meals, avoid fatty, spicy food,  take more of fresh vegetables,  fruits like pappaya,  drink more water. Syp mucaine gel 5ml every 8hours for 10 days.
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Have a very light dinner before 7 pm every night.avoid rice potatoes and other starchy food.dont eat fruits after dinner.it’ll ferment and cause gas.if bloating is too much simethicone tablets will help in absorbing gas..walk after dinner.for 15 to 20mts.light walk .pass motion everyday in the morning at a fixed time
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Eat heavy breakfast light lunch and minimal food for dinner
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Include fibre containing foods like salads , fruits , drink adequate water, eat slowly. If symptoms persist or recur, please consult me on practo .
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Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to 4times.  Aristozyme gold one hr before lunch n dinner for 2weeks.
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Many problems in gut can cause bloating ranging from stomach to intestines. Check what food is causing bloating? After how many minutes of eating u experience it? Depending upon these we get to know what foods can u eliminate temporarily, so that u will recover.
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feel free to consult me on practo for further evaluation and management
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Could be due to trapped gas, constipation or IBS, needs assessment to identify the cause please book a consultation for proper evaluation and treatment advice.
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Increase fibre gradually, drink adequate water, avoid gas-producing foods and eat slowly. If symptoms persist or recur, please consult me for proper history and evaluation before starting medication.
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take fiber in your diet and more fluids about 3L/ day Any medication history?? consult me in procto
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Take my consultation at Practo
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it could be due to chronic constipation and bad food habits try to be more positive do not think worst possible outcome
Next Steps
stay hydrated
Health Tips
eat good sleep good run some kilometres
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need some more details kindly consult
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Maintain adequate hydration Start taking fruits and salad before meals Avoid sitting or lying for long hours Don't sleep/lie down right after meals Take a 10-15 min walk after meals After a weak if there is no relief in symtoms kindly consult gastroenterologist
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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.