Pre Paylori erythema Noted abdomen bloat

Your symptoms of recurrent abdominal bloating, excessive gas, abdominal discomfort, and changes in bowel habits may have several possible causes. Based on your history, I would consider the following: 1. Functional bowel disorder or IBS: These conditions can cause recurrent bloating, abdominal discomfort, and changes in stool frequency or consistency. However, further assessment is necessary before confirming the diagnosis. 2. Gastritis or acid-related dyspepsia: Your endoscopy showed prepyloric erythema, which indicates redness of the stomach lining. This may be associated with gastritis, although it does not necessarily explain all your bowel symptoms. 3. Helicobacter pylori infection: This bacterial infection can cause gastritis and recurrent upper abdominal discomfort. It is important to know whether you were tested for this infection during endoscopy. 4. Diet-related bloating: Certain foods, lactose intolerance, and changes in eating habits can contribute to excessive gas and abdominal discomfort. 5. Altered intestinal motility: Changes in bowel movements may also contribute to bloating and difficulty passing gas. Regarding your weight loss from 96 kg to 86 kg, reducing calorie intake can certainly cause weight loss. However, losing 10 kg over approximately two months is significant and should be assessed to ensure there is no underlying illness. I would like to know a few details: 1. Do you experience abdominal pain, or mainly bloating and discomfort? 2. Does your discomfort improve after passing stools or gas? 3. Are your stools currently normal, loose, or hard? 4. Were any biopsies taken during endoscopy, and was H. pylori testing performed? 5. Are you continuing to lose weight despite eating normally? 6. Do you experience blood in stools, fever, vomiting, or loss of appetite? My recommendations: - Eat smaller, regular, balanced meals rather than drastically reducing food intake. - Avoid carbonated drinks and foods that consistently worsen bloating. - Maintain adequate hydration and regular physical activity. - Continue medications only as advised by your treating doctor. - Avoid taking repeated courses of antibiotics without a confirmed indication. Since your symptoms have persisted for two months and you have experienced considerable weight loss, I recommend a follow-up consultation with your gastroenterologist. Please share your complete endoscopy report, any biopsy results, and the exact medications prescribed so that I can advise you more specifically. If you develop severe abdominal distension, persistent vomiting, significant abdominal pain, or complete inability to pass stools and gas, seek emergency medical care.