Severe Bloating and Constipation: Seeking Solutions for Digestive Distress

Severe bloating to an unusual extent?

Hello Dr.
Lin,
Since middle school, I have been experiencing excessive gas, sometimes passing over a hundred times a day, which has been quite distressing (and I'm a girl, too).
I apologize to all my classmates sitting behind me.
Additionally, I have severe constipation, which makes the gas very foul-smelling.
Now in my second year of high school, I still pass dozens of gas daily (I try to hold it in but can't).
I finally mustered the courage to see a doctor on April 12.
The doctor prescribed medication to relieve the bloating, but it hasn't been very effective.
Before seeing a gastroenterologist, I visited a family medicine doctor for several weeks, who also prescribed medication for bloating, but it didn't help much either.
The family medicine doctor had me undergo an X-ray and mentioned that my constipation was quite severe, so he prescribed laxatives and referred me to a gastroenterologist.
After taking the medication for a week, I saw the gastroenterologist, who reviewed the X-ray again and noted that my bloating was severe and that my stomach seemed to be affected as well.
However, he only prescribed more medication for bloating.
After another week, the doctor requested blood tests, and during my follow-up appointment yesterday, he informed me that my liver function was poor, likely due to my late-night habits.
Yesterday, I received medication for my liver, bloating relief, and I also asked the doctor for laxatives.
The main issue is that after taking the medications for over a month, my condition has hardly improved; I still pass gas daily and am in great discomfort.
I drink unsweetened yogurt every day and eat plenty of vegetables, but my constipation hasn't changed.
Doctor, what should I do? Should I consider switching to another hospital? I would appreciate any advice.
Thank you.

Yan, 10~19 year old female. Ask Date: 2010/05/22

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, the causes of bloating are often related to food, such as legumes, carbonated beverages, cereals, and grains.
It may also be associated with constipation and swallowing air while eating.
Young women tend to experience bloating more frequently due to constipation.
It is recommended to consume more fruits and vegetables, drink plenty of water, and exercise, along with medication management for relief.
Best wishes for your health.
Response by Dr.
Yao Zhenrong, Taoyuan Hospital, Department of Health.

Reply Date: 2010/05/22

More Info

Dealing with severe bloating and constipation can be incredibly frustrating, especially when it affects your daily life and social interactions. It sounds like you've been through a lot already, visiting multiple doctors and trying various medications without significant improvement. Let's break down your situation and explore some potential solutions.

First, it's important to understand that bloating and constipation can stem from a variety of causes, including dietary habits, lifestyle factors, and underlying medical conditions. Given that you've already consulted with healthcare professionals and undergone tests, it may be beneficial to consider a holistic approach to your symptoms.

1. Dietary Adjustments: While you mentioned consuming low-sugar yogurt and vegetables, it’s crucial to assess the overall balance of your diet. Foods high in fiber, such as whole grains, fruits, and legumes, can help promote regular bowel movements. However, if you're not used to a high-fiber diet, introducing fiber too quickly can lead to increased gas and bloating. Gradually increase your fiber intake and ensure you're drinking plenty of water to help the fiber work effectively.

2. Probiotics: You mentioned drinking yogurt, which is a good source of probiotics. Probiotics can help balance the gut microbiome and may alleviate bloating and constipation. Consider trying a probiotic supplement or different types of fermented foods, such as kefir, sauerkraut, or kimchi, to see if they provide any relief.

3. Physical Activity: Regular exercise can significantly improve digestive health. Activities like walking, jogging, or yoga can stimulate bowel movements and reduce bloating. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Stress Management: Stress and anxiety can exacerbate digestive issues. Techniques such as mindfulness, meditation, or deep-breathing exercises can help manage stress levels. Consider incorporating relaxation techniques into your daily routine to see if they help with your symptoms.

5. Medical Follow-Up: Since you’ve been experiencing these symptoms for a long time without relief, it might be worth seeking a second opinion from a gastroenterologist. They can conduct more specialized tests, such as a colonoscopy or tests for food intolerances (like lactose or gluten), to rule out any underlying conditions that may be contributing to your symptoms.

6. Medication Review: If you are taking medications for bloating and constipation, discuss with your doctor whether these are the right options for you. Sometimes, medications can have side effects that worsen symptoms, and your doctor may need to adjust your treatment plan.

7. Keep a Symptom Diary: Documenting your food intake, symptoms, and any other relevant factors (like stress levels or physical activity) can help you and your healthcare provider identify patterns and triggers related to your bloating and constipation.

In conclusion, while it can be disheartening to deal with persistent digestive issues, there are multiple avenues to explore for relief. A combination of dietary changes, lifestyle modifications, and possibly further medical evaluation can lead to improvements. Don’t hesitate to advocate for yourself in the healthcare system, and remember that finding the right solution may take time and patience. Good luck, and I hope you find relief soon!

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