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Therapist Questions - Irritable Bowel Syndrome (IBS)

Continual Distention


I’m a 40 year old male, 6’1”, and 200 lbs. 

I have had continuous abdominal distention for two years now.  I don't have constipation, diarrhea, or excessive flatulence.  The distention never goes away or reduces.  It's pretty consistent.  And my abdomen has a dull ache most of the time, which I assume is because of it being stretched.  All my doctors (two different gastroenterologists and one endocrinologist) have confirmed that my abdomen is very distended. 

I used to wear a size 34 waist, but now I have about a 38 inch waist.  I'm not fat, but have gained a little bit of weight since I haven't worked out in a year.  (I used to be 185lbs two years ago, and worked out a lot, which gave me an athletic, muscular build.)  However, I don't eat a lot because I feel constantly full, and when I do eat, I usually have some indigestion and regurgitate some food and/or gastric acid (it's sour and burns).  When I take Pepcid, it helps the burning, but that’s it.


I also have Crohn’s Disease (for 23 years) which has been in remission (no pain or diarrhea) since I have had five Remicaid treatments in 2010.  I’m also lactose intolerant, but I take lactase which helps me not to have no foul smelling gas.

My doctors have conducted numerous tests such as CT scan, hydrogen and fructose tests, celiac tests (biopsy and three types of blood tests), a lower bowel series, and a colonoscopy.  My doctors (two different doctors) found no fluid, tumors, or swollen organs from the tests.  I have also completed a week and a half of no gluten and dairy diet; all to no relief.  Moreover, I had the pill camera test, and my doctor said if he didn’t know I had Crohn’s, he would have thought I was “healthy as a horse” because he saw no redness or blockages.  I also took three stool tests for parasites, and all came back negative. I was checked for pancreatitis (which was negative) and took Creon 12000UNT anyway to help aid digestion, but it didn’t provide any relief.  I have also taken various probiotics to no avail.

Currently, I’m taking 50mg of Amitriptyline for two weeks, and it was recently increased to 75mg a day ago.  So far, there have been no changes in the distention whatsoever.

Can anyone help me? 

Thank you so much for your time,


0 comments posted | post your comment »
Soluble Fiber, not helpful?
So I'm a new IBS sufferer, but it's been going on for a month now.  I'm constipated all the time.  I've changed my diet so I'm not consuming any dairy.  My daily meals consist of oatmeal for breakfast, salad for lunch, and chicken or ham with some veggies and salad and bread for dinner.  I take a soluble fiber supplement with every meal that does not contain a significant amout of fiber and drink plenty of water.  So why am I still constipated????  I don't know what to do.  Does anyone have any advice?
1 comments posted | read comments | post your comment »


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