Bloating so bad I look PREGNANT

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pcvb
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Date Joined Jun 2010
Total Posts : 3
   Posted 6/23/2010 11:28 PM (GMT -6)   
Hello everyone!
 
I am 20 years old, and have had IBS since I can remember. Alternating constipation/diarrhea, which I have learned to live with. Recently had a fissure due to constipation, which was a joy if anyone has had one they know what its like!! I have had a colonoscopy (was definately the youngest person in that place that day ha) and came back normal, drs are not helpful,etc. So my main problem (which fluctuates along with my c/d) is this almost scary bloating. I literally can go from a normal size stomach to literally looking 5 months pregnant in a second. This distention is to the point where it is disturbing..and its hard for a doctor to really see how large it gets because I can't time when it happens...it is very random. It is not extremely discomforting but if I press on it (or press on my stomach at any time for that matter) it is painful. I am a athlete and while I am not a toothpick, my stomach should NEVER get this big.  Does anyone have any advice for me??  Is this totally normal?!
 

Joan M
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Date Joined Jan 2006
Total Posts : 1625
   Posted 6/24/2010 8:34 AM (GMT -6)   
yeah, well i had a comment before ibs/c that i looked pregnant. my monthly was very painful and did have some constipation involved with it. have you looked at some men who look like they are pregnant? i would say that your form is probably beautiful.

if you go to the doctor when you are bloated, he/she could do little for you. this is an "orphan" disease. Shawn has a listing where you can voice your comments to your senators.

i wish you the very best and am sorry you are experiencing this at such a very young age. Take care of yourself, you are important.

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 6/24/2010 12:24 PM (GMT -6)   
pcvb

check back to your thread here as I post stuff. I don't have a ton of time this week, bu there are things you can do to help this and the symptoms.

The symptoms are common.

Part of this has to do with the way the bowels are not working right in IBS. There is altered gas intestinal transit time. But there is also research on how the abdomen muslces are putting pressure on the lower gut.

I will post some research.

One thing that has shown to help this is gut directed Hypnotherapy for IBS.

Take a look at the graph on the top of this page. This is a legit page from an IBS expert. Its worth reading this website.

http://www.ibshypnosis.com/IBSresearch.html
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I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.


pcvb
New Member


Date Joined Jun 2010
Total Posts : 3
   Posted 6/24/2010 9:45 PM (GMT -6)   
thanks guys! I'll definately check that out! I just wish someone would hurry up and figure out how to fix all of us hahah

shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 6/25/2010 12:23 PM (GMT -6)   
pcvb, let me know what you thought of that site.

You should watch this as well from a top senior GI specialist in IBS in England who has been doing this for twenty years.

hypnosis for IBS

Several years ago we published an audit of the first 250 patients treated and found that hypnosis not only helps the symptoms of IBS but also significantly improves quality of life.1 Interestingly, it also relieves the additional symptoms from which so many patients with IBS suffer such as nausea, lethargy, backache, and urinary problems. This is in sharp contrast to the medications currently available for IBS, which often help one or two symptoms if at all.

http://aboutibs.org/site/about-ibs/management/hypnosis
Forum Moderator
 
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.


shawn12
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Date Joined Jul 2004
Total Posts : 1293
   Posted 6/25/2010 12:27 PM (GMT -6)   
One thing here, the HT can relax the bowel. In IBS gas can get trapped from altered gut contractions and the gas can cause bloating pain and distension, because there can be alter gas transit and dynamics. This on top of sensitive nerves lining parts of the digestive tract. A small gas bubble can upset some IBSers.

When the bowl is relaxed the gas passes more easily and there is less pain and discomfort.

The exact mechanisms of bloating and distension are not totally clear yet, but part of this they have slightly figured out some.


also

Controlling Gas

http://www.aboutibs.org/site/about-ibs/management/controlling-gas
Forum Moderator
 
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.


shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 6/25/2010 8:33 PM (GMT -6)   
Do IBS patients have impaired intestinal gas transit and tolerance?
Research reported in the January 2001 issue of Gut has shown that IBS patients have impaired transit and tolerance of intestinal gas loads.

A team from the Autonomous University of Barcelona, Barcelona, Spain investigated intestinal gas transit and tolerance in irritable bowel syndrome (IBS) patients compared with healthy subjects.

A gas mixture (N2, O2, and CO2 in venous proportions) was infused into the jejunum of 20 patients with IBS and 20 healthy controls, at 12 ml/min for 4 hours.

Gas evacuation, initially flatus from the anus (2 hours) and then intrarectally (2 hours), was continuously recorded. Symptom perception (0-6 scale) and abdominal distension were measured at 10-minute intervals.

18 out of 20 IBS patients, compared to 4 out of 20 controls, had impaired intestinal gas transit and tolerance.


The team found that after 2 hours of external gas (flatus) collection, 18 of 20 IBS patients had developed gas retention (>400 ml), increased gastrointestinal symptoms (score >3), or abdominal distension (>3 mm girth increment). Only 4 of the 20 control subjects developed such symptoms.

During intrarectal gas collection, 13 of 17 patients still exhibited abnormal responses.

Dr F. Azpiroz concluded on behalf of the group that, "A large proportion of patients with IBS can be shown to have impaired transit and tolerance of intestinal gas loads. This anomaly may represent a possible mechanism of IBS symptoms, specifically pain and bloating."

http://www.gastrohep.com/news/news.asp?id=221
Forum Moderator
 
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.


Lmw
New Member


Date Joined Jun 2010
Total Posts : 3
   Posted 6/28/2010 9:19 AM (GMT -6)   
pcvb said...
Hello everyone!


I am 20 years old, and have had IBS since I can remember. Alternating constipation/diarrhea, which I have learned to live with. Recently had a fissure due to constipation, which was a joy if anyone has had one they know what its like!! I have had a colonoscopy (was definately the youngest person in that place that day ha) and came back normal, drs are not helpful,etc. So my main problem (which fluctuates along with my c/d) is this almost scary bloating. I literally can go from a normal size stomach to literally looking 5 months pregnant in a second. This distention is to the point where it is disturbing..and its hard for a doctor to really see how large it gets because I can't time when it happens...it is very random. It is not extremely discomforting but if I press on it (or press on my stomach at any time for that matter) it is painful. I am a athlete and while I am not a toothpick, my stomach should NEVER get this big. Does anyone have any advice for me?? Is this totally normal?!


Hi I am 19 years old and also have Ibs I recently got diagnosed with it last week.
I had anal fissures for two years and got sick and tired of the pain. Then I went back to my dr with the symptoms because I also kept bloating and looked 5 months pregnant and it was very uncomfortable now Im on tablets.
I would go back to your gp and kick up fuss that's what I did to get where I am now. Bloating and anal fissures are not really normal even though any one can have at some stage in there life.
Go back and kick up merry hell and tell hi/her how uncomfortable you are and what happens to you ok.
Let me know

sodone
New Member


Date Joined Jul 2010
Total Posts : 5
   Posted 9/21/2010 4:43 PM (GMT -6)   
LMW WHAT DID THE Dr give you for the Bloating?

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 9/21/2010 7:58 PM (GMT -6)   
Meds that may help with this increase motility.
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

Nattielite88
New Member


Date Joined Sep 2010
Total Posts : 1
   Posted 9/27/2010 2:39 PM (GMT -6)   
pcvb said...
Hello everyone!
 
I am 20 years old, and have had IBS since I can remember. Alternating constipation/diarrhea, which I have learned to live with. Recently had a fissure due to constipation, which was a joy if anyone has had one they know what its like!! I have had a colonoscopy (was definately the youngest person in that place that day ha) and came back normal, drs are not helpful,etc. So my main problem (which fluctuates along with my c/d) is this almost scary bloating. I literally can go from a normal size stomach to literally looking 5 months pregnant in a second. This distention is to the point where it is disturbing..and its hard for a doctor to really see how large it gets because I can't time when it happens...it is very random. It is not extremely discomforting but if I press on it (or press on my stomach at any time for that matter) it is painful. I am a athlete and while I am not a toothpick, my stomach should NEVER get this big.  Does anyone have any advice for me??  Is this totally normal?!
 
 
 
Have you found any relief yet?  I am 22, have IBS and have been experienced the stomach distention for most of the year.  Although its no laughing matter, its funny that everyone I see describe this problem references looking 5 months pregnant..not 4 and not 6 lol.  I myself say the same thing. Anyhow...I  kept blowing the problem off at first, not wanting to go to the doctor over something stupid.  It finally got to be too much and I scheduled an appt with a gastroenterologist.  Unfortunately, I didnt know until I got there that my insurance had cancelled me for being two weeks late on my payment =( So, I have been doing ALOT of research online.  I have recently come to the conclusion that I have SIBO (small intestine bacteria overdose).  It happens when bacteria from the large intestine manuever into the small intestine...which is like a breeding ground.  The bacteria go crazy on whatever food you eat; sweets and carbs are the worst because of sugar.  Extra gas is created because of the bacteria, thus leading to the stomach distention.  I know how horribly awful it is and there is not a day that goes by that I do not have some type of bloating or pain. I will go days without a bm and be bloated 3 or 4 sizes larger.  It literally feels like I cant fit anything else in there so I skip meals.  Usually after a day fast, the bloat goes down some, but not completey. 
 
Saturday I decided to try some natural remedies to help.  I purchased 100% pure organic coconut oil, local organic honey, and an internal toxin cleans.  I am taking the coconut oil orally (it taste like coconut cream pie without sugar lol) with a little honey on top.  It looks like its going to taste horrible but it really isnt bad at all.  I have begun the toxin cleanse (2 weeks) and hope it really helps clean things out.  The coconut oil is proven to combat the specific type of bacteria that grow in the small intestine (and cause the distention) and the cleanse will help flush it all out.  In addition, many cleanse programs contain probiots, which are the healthy bacteria in the intestine.  Antibiotics prescribed by a doctor are not completely safe for clear out the bad bacteria because it takes the good too, whereas coconut oil does not harm to the good ones.  Lastly, I have been drinking a ton of water; 2 or 3 times a day I mix about a tablespoon of honey and a tablespoon of lemon juice in my water.  Lemon juice and honey are also both bacteria fighting antisceptics and help reduce acid (and acid reflux).
 
I cant attest to whether or not this will work yet, but im giving it a try.  I can say that since Saturday morning when I started this, my stomach has not gotten more than about 50% of the distention which usually occurs.  I have not had any acid reflux either.  If I know for sure that you still check these posts, I will keep you apprised of my progress. Best wishes to you!

shawn12
Veteran Member


Date Joined Jul 2004
Total Posts : 1293
   Posted 9/28/2010 11:23 AM (GMT -6)   
I would be careful with the "internal toxin cleans" they can be a bad idea.

I would also actually get tested for the SIBO, which can cause some symptoms IBS does not.

Some people also have IBS and sibo. Sibo is also a problem when things are functioning right. Just treating the bacteria may not get to why there is sibo in the first place.

Also I would not self diagnose you have sibo, as IBS can also commonly cause bloating and distension. Its important to get a hydrogen breath test.

This is from another bb years ago.

"I am trying to understand somethings in relationship to SIBO. "

Okay altered motlity can cause bacteria to enter the small bowel where it should not be really, at least in high counts, because its a pretty sterile environment. For the moment I am just looking at the altered motility reason for SIBO.

What are small intestinal bacteria overgrowth symptoms?

The symptoms of SIBO include:

excess gas,
abdominal bloating and distension,
diarrhea, and
abdominal pain.

"A small number of patients with SIBO have chronic constipation rather than diarrhea. "

How does small intestinal bacterial overgrowth cause symptoms?

When bacteria digest food in the intestine, they produce gas. The gas can accumulate in the abdomen giving rise to abdominal bloating or distension. Distension can cause abdominal pain. The increased amounts of gas are passed as flatus (flatulence or farts). The bacteria also probably convert food into substances that are irritating or toxic to the cells of the inner lining of the small intestine and colon. These irritating substances produce diarrhea (by causing secretion of water into the intestine). There is some evidence that the production of one gas by the bacteria—methane—causes constipation.

http://www.medicinenet.com/small_intestina...rowth/page2.htm

Any Idea what those irritating substances are?

This means these are just in the wrong place and not specific or multiple pathogens?

A "classic" bacterial infection or a reaction to "all" the bacteria there themselves?


I wrote to Dr Drossman on this and here is the reply.

*Any Idea what those irritating substances are?*

sorry its in bold type that is how he worte it into the email so I would see it was his answers.

"IT IS AN OVERSTATEMENT TO SAY THEY ARE "IRRITATING" SUBSTANCES AT LEAST
IN THE SENSE OF BEING SOME TYPE OF TOXIN. THEY ARE NATURAL BYPRODUCTS OF
DEGRADATION OF FOOD SUBSTANCES BY BACTERIA WHICH DON'T NORMALLY OCCUR IN
THE SMALL BOWEL. SO WITH INCREASED BACTERIA IN THE SMALL BOWEL, THE
BACTERIA ARE ABLE TO DIGEST SUGARS FOR EXAMPLE PRODUCING H2 AND CO2 FROM
THE SUGARS WHICH ARE GASEOUS BUT WHICH ALSO HAVE OSMOTIC PROPERTIES,
I.E. INCREASED PARTICLES THAT CAUSE SECRETION OF FLUID INTO THE BOWEL
THUS CAUSING DIARRHEA. IT'S THE SAME PRINCIPLE AS USING NON ABSORBABLE
SUGARS LIKE LACTULOSE OR SORBITAL TO TREAT CONSIPATION BY INCREASING
FLUID IN THE BOWEL. IT'S JUST THAT WITHOUT BACTERIA IN THE SMALL BOWEL,
IT DOESN'T HAPPEN AND THE FOOD SUBSTANCES GET ABSORBED. WITH INCREASED
BACTERIA IT COMPETES FOR THE FOOD SUBSTANCES AND PRODUCES THE GAS AND
DIARRHEA."

*This means these are just in the wrong place and not specific or multiple pathogens?*

CORRECT. HOWEVER, THERE IS GROWING INTEREST NOT IN THE AMOUNT OF
BACTERIA BUT THE TYPE OF BACTERIA. CERTAIN BACTERIA CAN CAUSE SOME MILD
INFLAMMATION OF THE BOWEL AND OTHERS PROTECT THE BOWEL FROM THAT
POSSIBILITY. SO THERE IS "GOOD" AND "BAD" BACTERIA. POSSIBLY WHEN PEOPLE
ARE TREATING PRESUMED SIBO (WHICH MIGHT NOT ACTUALLY BE HAPPENNING,
BECAUSE THE TEST MAY BE INACCURATE) ANTIBIOTICS MAY HELP TO GET RID OF
THE BAD BACTERIA AND THAT MAY BE WHY THEY ARE GETTING BETTER. THIS IS
WHY SOME PEOPLE GET BETTER AFTER ANTIBIOTIC TREATMENT. BUT IT CAN ALSO
GO THE OTHER WAY, I.E., ANTIBIOTICS HAVE BEEN SHOWN TO MAKE IBS WORSE AS
WELL. THE OTHER IDEA IS TO USE PROBIOTICS WHICH CONTAIN "GOOD" BACTERIA
(E.G., LACTOBACILLUS OR BIFIDOBACTERIA) WHICH REPLACE THE BAD BACTERIA,
POSSIBLY REDUCE THE INFLAMMATION AND IMPROVE SYMPTOMS. SO THE ISSUE OF
BACTERIA IN THE BOWEL IS MUCH MORE COMPLICATED THAN SIMPLE SIBO, BUT SIBO CAN BE A PART OF THE WHOLE PICTURE (THOUGH NOT THE WHOLE PICTURE FOR IBS).

In newer research its looking like SIBO doesn't "cause" IBS but that some people have both conditions.

In IBS gas puts pressure on the bowel and the bowel is pressure sensitive which is how it actually works. So the anitbiotic if you don't have sibo might help just by reliving gas pressure on the bowel, which in IBS is overly sensitive to all stimulis.
One thin about sibo and not ibs is absorbtion, in IBS absorbtion is normal.

You might ask for the test just to be sure that is what it really is and they use a hydrogen breath test. You don't want a lactulose breat test for it and they are not very accurate.

Even with sibo itself, without IBS the sibo can come back, because the sibo is not the actual probvlem but a consequence of another problem.

In IBS and sibo, they don't know yet how long to keep people on antibiotics and this is a real problem long term.

But SIBO is not the only thing that can cause bloating and distension.

"Review Article: Abdominal Bloating and Distension in Functional Gastrointestinal Disorders -- Epidemiology and Exploration of Possible Mechanisms
Posted 01/22/2008

A. Agrawal; P. J. Whorwell

Author Information

Summary and Introduction
Summary
Background: A sensation of abdominal bloating, sometimes accompanied by an increase in girth (distension), is one of the most common and most intrusive features of functional bowel disorders.
Aim: To conduct a systematic, evidence-based review of the epidemiology and pathophysiology of abdominal bloating and its relationship to distension.
Methods: The terms bloating, distension, functional bowel, irritable bowel syndrome, constipation and diarrhoea were searched on MEDLINE up to 2006. References from selected articles and relevant abstracts were also included.
Results: Approximately 50% of irritable bowel syndrome patients with bloating also experience an increase in abdominal girth and this is more pronounced with constipation than diarrhoea. Bloating appears to be more frequently associated with visceral hypersensitivity, whereas distension is more often related to hyposensitivity and delayed transit. Although there is little evidence for excessive gas as a cause of bloating, gas infusion studies suggest that handling of gas may be impaired in irritable bowel syndrome and there may also be abnormal relaxation of the anterior abdominal musculature in these patients.
Conclusions: There is unlikely to be a single cause for bloating and distension, which probably have different, but overlapping, pathophysiological mechanisms. Relieving constipation might help distension, but the treatment of bloating may need more complex approaches involving sensory modulation.

Introduction
Abdominal bloating and distension occur extremely commonly in the functional gastrointestinal disorders with many patients ranking them as particularly intrusive symptoms. Characteristically, the problem is exacerbated by meals, fluctuates in intensity, is worse at the end of the day and settles overnight. When these symptoms follow this pattern, they are almost pathognomonic of a functional gastrointestinal disorder and it is somewhat surprising that their diagnostic utility has not been harnessed more often. This is in part because these features do not appear to be so common in men, but to some extent, this is because men describe the problem differently often referring to it as a 'hardness' or 'tightness' of the abdomen. Probably the best way to view these features is that when they are present, they make the possibility of a functional bowel disorder almost certain but when absent, they don't exclude the diagnosis.

Until recently, research into bloating and distension has been sparse and largely empirical as well as being based on the assumption that the two descriptors were describing the same phenomenon. Thus, interpreting the data from older studies is difficult and even today, patients and their physicians often use the terms synonymously. However, with the development of more objective ways of assessing it such as the gas challenge technique[1,2] or abdominal inductance plethysmography (AIP),[3,4] there is increasing evidence that bloating and distension may have different pathophysiological mechanisms."

http://www.medscape....rticle/568555_1
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.
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