[38F] Experiencing excessive gas and bloating with constipation

Patient Description

A 38-year-old female has been experiencing excessive gas, occurring approximately 30 times a day, for the past two weeks. The onset of symptoms was sudden. The patient reports associated bloating and constipation but denies any abdominal pain or discomfort. There have been no changes in stool color or consistency, and the last bowel movement was this morning. The patient has not made any recent changes to her diet, medications, or daily routine and has not traveled recently. She has a history of diabetes, diagnosed in November 2016, and is currently taking Glipizide (20mg) and Lantus (15 units every morning). She has an allergy to penicillin but no other known allergies or medications. No other symptoms or significant family history of gastrointestinal disorders were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Dietary Factors: Even if you haven't made any conscious changes to your diet, sometimes subtle changes or hidden ingredients can cause excessive gas and bloating. Foods high in fiber, certain vegetables (like beans and broccoli), and carbonated drinks are common culprits.

    • Treatment: Keeping a food diary can help identify any potential triggers. Avoiding gas-producing foods and drinks might alleviate symptoms.
  • Constipation: Constipation can lead to excessive gas and bloating. Since you mentioned experiencing constipation, this could be a contributing factor.

    • Treatment: Increasing your water intake, consuming more fiber, and engaging in regular physical activity can help relieve constipation. Over-the-counter laxatives may also be helpful but should be used sparingly.
  • Diabetes-Related Gastrointestinal Issues: Diabetes can sometimes affect gastrointestinal function, leading to symptoms like gas and bloating.

    • Treatment: Managing your blood sugar levels effectively can help. Discussing your symptoms with your healthcare provider is important to rule out any diabetes-related complications.
  • Medication Side Effects: While you haven't started any new medications, sometimes long-term use of medications like Glipizide and Lantus can have gastrointestinal side effects.

    • Treatment: Consult your healthcare provider to discuss whether your medications could be contributing to your symptoms and if any adjustments are needed.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Keep a Food Diary: Track what you eat and drink to identify any potential triggers for your gas and bloating.
  2. Stay Hydrated: Drink plenty of water to help alleviate constipation and improve digestion.
  3. Increase Fiber Gradually: If you need more fiber in your diet, add it slowly to avoid worsening gas and bloating.
  4. Exercise Regularly: Physical activity can help stimulate digestion and relieve constipation.
  5. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or persistent abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Fever or chills
  • Symptoms that worsen or do not improve with self-care measures

Remember, while I can provide information and suggestions, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


Can diabetes cause gastrointestinal issues like excessive gas and bloating?

Yes, diabetes can affect gastrointestinal function, leading to symptoms such as gas and bloating. This is often due to changes in gut motility or nerve function related to diabetes.


What dietary factors can contribute to excessive gas and bloating?

Foods high in fiber, certain vegetables like beans and broccoli, and carbonated drinks are common dietary factors that can cause excessive gas and bloating. Keeping a food diary can help identify specific triggers.


How can constipation lead to increased gas production?

Constipation can cause gas to build up in the intestines, leading to bloating and discomfort. This is because stool that remains in the colon for too long can ferment, producing gas.


Are there any side effects of Glipizide and Lantus that could cause gastrointestinal symptoms?

While Glipizide and Lantus are not commonly associated with gastrointestinal side effects, any medication can potentially cause such symptoms. It's important to discuss with a healthcare provider if you suspect your medications might be contributing to your symptoms.


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