Q. What can be done for bloating in a patient with acidity, GERD and IBS?
Hi doctor, I am suffering from acidity, GERD, IBS from the last five years. I am just taking Pantop DSR or Rabekind DSR from the last three years but no result. I have high BP, stage 1 BP varies from 140 to 150 and 90 to 110. I feel bloated mostly. Sometimes breathlessness, pressure in eyes and head. I have fat in my stomach around 2 to 3 inches. I have visited many gastroenterologist but no result.
Hello. You have several symptoms related to the gastrointestinal tract: 1. GERD.  2. Irritable bowels.  3. Bloating.  You also seem to have abdominal obesity and high blood pressure. Proton pump inhibitors like Pantoprazole and Rabeprazole do not seem to have helped you. I suggest a dietary approach that will reduce your weight and also can get rid of the bloating, acid reflux and irritable bowel symptoms. That diet is the low carbohydrate, high fat diet (LCHF diet) or ketogenic diet. This involves cutting down your carbohydrate intake and increasing the intake of healthy fats. In my experience, nearly all people who followed this diet got rid of the acid reflux and bloating. The good thing is, you can also lose weight and possibly reverse your high blood pressure.