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Bloating = Hard to get deep breath


J Friend

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I was just diagnosed with IBS-D and my main symptom aside from diarrhea, is bloating in my upper abdomen, which intern makes it extremely hard and deep breath sometimes puts me into a panic attack. If I do very minimal walking it triggers it  and can't get a breath.. any thoughts?

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Also I am on my 2nd round of Xifaxin which is helping with some of the symptoms to help be become daily functional. I was taking Hycosiane every 3 hours before the Xifaxin. I am taking the Hycosiane as needed during the Xifaxin. I still can't exercise or even go on a long walk.

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Jeffrey Roberts

Xifaxin is a good choice for your symptoms; however, it is limited because you cannot stay on it indefinitely.

I wonder if you could talk to your doctor about Viberzi for the diarrhea as a long term solution as long as you have a gallbladder.

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My main concern is the breathing issue I'm having, it feels like upper abdomen is pushing on my diaphram.  

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Jeffrey Roberts

Does this feeling come and go or is it steady? I'm wondering if it is unrelated to your gut issues.

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Pretty steady, worsens when walking get bloated. Just took a walk and bloated now. I have had the following.....

EKG, Heart Holter, MRI on heart, CT on pelvis, abdomen and chest, pulmonologist breath testing, colonoscopy and endoscopy, liver / gall bladder ultrasound and numerous blood test. 
 

These have been done all in past 6 weeks, all has turned out good! 
 

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Jeffrey Roberts

That is really challenging considering the workup that you had. Did a gastroenterologist say that they have seen this kind of constant bloating before? I'm at a loss as IBS tends to come and go and is not steady. If it were GI related, you think that those tests would have indicated something. The only thing that I can think of is gastroparesis or dyspepsia as a cause.

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I can't see a GI for a few months, Duke Hospital has a shortage of them. It's something in my stomach or intestinal because the Hycosiane provides temporary relief just doesn't get me to where I need to be. The Xifaxin on the first 2 weeks provided relief as well. Another symptom prior to Xifaxin I would wake up in the middle of the night in a little sweat, kinda like my insides just calmed down. When I'm on Xifaxin I haven't had that issue or the feeling of a slight fever and headache, this all went away. I just started my 2nd does of two weeks of Xifaxin 2 days ago.  

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