Suggest treatment for abdominal discomfort, bloating, elevated cholesterol and liver enzymes
Patient: My daughter has been experiencing abdominal discomfort and bloating for the past 2 months. She has been on Accutane 40mg a day for 3 months 2 weeks. The bloating has become very uncomfortable and embarassing to her as she is an athlete and not used to having this problem. She was 105 lbs when she started Accutane and has gained 15 lbs. Sometimes she looks puffy to me. Her liver enzymes and cholesterol are elevated . Should she stop Accutane based on these IBS symptoms? Her skin looks beautiful, the doctor wanted to double her dose this month and I got angry with him because he didn t seem concerned about the IBS sympoms. What should we do? Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. I appreciate your concerns regarding your daughter. These IBS symptoms are not due to accutane.For bloating I will advise you:1. Avoid food that increase gas like beans, pulses, cabbage, peas2. Avid food that increase acid productions like tea, coffee, citrus and spicy and fatty food3. See if milk make your symptoms worse then please avoid it4. Take capsule containing simethicone     5. Also take a proton pump inhibitor like rabeprazole along with a prokinetic agent like domepridoneI hope I have answered you query. Wish you a good health