Q & A: How to Approach a Mystery Case of Chronic Fullness and Bloating

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo delves into a complex patient case submitted by a listener, showcasing the often difficult process of diagnosing and treating chronic gastrointestinal issues.

The episode features a 59-year-old woman who has been experiencing chronic epigastric fullness, bloating, and dependency on laxatives, with no clear diagnosis despite consulting multiple specialists.

Dr. Gandolfo walks listeners through the step-by-step approach a gastroenterologist might take on such a challenging case. He emphasizes the importance of understanding the patient's history, avoiding repetitive tests, and sticking with a trusted physician to ensure a thorough, stepwise evaluation.

The discussion covers potential diagnoses like dyspepsia, gastroparesis, bacterial overgrowth, and the role of psychological factors in GI symptoms.

Listeners will gain insights into the various diagnostic tests available, including blood work, imaging, endoscopy, and breath tests for bacterial overgrowth. Dr. Gandolfo also touches on the therapeutic trials of medications and the potential need for dietary adjustments or specialist referrals.

In addition to the medical discussion, Dr. Gandolfo shares his experience recording the first video episode in his new studio, highlighting the ongoing evolution of the podcast.

Mentioned in this episode:

Episode 4: Bezoars

Episode 24: Sucrose intolerance

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here.

Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Watch this episode on The Real GI Doc Show YouTube channel!