my wife has stg4 lung cancer and was hospitalized in december for almost the entire month due to two bouts of dehydraton after carboplatin chemo. Her blood counts were all messed up and are now just about back to normal. Everytime she eats, almost withing 15 minutes she get pain in pit of stomach with much gas!!!! Her flatulance and bowel movements are very odiferous to say the least. She occassionally has diarrhea, but no foods seem to make any difference. abdominal cat scan and colonoscopy were unremarkable. ANY IDEAS??
I am really sorry to hear about your wife. One possibility is that the chemotherapy has affected the gut flora. Taking probiotics may help. Also passage of foul smelling gas can be due to some bacteria in the gut that produce hydrogen sulfide gas. Sometimes this gas is produced in such huge quantities that the sulfide oxidase enzyme in the wall of the gut is not able to oxidize all of it and convert it to thiosulfate. This gas has a smell of rotten eggs.
Your wife will need to cut down food items that contain sulfites. Most of this gas comes from sulfites a person consumes, which is a part of all preservatives. Sulfites are present in all juices, molasses, yellow dye in ready made food stuffs, and red wine. Sulfites are present in lesser amounts in mashed potatoes made from dry powder, pickles, tinned shrimp, cookies, crackers, and readymade pie dough.
Certain food items like cabbage, radish, turnip and certain meat products too cause a foul smelling gas; cutting down these food items also helps. If it persists, then talk to your doctor. Other causes will have to be looked into such as intestinal infection, celiac disease, Crohnâs disease, short bowel syndrome, malabsorption syndromes, chronic pancreatitis or hepatitis and cystic fibrosis. Cancer metastasis is another possibility.
You will need to consult a gastroenterologist then. Please discuss with her treating doctor. Hope this helps. Take care!
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