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Bloating after bowel movement

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Has anybody ever seen anything like this?

I have a patient who complains that after she has a bowel movement, she

bloats up to where " she looks like she is seven months pregnant. " Her

abdomen slowly returns to " normal " after a few hours. She denies

excessive flatulence. This has been going on for about two years.

Five years ago she started taking " Smooth Move " tea with Senna. She

claims constipation, but her stools are rarely firm and are more on the

loose side. She's leaning towards Spleen and Kidney Xu with Liver Qi

Depression.

She has also been diagnosed with fibromyalgia and clinical depression.

 

Any treatment suggestions? If any of you are familiar with Triphala,

do you think it is indicated here?

Zach

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