instruction: hello doctor my husband is a complete sci paraplegic he is 28 he has been having severe stomach pains come and go for months and is not receiving any answers we were at the er times in a week no results of infection or constipation or anything seen in rays and cat scans he gets very bloated and wakes up almost every morning with gas pains and has to make himself sick if he cannot burp them out no fever but sometimes he will get the chills and sweats still without fever or temperature drop he needs answers it is very unbearable to him
output: hi I have read your query but as you have not mentioned how long ago the injury was sustained I will presume it was not recent but the gas build is recent if both are recent you might want to look into the bowel program for sci first make sure his diet is not very high in sugars vegetables like broccoli cabbage radishes etc to decrease methane production in the gut the gas second introducing suppositories or carminatives will help with passing wind tablet motillium 10 my thrice a day before meals promotes gut motility too if it does not work there are other drugs like erythromycin an antibiotic available to promote gut motility that should help with releasing gas have a look at his gall bladder too sludge or sand and not just gallstones causes bloating indigestion