I am experiencing bloating after meals with my stomach always feeling extended. On Drugs: Zerit, Epivir, Tenofovir, Amprenavir, Norvir. I've been looking for solutions and Ultrase MT-20 has come up. Would this drug potentially have negative effects. Also, have studies attributed bloating also to Atazanavir? What are your solutions?

Bloating is fairly common in the setting of HIV treatment-ritonavir often contributes. Ultrase MT-20 helps if there is evidence of pancreatitic problems (check lipase or amylase). The Zerit could be causing a low grade pancreatitis. Ultrase MT-20 has been used in PI associated diarrhea syndromes but is fairly expensive and no firmly proven to be helpful in the absence of pancreatic dysfunction. Other upper GI problems (ie. H pylori disease, galbladder disease) can cause bloating as well. Increased visceral fat tissue can aggravate the problem. KH