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Is Proton Pump Inhibitor And An H2 Blocker Suggestible For Stomach Pain?
Question: Hello,
I am hoping you can help me treat my father, he is 60 years old and in very good health, only problem being that he is slightly overweight, for a peptic ulcer. We are traveling by land across South XXXXXXX in various third world countries and I have been trying over the last couple of weeks to help him with his mysterious stomach pain. I have posted several questions on this website dealing with hernias and diastasis recti. However, he has since visited both a General Medicine doctor and an Urologist, it has been determined that he does not have a hernia nor a diastasis large enough to cause pain. We have also eliminated any intestinal blockage or digestive issues. The doctor suspects an ulcer but suggested that we then see another specialist. We don't have any insurance and have already spent more than we can afford on the ultrasound and various consultations. We are now also traveling again and can't access another specialist or do more tests.
After researching throughly online, all his symptoms and complaints of pain, as well as current and past lifestyle, point to a peptic ulcer. We also lived in Colombia for a long period of time where he could have been exposed to the H. Pylori bacteria. However, we can't get him tested here and now for the H. Pylori so I can't be 100% positive that's what he has. So my question is this: would it be detrimental to him to just put him on a treament course of two antibiotics along with a proton pump inhibitor and an H2 blocker for two weeks to see if that heals the ulcer?
I know it's not ideal to give antibiotics to someone who doesn't need them but he hasn't taken anything in the last year, has no allergies to any medications and is not taking nor has ever taken any regular medications. We are getting desperate to deal with the pain. I am changing his diet to all the recommended foods for helping treat ulcers and eliminating any trigger foods. I can get antibiotics here without a prescription. What would be the best two antibiotics to put him on and in what dosages? I understand that you probably don't usually prescribe things this way but this is a unique situation and if I can't get specific information I will simply make the best informed choice I can from what I read and start a treatment process based on that. So I am extremely grateful for all and any advice and information you can provide. Thank you!
XXXXXXX
I am hoping you can help me treat my father, he is 60 years old and in very good health, only problem being that he is slightly overweight, for a peptic ulcer. We are traveling by land across South XXXXXXX in various third world countries and I have been trying over the last couple of weeks to help him with his mysterious stomach pain. I have posted several questions on this website dealing with hernias and diastasis recti. However, he has since visited both a General Medicine doctor and an Urologist, it has been determined that he does not have a hernia nor a diastasis large enough to cause pain. We have also eliminated any intestinal blockage or digestive issues. The doctor suspects an ulcer but suggested that we then see another specialist. We don't have any insurance and have already spent more than we can afford on the ultrasound and various consultations. We are now also traveling again and can't access another specialist or do more tests.
After researching throughly online, all his symptoms and complaints of pain, as well as current and past lifestyle, point to a peptic ulcer. We also lived in Colombia for a long period of time where he could have been exposed to the H. Pylori bacteria. However, we can't get him tested here and now for the H. Pylori so I can't be 100% positive that's what he has. So my question is this: would it be detrimental to him to just put him on a treament course of two antibiotics along with a proton pump inhibitor and an H2 blocker for two weeks to see if that heals the ulcer?
I know it's not ideal to give antibiotics to someone who doesn't need them but he hasn't taken anything in the last year, has no allergies to any medications and is not taking nor has ever taken any regular medications. We are getting desperate to deal with the pain. I am changing his diet to all the recommended foods for helping treat ulcers and eliminating any trigger foods. I can get antibiotics here without a prescription. What would be the best two antibiotics to put him on and in what dosages? I understand that you probably don't usually prescribe things this way but this is a unique situation and if I can't get specific information I will simply make the best informed choice I can from what I read and start a treatment process based on that. So I am extremely grateful for all and any advice and information you can provide. Thank you!
XXXXXXX
Brief Answer:
Change of diet may be the cause.
Detailed Answer:
Hi XXXXXXX Welcome to Health care magic forum.
If it is a sudden on set pain, it may be ulcer pain, gallbladder pain, pancreas pain, kidney infection, if it is in the upper part.
If it is in the middle part, may be due to worms in the intestine, urinary tract infection, stones in the intestines, colitis, intolerance to milk and milk products, wheat, barley etc.
If it is in the lower intestine, urinary tract infection, cystitis, stones, colitis, appendicitis, hernia or T.B iliocaecal junction etc.
If he is been treated for H.pylori, it may be the recurrence as well. The drugs used may be called the H.pylori kit containing amoxycillin, tinidazole, and P.P.I, and antacid gel.
He may need to have gastroscopy, C.T.scan, liver function tests for diagnosis.
I strongly suggest it may be the colitis, and prescribe to my patient with such symptoms injection amikacin 500 mg ,ofloxacin, ornidazole, ranitidine ,dicyclomine , and domperidone.
Wishing for a quick and complete recovery. Thank you.
Change of diet may be the cause.
Detailed Answer:
Hi XXXXXXX Welcome to Health care magic forum.
If it is a sudden on set pain, it may be ulcer pain, gallbladder pain, pancreas pain, kidney infection, if it is in the upper part.
If it is in the middle part, may be due to worms in the intestine, urinary tract infection, stones in the intestines, colitis, intolerance to milk and milk products, wheat, barley etc.
If it is in the lower intestine, urinary tract infection, cystitis, stones, colitis, appendicitis, hernia or T.B iliocaecal junction etc.
If he is been treated for H.pylori, it may be the recurrence as well. The drugs used may be called the H.pylori kit containing amoxycillin, tinidazole, and P.P.I, and antacid gel.
He may need to have gastroscopy, C.T.scan, liver function tests for diagnosis.
I strongly suggest it may be the colitis, and prescribe to my patient with such symptoms injection amikacin 500 mg ,ofloxacin, ornidazole, ranitidine ,dicyclomine , and domperidone.
Wishing for a quick and complete recovery. Thank you.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hello,
Thank you for your advice but it didn't really answer my questions. I am aware of all the possible causes of stomach pain and have eliminated the vast majority in my fathers case, both through doctors visits and research. I am looking for very specific advice, as evidenced by my query and two specific questions. I am in the difficult position of not having access to a doctor and needing to help my father deal with his pain and nausea. Given all the current evidence and his lifestyle, a peptic ulcer is the most likely cause. So, again, would it be detrimental to his health to treat him with a TID or QID dual antibiotic course and H2 blocker, without having a test proof of H. Pylori, for 2 weeks to see if it clears it up? If not, then what would be the two best antibiotics to use and in what dosage? I am looking for least side effects possible and have no way of knowing if he has a resistant bacteria strain. Thank you for your help.
XXXXXXX
Thank you for your advice but it didn't really answer my questions. I am aware of all the possible causes of stomach pain and have eliminated the vast majority in my fathers case, both through doctors visits and research. I am looking for very specific advice, as evidenced by my query and two specific questions. I am in the difficult position of not having access to a doctor and needing to help my father deal with his pain and nausea. Given all the current evidence and his lifestyle, a peptic ulcer is the most likely cause. So, again, would it be detrimental to his health to treat him with a TID or QID dual antibiotic course and H2 blocker, without having a test proof of H. Pylori, for 2 weeks to see if it clears it up? If not, then what would be the two best antibiotics to use and in what dosage? I am looking for least side effects possible and have no way of knowing if he has a resistant bacteria strain. Thank you for your help.
XXXXXXX
Brief Answer:
Antibiotics i have already suggested.
Detailed Answer:
Hi,
I understand your concerns. However it is not right to start antibiotics without confirmation of H.pylori infection. A simple breath test (urease breathe test) can be consider if not an endoscopy / biopsy to exclude H.pylori infection.
If you cannot afford investigations, we can still consider emperical treatment of H.pylori. I don't think the 14 days treatment of antibiotics will be detrimental. The choice of antibiotics was as mentioned earlier. Alternatively clarithromycin, metronidazole and a proton pump inhibitor can be concerned. These drugs are associated with gastric disturbances which settles down soon after the drugs are stopped. The antibiotics should not be given, T.I.D, or Q.I.D, and for not more than than 14 days, as they may cause the candida infection.
You can discuss about this regimen with the treating physician. The kits will have all the medicine, and dosages and schedule. If needed protein pump inhibiters and antacids you can use for longer periods, and dicyclomine hydrochloride can be used, along with them, then when ever there is more pain,till the tour is complete.
Avoid giving spices, junk foods, oily foods, and untimely foods.
Hope I have addressed your questions.
Wishing him a quick and complete recovery. thank you.
Antibiotics i have already suggested.
Detailed Answer:
Hi,
I understand your concerns. However it is not right to start antibiotics without confirmation of H.pylori infection. A simple breath test (urease breathe test) can be consider if not an endoscopy / biopsy to exclude H.pylori infection.
If you cannot afford investigations, we can still consider emperical treatment of H.pylori. I don't think the 14 days treatment of antibiotics will be detrimental. The choice of antibiotics was as mentioned earlier. Alternatively clarithromycin, metronidazole and a proton pump inhibitor can be concerned. These drugs are associated with gastric disturbances which settles down soon after the drugs are stopped. The antibiotics should not be given, T.I.D, or Q.I.D, and for not more than than 14 days, as they may cause the candida infection.
You can discuss about this regimen with the treating physician. The kits will have all the medicine, and dosages and schedule. If needed protein pump inhibiters and antacids you can use for longer periods, and dicyclomine hydrochloride can be used, along with them, then when ever there is more pain,till the tour is complete.
Avoid giving spices, junk foods, oily foods, and untimely foods.
Hope I have addressed your questions.
Wishing him a quick and complete recovery. thank you.
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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