Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For GERD And Greenish Tinged Bowel Movement
Question: Hi,
Physical History: 30 M, Weight: 60 Kgs, Healthy.
I had some GERD symptoms, so I have been to GI two days back who prescribed me - Nexium 40 mg and Gaviscon. Since two days, I have a bowel movement which doesn't look my normal brown as it used to be. The color looked little light green yesterday and I was having green leafy vegetables. Today, it looked like yellow or green ?, am not sure. I am attaching the pics.
Questions:
1. Is this normal?.
2. What color stool does it look like?.
3. Does Gaviscon which is white in color can cause this color? or any side-effects of these medicines?
4. This is not chalky white color right which I am worried about most?
5. Should I stop these medicines?.
Thanks a lot in advance.
Physical History: 30 M, Weight: 60 Kgs, Healthy.
I had some GERD symptoms, so I have been to GI two days back who prescribed me - Nexium 40 mg and Gaviscon. Since two days, I have a bowel movement which doesn't look my normal brown as it used to be. The color looked little light green yesterday and I was having green leafy vegetables. Today, it looked like yellow or green ?, am not sure. I am attaching the pics.
Questions:
1. Is this normal?.
2. What color stool does it look like?.
3. Does Gaviscon which is white in color can cause this color? or any side-effects of these medicines?
4. This is not chalky white color right which I am worried about most?
5. Should I stop these medicines?.
Thanks a lot in advance.
Brief Answer:
Looks normal
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
The stool looks normal only. There is no need to worry.
No it is not a side effect of the medications you take.
There is no need to stop the medications.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Looks normal
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
The stool looks normal only. There is no need to worry.
No it is not a side effect of the medications you take.
There is no need to stop the medications.
I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks doctor..So, I don't have to go to doctor's clinic for follow-up right?.
I have a few more questions-
- I am finding it really hard to stop consuming tea and its triggering my gastritis. Any advice on it?
- My diagnosis on this condition was chronic mild active gastritis on biopsy done 3 years back. Does this mean I have to go with condition for a long time?.
- I always have manageable gastritis, but then I thought its better trying medication again. Long time back when I tried medications were of help, but the symptoms re-bounded as soon as I stopped it. Also, I read there are lots of side-effects of these medications. Am always confused. Do you have any advice on this?.
I have a few more questions-
- I am finding it really hard to stop consuming tea and its triggering my gastritis. Any advice on it?
- My diagnosis on this condition was chronic mild active gastritis on biopsy done 3 years back. Does this mean I have to go with condition for a long time?.
- I always have manageable gastritis, but then I thought its better trying medication again. Long time back when I tried medications were of help, but the symptoms re-bounded as soon as I stopped it. Also, I read there are lots of side-effects of these medications. Am always confused. Do you have any advice on this?.
Brief Answer:
Yes no need to go to the doctor's clinic
Detailed Answer:
Hi,
The stool looks absolutely normal. There is no need to go to doctor's clinic.
You can slowly reduce the frequency of drinking tea and over a period of time you can stop it.
You can treat gastritis with Neksium once daily for 4 weeks.
Also get tested for H.pylori infection as it is one of the causes of chronic gastritis.
Regards,
Dr.R.K.
Yes no need to go to the doctor's clinic
Detailed Answer:
Hi,
The stool looks absolutely normal. There is no need to go to doctor's clinic.
You can slowly reduce the frequency of drinking tea and over a period of time you can stop it.
You can treat gastritis with Neksium once daily for 4 weeks.
Also get tested for H.pylori infection as it is one of the causes of chronic gastritis.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Doctor for reply. I had an EGD done 3 years back when they also took some cold biopsies from the stomach. Findings were below -
1. No H.Pylori.
2. Chronic mild active gastritis.
3. Small hiatal hernia.(this doctor said is insignificant).
So, my questions-
1. Is this condition going to be chronic as I am suffering from this since 4 years or so..and none of the medications provide full recovery. They just mask symptoms for sometime and then a cycle starts again.?. But all my other symptoms look sort of normal - manageable acidity, normal stool, normal appetite and weight gain.
2. Following things tend to help- eating frequently, avoid trigger foods(which is tea for me) and low-stress. Is this the protocol I should follow?.
3. Any advice on homeopathic treatments?.
4. Can this condition be genetic as my parents suffer from this?
1. No H.Pylori.
2. Chronic mild active gastritis.
3. Small hiatal hernia.(this doctor said is insignificant).
So, my questions-
1. Is this condition going to be chronic as I am suffering from this since 4 years or so..and none of the medications provide full recovery. They just mask symptoms for sometime and then a cycle starts again.?. But all my other symptoms look sort of normal - manageable acidity, normal stool, normal appetite and weight gain.
2. Following things tend to help- eating frequently, avoid trigger foods(which is tea for me) and low-stress. Is this the protocol I should follow?.
3. Any advice on homeopathic treatments?.
4. Can this condition be genetic as my parents suffer from this?
Brief Answer:
Repeat EGD
Detailed Answer:
Hi,
I would advise you to get an EGD done again to see if the lesions are persisting.
A recurrent gastritis is not equivalent to chronic gastritis.
And if it is chronic gastritis and H.pylori then the underlying cause should be found out.
1. What symptoms are you attributing to gastritis?
2. Yes follow no tea and stress relief plan.
3. Being an allopath I cannot comment on homeopathy.
4. No it is not genetic.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Repeat EGD
Detailed Answer:
Hi,
I would advise you to get an EGD done again to see if the lesions are persisting.
A recurrent gastritis is not equivalent to chronic gastritis.
And if it is chronic gastritis and H.pylori then the underlying cause should be found out.
1. What symptoms are you attributing to gastritis?
2. Yes follow no tea and stress relief plan.
3. Being an allopath I cannot comment on homeopathy.
4. No it is not genetic.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Yogesh D
Am not sure you understood there -
"And if it is chronic gastritis and H.pylori then the underlying cause should be found out." -- There was no H.Pylori diagnosed in the biopsy and there was a Grade-I gastritis which according to GI is very mild.
I have been to two GI doctors here recently, both have suggested that repeat EGD is not required as there are no alarming symptoms and last EGD was unremarkable and there are no new symptoms. I am confused now. Can you help with this?.
Symptoms I am attributing to gastritis are:
1. Heartburn
Also, please suggest if there are any other things I need to change or follow?
"And if it is chronic gastritis and H.pylori then the underlying cause should be found out." -- There was no H.Pylori diagnosed in the biopsy and there was a Grade-I gastritis which according to GI is very mild.
I have been to two GI doctors here recently, both have suggested that repeat EGD is not required as there are no alarming symptoms and last EGD was unremarkable and there are no new symptoms. I am confused now. Can you help with this?.
Symptoms I am attributing to gastritis are:
1. Heartburn
Also, please suggest if there are any other things I need to change or follow?
Brief Answer:
If NO H. pylori
Detailed Answer:
Hi,
Sorry for the typographic error.
It should read - "And if it is chronic gastritis and NO H.pylori then the underlying cause should be found out." (No is missing there).
Heart burn is not a feature of chronic gastritis. Heartburn usually indicates gastroesophageal reflux disease (GERD). In that case you do not require a repeat EGD unless you have pain or difficulty while swallowing.
GERD can be recurrent.
in addition to medications lifestyle modifications are also important for relief.
1. C.Sompraz- L once daily before breakfast for 4 weeks
2. Mucaine 10 ml when you get heartburn
3. Avoid coffee, citrus. chocolates, carbonated beverages, tomatoes, fatty/spicy food
4. Avoid smoking and alcohol ( if you have these habits)\
5. Avoid eating full stomach. Instead eat multiple smaller meals
6. Go to bed at least 2-3 hours after food.
7.Stress relief methods can be followed if you have workplace/family related stress which may worsen your symptoms.
Let me know if I can assist you further.
Regards,
Dr.R.K.
If NO H. pylori
Detailed Answer:
Hi,
Sorry for the typographic error.
It should read - "And if it is chronic gastritis and NO H.pylori then the underlying cause should be found out." (No is missing there).
Heart burn is not a feature of chronic gastritis. Heartburn usually indicates gastroesophageal reflux disease (GERD). In that case you do not require a repeat EGD unless you have pain or difficulty while swallowing.
GERD can be recurrent.
in addition to medications lifestyle modifications are also important for relief.
1. C.Sompraz- L once daily before breakfast for 4 weeks
2. Mucaine 10 ml when you get heartburn
3. Avoid coffee, citrus. chocolates, carbonated beverages, tomatoes, fatty/spicy food
4. Avoid smoking and alcohol ( if you have these habits)\
5. Avoid eating full stomach. Instead eat multiple smaller meals
6. Go to bed at least 2-3 hours after food.
7.Stress relief methods can be followed if you have workplace/family related stress which may worsen your symptoms.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thanks Doctor for the patience and reply. Anyway, I got a repeat EGD and Liver Function Test. Findings of EGD were:
1. Small hiatal hernia
2. Gastritis
3. Some erosions
All the liver functions(like SGOT,SGPT) were normal except bilirubin at 1.4(reference range unto 1.2). Doctor asked to ignore that bilirubin value as all other functions are normal and asked to take the medication for 3 months. Is this any cause of worry?.
Knowing these results now, do you suggest any change in your recommendations?
I have also attached the reports, please take a look.
Medication am offered is Ganaton Total for 3 months.
So, please answer the questions I have in the above post. Thanks a lot.
Also, as a side-note I am suffering from sneezing, cold and flu symptoms since 2 days. My eyes are normal and appetite is normal too.
1. Small hiatal hernia
2. Gastritis
3. Some erosions
All the liver functions(like SGOT,SGPT) were normal except bilirubin at 1.4(reference range unto 1.2). Doctor asked to ignore that bilirubin value as all other functions are normal and asked to take the medication for 3 months. Is this any cause of worry?.
Knowing these results now, do you suggest any change in your recommendations?
I have also attached the reports, please take a look.
Medication am offered is Ganaton Total for 3 months.
So, please answer the questions I have in the above post. Thanks a lot.
Also, as a side-note I am suffering from sneezing, cold and flu symptoms since 2 days. My eyes are normal and appetite is normal too.
Brief Answer:
Follow the advice I gave earlier.
Detailed Answer:
Hi,
I saw your reports.
You can follow the advice I have given in my previous post.
Avoid NSAID type of painkiller medications (For eg Brufen, voveran).
Bilirubin is not significantly raised and the liver enzymes are normal. So as your doctor has said, you can ignore it.
This is not a thing to worry about.
You can take Ganaton Total for 3 months. It is similar to the Sompraz-L which I have suggested. You can take any one of these two medications.
For flu like symptoms you can take Dolo 650.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Follow the advice I gave earlier.
Detailed Answer:
Hi,
I saw your reports.
You can follow the advice I have given in my previous post.
Avoid NSAID type of painkiller medications (For eg Brufen, voveran).
Bilirubin is not significantly raised and the liver enzymes are normal. So as your doctor has said, you can ignore it.
This is not a thing to worry about.
You can take Ganaton Total for 3 months. It is similar to the Sompraz-L which I have suggested. You can take any one of these two medications.
For flu like symptoms you can take Dolo 650.
Let me know if I can assist you further.
Regards,
Dr.R.K.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
