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Suggest Treatment For Acidity, Chest Pressure, Bloating And Discomfort In Upper Stomach
Question: since 2005 i have acidity and motion problem.
motions are usally fluffy , pale and my farting stinks really bad.
Early morning i would wake up with sever pressure on chest , as if something is stuck.Heartburning if not having antacids or PPI.
I feel bloated , i fart and burp a lot, and feel hungry very frequently.
Before and after food there will be sounds in stomach , here and there.
While sleeping i feel back ache. towards the lower portion.
i feel mild pain in upper stomach after food at times, and morning while waking up i have discomfort in uppder stoamach when symtopms are aggravated.pressing the upper stomach helps.
I tend to loose weight at the slightest. Have a disturbed sleep usually. And i in general stress a lot for different reasons.
32 years old.
in last 7 years I have been medicated for H Pylori 2 times.
in recent endoscopy , a month ago (5th times in last 8 years) they found antral gastrities , indicating dyspepsia.
last 2 years i was taking ganaton total , and normaxin (twice a day) which improved my symptom , and B12 shots for a year.then i stopped medication , my problems came back after a month.
Any sort of multivitamin makes my life really worse.
I am still loosing weight now.
My questions to you:
1) I will consider getting manometry and Ph level test early next year.
Till then can I keep using ganaton total and Normaxin?
2) is there any side effects of normaxin like sleeping pills , is it addictive?can i continue?
3) 3 days back I have been prescribed Sueria L, Zincovit(it is making things bad i feel , so stopping) , Moriase I XXXXXXX (not sure if it is working) , and Kyrub 10 mg. I am not getting any result with this medication , as i think the multi vitamin is making things worse as before.
4) Last 2 years I took ganaton total, Normaxin , VSL3. then i stopped . Can i take them back.as it helps me , gives relief and weight also i was gaining that time.
Now last 4 years i have lost 4 kgs.Now 58 KGs from 62.
long term usage of PPI , can cause D , iron B12 deficiency and increased gastrine level .Like that Normaxin , does it have any side effects. which fiber supplement i can use?
I can not keep visiting doctors , as the symptoms are generic and the triggers from food is so specific .
Want to understand the medicines i can take when i have symptoms over the counter.Please help me understand the medicines and help me understand my stomach problem.
And want to understand the relation between GERD and IBS . IBS causes mal absorbsion?
My recent stool test and blood tests to check any inflation anywhere came normal.
motions are usally fluffy , pale and my farting stinks really bad.
Early morning i would wake up with sever pressure on chest , as if something is stuck.Heartburning if not having antacids or PPI.
I feel bloated , i fart and burp a lot, and feel hungry very frequently.
Before and after food there will be sounds in stomach , here and there.
While sleeping i feel back ache. towards the lower portion.
i feel mild pain in upper stomach after food at times, and morning while waking up i have discomfort in uppder stoamach when symtopms are aggravated.pressing the upper stomach helps.
I tend to loose weight at the slightest. Have a disturbed sleep usually. And i in general stress a lot for different reasons.
32 years old.
in last 7 years I have been medicated for H Pylori 2 times.
in recent endoscopy , a month ago (5th times in last 8 years) they found antral gastrities , indicating dyspepsia.
last 2 years i was taking ganaton total , and normaxin (twice a day) which improved my symptom , and B12 shots for a year.then i stopped medication , my problems came back after a month.
Any sort of multivitamin makes my life really worse.
I am still loosing weight now.
My questions to you:
1) I will consider getting manometry and Ph level test early next year.
Till then can I keep using ganaton total and Normaxin?
2) is there any side effects of normaxin like sleeping pills , is it addictive?can i continue?
3) 3 days back I have been prescribed Sueria L, Zincovit(it is making things bad i feel , so stopping) , Moriase I XXXXXXX (not sure if it is working) , and Kyrub 10 mg. I am not getting any result with this medication , as i think the multi vitamin is making things worse as before.
4) Last 2 years I took ganaton total, Normaxin , VSL3. then i stopped . Can i take them back.as it helps me , gives relief and weight also i was gaining that time.
Now last 4 years i have lost 4 kgs.Now 58 KGs from 62.
long term usage of PPI , can cause D , iron B12 deficiency and increased gastrine level .Like that Normaxin , does it have any side effects. which fiber supplement i can use?
I can not keep visiting doctors , as the symptoms are generic and the triggers from food is so specific .
Want to understand the medicines i can take when i have symptoms over the counter.Please help me understand the medicines and help me understand my stomach problem.
And want to understand the relation between GERD and IBS . IBS causes mal absorbsion?
My recent stool test and blood tests to check any inflation anywhere came normal.
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I advise my patients against self medication.
You are having GERD and IBS. I presume you are suffering from constipation predominant IBS.
Regarding your questions -
1. Yes you can continue Ganaton total and Normaxin.
2. Normaxin is considered safe. It can cause drowsiness in some and may cause dryness of mouth. If on long term normaxin, get complete blood count and liver function test done periodically.
3. If you are taking Ganaton Total, there is no need to take Superia-L or Kyrab
4. Yes you can take Ganaton total, Normaxin and VSL#3.
5. Take Morease -I. It contains Isapghul.
6. GERD and IBS are functional GI disorders.
7. IBS does not cause malabsorption.
I hope that answers your query.
Let me know if you have any more questions.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I advise my patients against self medication.
You are having GERD and IBS. I presume you are suffering from constipation predominant IBS.
Regarding your questions -
1. Yes you can continue Ganaton total and Normaxin.
2. Normaxin is considered safe. It can cause drowsiness in some and may cause dryness of mouth. If on long term normaxin, get complete blood count and liver function test done periodically.
3. If you are taking Ganaton Total, there is no need to take Superia-L or Kyrab
4. Yes you can take Ganaton total, Normaxin and VSL#3.
5. Take Morease -I. It contains Isapghul.
6. GERD and IBS are functional GI disorders.
7. IBS does not cause malabsorption.
I hope that answers your query.
Let me know if you have any more questions.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks a lot for the detailed answer.
I appreciate your patience.
Not trying self medication , just trying to understand the IBS disease so that I know when to visit a doctor.
I know I ask a lot of question , thank you for your patience.
I have few more qustion, please bear with me.
last 4 months i have lost almost 4 kgs , so i was worried and got the endoscopy done. Do you think Mutli Vitamoin agravtes all IBS symptoms, i think the side effects are pretty consistent in my case.
1) Zincovit can cause IBS problems worse?
2) as I am on PPI for more than 2 years now , do you think as a 31 year old man , i should consider surgery I mean get the primary investigation of Ph level and Manometry done at 1st?That sugery does guarantee a cure right?
3) A little problem in my stomach and my 1st symptom is sleeping trouble.And now a days , last few months I feel dizzy at times , do you think that could be because of gas , specially after food?
4) Is Ganaton more powerful than Superia-L ? Ganaton seems to be working more.I never took Superia-L and Kyrub when i take ganaton . Long term usage of PPI , or rentac do they cause dpression , one of doctor mentioned it to me.
If you have some time , would you please tell me little about PPI , if this medicine reduces the acid of my stomach , doesn't it cause any other problem ? as acid must be necessary.
5) Should I reduce Carbohydrate (undigested part of it isfood of bacteria ) intake ?Apparently that reduces GERD problem.
6) "If on long term normaxin, get complete blood count and liver function test done periodically." ...thats what you said? does it mean normaxin can have an impact of liver or blood count?
7) Normaxin , Can i just take one at night , or twice a day I should take?
8) Eventually if I try to taper the dosage of PPI and normaxin , can i skip days and start taking it on alternate days or on need basis? or it has to be taken in a certain order.
9) Can i have a bottle of beer once in a month , or it is always bad?
10) GERD and IBS are they related? Extra bad smelly farting I have when my condition is bad .And i get white coating on my tongue everyday.
11) Night when i am about to sleep after 2 or 3 hrs from dinner i feel hungry again.Not sure if thats actual hunger or a problem.
I appreciate your patience.
Not trying self medication , just trying to understand the IBS disease so that I know when to visit a doctor.
I know I ask a lot of question , thank you for your patience.
I have few more qustion, please bear with me.
last 4 months i have lost almost 4 kgs , so i was worried and got the endoscopy done. Do you think Mutli Vitamoin agravtes all IBS symptoms, i think the side effects are pretty consistent in my case.
1) Zincovit can cause IBS problems worse?
2) as I am on PPI for more than 2 years now , do you think as a 31 year old man , i should consider surgery I mean get the primary investigation of Ph level and Manometry done at 1st?That sugery does guarantee a cure right?
3) A little problem in my stomach and my 1st symptom is sleeping trouble.And now a days , last few months I feel dizzy at times , do you think that could be because of gas , specially after food?
4) Is Ganaton more powerful than Superia-L ? Ganaton seems to be working more.I never took Superia-L and Kyrub when i take ganaton . Long term usage of PPI , or rentac do they cause dpression , one of doctor mentioned it to me.
If you have some time , would you please tell me little about PPI , if this medicine reduces the acid of my stomach , doesn't it cause any other problem ? as acid must be necessary.
5) Should I reduce Carbohydrate (undigested part of it isfood of bacteria ) intake ?Apparently that reduces GERD problem.
6) "If on long term normaxin, get complete blood count and liver function test done periodically." ...thats what you said? does it mean normaxin can have an impact of liver or blood count?
7) Normaxin , Can i just take one at night , or twice a day I should take?
8) Eventually if I try to taper the dosage of PPI and normaxin , can i skip days and start taking it on alternate days or on need basis? or it has to be taken in a certain order.
9) Can i have a bottle of beer once in a month , or it is always bad?
10) GERD and IBS are they related? Extra bad smelly farting I have when my condition is bad .And i get white coating on my tongue everyday.
11) Night when i am about to sleep after 2 or 3 hrs from dinner i feel hungry again.Not sure if thats actual hunger or a problem.
Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for getting back to me with more questions.
1. No, Zincovit does not worsen IBS
2. Surgery is only the last resort. Mediactions alone will not control the symptoms of GERD. Lifestyle changes is also important. Avoid coffee, citrus, chocolates, onion, fatty food, tomatoes, spicy/masala food. Avoid alcohol and smoking ( if you have these habits). Go to bed at least 2-3 hours after food.
Practice stress relief methods like meditation.
If in spite of both medications and lifestyle changes you do not find relief, then you may consider surgery.
3. Yes , reflux can affect sleep
4. Both Ganton total and Superia L are equally effective. PPI do not cause depression. It is one of the safe medications.
5. Yes, low carbohydrate would be helpful for IBS. Low FODMAP diet would be helpful for IBS. You can google search for Low FODMAP diet.
6. Yes rarely normaxin can affect blood count and liver function.
7. Start with once at night. If the response is inadequate, then make it twice a day.
8. Yes, you can wean off from medication and take only when you have symptoms.
9. As advised above avoid alcohol as it may worsen GERD.
10. Both are functional bowel disorders. White coating of the tongue could be from bad reflux also. Bad smelling fart is due to improper digestion which most often occurs due to infection. Take yogurt. Get stool analysis done
11. It could be even acidity related pain. Take ranitidine at bedtime.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
Thanks for getting back to me with more questions.
1. No, Zincovit does not worsen IBS
2. Surgery is only the last resort. Mediactions alone will not control the symptoms of GERD. Lifestyle changes is also important. Avoid coffee, citrus, chocolates, onion, fatty food, tomatoes, spicy/masala food. Avoid alcohol and smoking ( if you have these habits). Go to bed at least 2-3 hours after food.
Practice stress relief methods like meditation.
If in spite of both medications and lifestyle changes you do not find relief, then you may consider surgery.
3. Yes , reflux can affect sleep
4. Both Ganton total and Superia L are equally effective. PPI do not cause depression. It is one of the safe medications.
5. Yes, low carbohydrate would be helpful for IBS. Low FODMAP diet would be helpful for IBS. You can google search for Low FODMAP diet.
6. Yes rarely normaxin can affect blood count and liver function.
7. Start with once at night. If the response is inadequate, then make it twice a day.
8. Yes, you can wean off from medication and take only when you have symptoms.
9. As advised above avoid alcohol as it may worsen GERD.
10. Both are functional bowel disorders. White coating of the tongue could be from bad reflux also. Bad smelling fart is due to improper digestion which most often occurs due to infection. Take yogurt. Get stool analysis done
11. It could be even acidity related pain. Take ranitidine at bedtime.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Thanks , And sorry to bother you again.
I am gonna take the medication only if i have the symptoms , on need basis.
1) Zincovit , could you tell me why i was possibly prescribed this?
is it multivitamin? My symptoms were bad so i stopped it now.
2) I have attached my stool test report , please have a look. Night while sleeping i have pain on my back side , just below ribs on the back , on both side.Usually i have this pain when my motion is not clear. I see mucus in wall of my stool .
Would you advise me to take any medication for it? Rifagut will help?
I am mostly constipated , yesterday while farting i felt little moist there , as if little liquid stuff came out. and the fart smells bad .
3) Morease -I , what time should I take it? before food or after?
4) Fodmap chart is tough to follow. I am not having celiac disease as per my blood report , but still i could be intolerant to gluten , is it? like in FODMAP chart i am advised to avoid wheat products.
5) VSL3 is very expensive , any other substitute of it?
Thanks & Regards XXXXXXX
Thanks , And sorry to bother you again.
I am gonna take the medication only if i have the symptoms , on need basis.
1) Zincovit , could you tell me why i was possibly prescribed this?
is it multivitamin? My symptoms were bad so i stopped it now.
2) I have attached my stool test report , please have a look. Night while sleeping i have pain on my back side , just below ribs on the back , on both side.Usually i have this pain when my motion is not clear. I see mucus in wall of my stool .
Would you advise me to take any medication for it? Rifagut will help?
I am mostly constipated , yesterday while farting i felt little moist there , as if little liquid stuff came out. and the fart smells bad .
3) Morease -I , what time should I take it? before food or after?
4) Fodmap chart is tough to follow. I am not having celiac disease as per my blood report , but still i could be intolerant to gluten , is it? like in FODMAP chart i am advised to avoid wheat products.
5) VSL3 is very expensive , any other substitute of it?
Thanks & Regards XXXXXXX
Brief Answer:
Answer given below
Detailed Answer:
Hi,
1. I do not know why your doctor prescribed Zincovit. You need to ask him. Yes , it is a vitamin and minerals preparation.
2. I dont find the stool report here.
3. No specific time criterion for it. You can take it after food.
4. FODMAP diet mentions many other items also. This is specific for IBS.
5. You can discuss with your doctor about the locally available probiotic and take it.
Regards,
Dr.R.K
Answer given below
Detailed Answer:
Hi,
1. I do not know why your doctor prescribed Zincovit. You need to ask him. Yes , it is a vitamin and minerals preparation.
2. I dont find the stool report here.
3. No specific time criterion for it. You can take it after food.
4. FODMAP diet mentions many other items also. This is specific for IBS.
5. You can discuss with your doctor about the locally available probiotic and take it.
Regards,
Dr.R.K
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Thanks , i have attached the report.
I gave stool sample twice , and both the the time same report came.
Anyways regarding the mucus in stool , do u suggest any medicine?
Thanks & Regards XXXXXXX
Thanks , i have attached the report.
I gave stool sample twice , and both the the time same report came.
Anyways regarding the mucus in stool , do u suggest any medicine?
Thanks & Regards XXXXXXX
Brief Answer:
Answer given below
Detailed Answer:
Hi,
As per the stool test report, there is mucus and increased pus cells.
Yes you can take a course of Rifagut.
If colonoscopy not done already, you can get it done.
Regards,
Dr.R.K.
Answer given below
Detailed Answer:
Hi,
As per the stool test report, there is mucus and increased pus cells.
Yes you can take a course of Rifagut.
If colonoscopy not done already, you can get it done.
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
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