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Suggest Treatment For Chronic Heartburn And Burning Pain In Stomach

Posted on Wed, 29 Apr 2015

Question: Ive been dealing with chronic heartburn and burning pain in my stomach. I also have had cramping abdominal pain with nausea. It has just started to effect my everyday life and it gets worse wih exercise. I have started to have loose stools which I use to never have. Ive had a gallbladder ultrasound and it was normal. Ive been tested for h. Pylori bacteria for ulcer came back negative. Ive had my pancreas tested and its normal. Ive taken nexium and it doesnt work. Do I need to get an endoscopy?

Answered by Dr. Dr. Klerida Shehu (2 hours later)

Brief Answer:
Yes,you need upper endoscopy at this moment

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

Having heartburn and burning pain in the stomach are suggestive for possible GERD or gastritis. Yes, I think you need an upper endoscopy for further evaluations and to decide for best treatment strategy.

For the moment, I advise to avoid foods that would aggravate/trigger your symptoms.
Eat often and small portions. Take antacids after meal.
Avoid laying down immediately after eating.

All the best!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Klerida Shehu (1 hour later)

If it is GERD is there medications ot helpt treat it?

Answered by Dr. Dr. Klerida Shehu (17 hours later)

Brief Answer:
yes you will use medication to treat GERD

Detailed Answer:
hi back
If it is GERD you will start the treatment with PPI like omeprazol or pantoprazole and domperidon.
You should also follow the suggestions I mentioned above.
If you have other query I would be glad to assist you further.
WISHING YOU ALL THE BEST
DR.Klerida

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Dr. Klerida Shehu (8 hours later)

Today my stomach had severe cramping and bloating (this isnt period pain) . I took anti acid and anti gas medication but it did not help. I dont know what to take to mak me feel better before I can get an appointment with a gastro doctor. e

Answered by Dr. Dr. Klerida Shehu (19 hours later)

Brief Answer:
you can take omeprazole

Detailed Answer:
Hi back,

I am sorry that your stomach is severely cramping and bloating. I would add :
- omeprazole to ease stomach hyperacidity
- buscopan and domperidone to get relief from cramping

You can ask at your local pharmacy to get them. They usually come without prescription.

You should also continue following the advice as given earlier together with lifestyle and diet changes.

Hope it was of help!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Dr. Klerida Shehu (12 hours later)

I also have had dark black stools

Answered by Dr. Dr. Klerida Shehu (3 hours later)

Brief Answer:
Go to ER.....

Detailed Answer:
Dear XXXX,

If you have black stool you should go as soon as possible to ER.
Black stools is a sign of gastrointestinal bleeding ( stomach bleeding).

Take care.
Dr.Klerida

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Above answer was peer-reviewed by : Dr. Neel Kudchadkar