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Suggest Treatment For Gastritis
Question: Yes, that would be helpful
My 26 year old daughter has had a number of symptoms all winter that worsened in the past couple of weeks. She has a history of Lyme (had twice when she was 13 and 15) that never seemed to quite resolve and she has been diagnosed with polycystic ovaries.
Here's her list of concerns:
On and off nausea since Feb. mostly in the mornings, but throughout the day.
Difficulty in finding foods to eat that don't make the nausea worse, this past week.
On and off diarrhea/some constipation since Feb.
Sometimes sharp pains in lower abdomen, come on suddenly, especially with sudden movements in the wrong way, straining that area's muscles
Really stinky and constant gas for about a week two weeks ago, and more than usual since then, but not as bad.
Missed a period, and frequently have periods up to two weeks late.
Occasional metallic smell, like I'm getting a bloody nose, but no blood.
Increased exhaustion, soreness since XXXXXXX or before. Knees have been worse.
Allergy symptoms.
Yesterday and today, fever-like pains all over, no fever. (sore skin/muscle).
Some pain during sex, similar to the sharp pains in my lower abdomen (Probably the cysts).
sciatica
Difficulty getting up and down from a sitting position, especially on the floo
The joint achiness, sciatica, and even the "sore skin/muscle" are something she gets often over the past many years, although she says they are much worse this year. She has always believed they are lingering effects of the Lyme.
My 26 year old daughter has had a number of symptoms all winter that worsened in the past couple of weeks. She has a history of Lyme (had twice when she was 13 and 15) that never seemed to quite resolve and she has been diagnosed with polycystic ovaries.
Here's her list of concerns:
On and off nausea since Feb. mostly in the mornings, but throughout the day.
Difficulty in finding foods to eat that don't make the nausea worse, this past week.
On and off diarrhea/some constipation since Feb.
Sometimes sharp pains in lower abdomen, come on suddenly, especially with sudden movements in the wrong way, straining that area's muscles
Really stinky and constant gas for about a week two weeks ago, and more than usual since then, but not as bad.
Missed a period, and frequently have periods up to two weeks late.
Occasional metallic smell, like I'm getting a bloody nose, but no blood.
Increased exhaustion, soreness since XXXXXXX or before. Knees have been worse.
Allergy symptoms.
Yesterday and today, fever-like pains all over, no fever. (sore skin/muscle).
Some pain during sex, similar to the sharp pains in my lower abdomen (Probably the cysts).
sciatica
Difficulty getting up and down from a sitting position, especially on the floo
The joint achiness, sciatica, and even the "sore skin/muscle" are something she gets often over the past many years, although she says they are much worse this year. She has always believed they are lingering effects of the Lyme.
Brief Answer:
Lifestyle modification and stress reduction is important
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. Your daughter seems to be suffferring from gastritis. This is responsible for her nausea as well as constipation. Constipation alternates with diarrhea. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper.
In order to relieve herself, she needs to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
The menstrual irregularities are seemingly unrelated. Getting an ultrasound of the lower abdomen would be the first step to investigate it.
Regarding sciatica, the vicious cycle of pain and muscle spasm needs to be broken and I would insist her to take paracetamol or acetaminophen 500 mg two tablets together twice or thrice daily for next 3 days. This should ease the problem and make it go away. If it does not, I would insist her to get a X Ray of Lumbosacral spine (AP and lateral) done and to see a physical therapist with the reports. Based on the findings he would be able to demonstrate proper exercises that should provide relief.
Hopefully that should help.
Let me know if I could help further.
Regards
Lifestyle modification and stress reduction is important
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. Your daughter seems to be suffferring from gastritis. This is responsible for her nausea as well as constipation. Constipation alternates with diarrhea. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper.
In order to relieve herself, she needs to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
The menstrual irregularities are seemingly unrelated. Getting an ultrasound of the lower abdomen would be the first step to investigate it.
Regarding sciatica, the vicious cycle of pain and muscle spasm needs to be broken and I would insist her to take paracetamol or acetaminophen 500 mg two tablets together twice or thrice daily for next 3 days. This should ease the problem and make it go away. If it does not, I would insist her to get a X Ray of Lumbosacral spine (AP and lateral) done and to see a physical therapist with the reports. Based on the findings he would be able to demonstrate proper exercises that should provide relief.
Hopefully that should help.
Let me know if I could help further.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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