What Does Twinging Sensation In And Around Stomach Indicate?
 
                                    
                                    
                                                
                                                Wed, 22 Apr 2015
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Tue, 19 May 2015
                                                
                                                
                                                Last reviewed on
                                             
                                            Empiric treatment for 2 weeks , endoscopy if no improvement
Detailed Answer:
Hello and Welcome
I appreciate your concern
Based on your description and use of Prilosec previously, the most likely diagnosis is GERD ( Gastresophageal Reflux Disease ). Peptic ulcer disease / Gastritis can be the subsequent most likely diagnosis based on severity. I would initially recommend a two week course of a PPI like Esomeprazole and a pro kinetic like metoclopramide or itopride along with sucralfate and bismuth subsalicylate to see for improvement of symptoms , if symptoms persist or worsen then upper G.I endoscopy should be considered to rule out other causes , in consult with a gastroenterologist.
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
Dr. M.S. Khalil
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