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What To Do For Severe Gastritis And Abdominal Cramping And Swelling?

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Posted on Mon, 16 Jul 2018
Twitter Mon, 16 Jul 2018 Answered on
Twitter Wed, 23 Nov 2022 Last reviewed on
Question : Greetings. I have severe gastritis and abdominal cramping and swelling which has been going on for four days. My stomach is swollen and for the small amount of food I ate, this should not be. I have had bouts with ITBS in the past from time to time but never this severe. My diet is fairly good, and I am in good health overall. Do you have suggestions to decrease the bloating and severe cramping. I do not want to go to the emergency room only to be diagnosed with ITBS but the pain is really severe. Do you recommend interventions as a colonic or enima? Will this help.
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Enema is required only if you are constipated for more then 5 days.

Detailed Answer:
Hello,

Take cibis (contains Chlordiazepoxide, Clidinium Bromide, and Dicyclomine) consult your local pharmacy for this salt combination.

Why cibis?
Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of cramps.
Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
They are all antispasmodics and would help with spasms in intestines.

For bloating and gas take Tab Nexium.
Take a probiotic improves overall symptoms.
Food pattern recommended is-
Eat simple and natural home cooked food.
If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders.
Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you.
No pizza,Burger, Red meat, and dairies for few weeks.
No alcohol or smoking.

As to take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can.Follow your body increase their uptake gradually.
Drink lots of juices and fresh water daily. Drink cleaner water, it will help a lot.
Avoid over spicy and heavy food.

If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things.

In case you need any other help feel free to ask.I would be happy to help you.

Enema is required only if you are constipated from 4-5 days.

Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ramesh Kumar (8 hours later)
Thanks very much for this information. I take a probiotic with meals currently. Also, is there any way to identify or locate a gastroenterologist that uses a homeopathic approach with herbs as an options to the drugs you recommend?

How can I be sure that more serious conditions are not present (i.e. colon cancer, liver stones, etc.). Do I need an MRI to be sure? I do not have symptoms other than the ones I presented before.

If I visit a gastroenterologist, what is the normal process I can expect to make sure that other adverse medical conditions are not present at this time. I am not insured so is there an estimated amount for cash purposes that I will need for any routine testing?
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Follow up: Dr. Ramesh Kumar (10 hours later)
Just checking in to make sure you received my follow-up question. Please reply to confirm. Thanks.
doctor
Answered by Dr. Ramesh Kumar (6 hours later)
Brief Answer:
Follow up suggestions.

Detailed Answer:
Hello again,
1)In case you want to go for herbs etc you could consult an ayurvedic specialist on this forum.
Ayurvedic is a branch of medical science who deals specifically with herbal medicines.

2)You need to go through this small briefing for Irritable bowel syndrome before getting your answer.
In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.

Recent studies by French scientists have indicated that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors.

Further data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important.

So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).

SO THE CRITERIA OF LABELING PATIENT AS HAVING IBS IS TO GET ALL BASELINE INVESTIGATIONS LIKE-
Serum calprotectin
stool routine microscopy culture and sensitivity
Colonoscopy and a CT abdomen done.
MRI is not required any tumor polyp etc would be reflected by above tests.
If all these tests are normal and patient is yet symptomatic patient is treated on guidelines of IBS.
For a estimated cash value you could just call a gastroenterologist P.A and they would give you a estimate.

Hope i was helpful.
Follow ups are welcome!
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2901 Questions

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What To Do For Severe Gastritis And Abdominal Cramping And Swelling?

Brief Answer: Enema is required only if you are constipated for more then 5 days. Detailed Answer: Hello, Take cibis (contains Chlordiazepoxide, Clidinium Bromide, and Dicyclomine) consult your local pharmacy for this salt combination. Why cibis? Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of cramps. Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain. They are all antispasmodics and would help with spasms in intestines. For bloating and gas take Tab Nexium. Take a probiotic improves overall symptoms. Food pattern recommended is- Eat simple and natural home cooked food. If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders. Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you. No pizza,Burger, Red meat, and dairies for few weeks. No alcohol or smoking. As to take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can.Follow your body increase their uptake gradually. Drink lots of juices and fresh water daily. Drink cleaner water, it will help a lot. Avoid over spicy and heavy food. If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things. In case you need any other help feel free to ask.I would be happy to help you. Enema is required only if you are constipated from 4-5 days. Thanks.