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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Upper Abdominal Issues, GI And Rheumatology Treatment Done. What Could Be The Issue?

I have been experiencing upper abdominal issues for almost 7 months. I have been to a GI doctor and been diagnosed with GERD and erosive esophagitis and they are treating with proton pump inhibitors and I have been using them for over 3 months and I continue to have nausea, vomitting, abdominal pain and bloating along with terrible belching . I went to a rheumatologist and I have increased levels of creative protein but no one seems to be able to figure this out. Do you have any idea what might be going on?
posted on Fri, 21 Dec 2012
Twitter Wed, 2 Jan 2013 Answered on
Twitter Thu, 3 Jan 2013 Last reviewed on
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Gastroenterologist,  's  Response
Hello, livcamncod33,
I am assuming that your diagnosis of GERD and erosive esophagitis was made
after endoscopy and biopsy. I hope you were also tested for H.Pylori.
Ask the GI doctor, if these were done. You have been on PPIs for over three
months. I am not sure if you are on a single dose or twice daily dosage.
The best time to take the PPI is about an hour to hour and a half before your
main meals.
I am sure you have been told to avoid excess caffeine, alcohol, tomato based
products, excess dairy . Milk contains calcium and it can stimulate acid biuldup.
You mention about increased levels of C-Reactive protein. All that means is
that you have some degree of inflammation, regardless of the location.
If you are following the above guide lines , and still having same symptoms,
you should make another appointment with the GI doctor for re-evaluation.
Some times , changing to a different PPI might work.
I wish you well.
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Severe Upper Abdominal Issues, GI And Rheumatology Treatment Done. What Could Be The Issue?

Hello, livcamncod33, I am assuming that your diagnosis of GERD and erosive esophagitis was made after endoscopy and biopsy. I hope you were also tested for H.Pylori. Ask the GI doctor, if these were done. You have been on PPIs for over three months. I am not sure if you are on a single dose or twice daily dosage. The best time to take the PPI is about an hour to hour and a half before your main meals. I am sure you have been told to avoid excess caffeine, alcohol, tomato based products, excess dairy . Milk contains calcium and it can stimulate acid biuldup. You mention about increased levels of C-Reactive protein. All that means is that you have some degree of inflammation, regardless of the location. If you are following the above guide lines , and still having same symptoms, you should make another appointment with the GI doctor for re-evaluation. Some times , changing to a different PPI might work. I wish you well.