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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain Under The Right Rib Cage With Metallic Taste In Mouth?

Hello. I have had pain under my right rib cage for 2 months. Now also a small cough, sore throat and metallic taste in past month. Hida scan was negative. The abdominal pain varies in locations from day to day but mostly under right rib cage. Sometimes abdomen feels rigid. Nausea is non stop. Everything else is ok. No other medical history of significance.
Tue, 28 Feb 2017
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Gastroenterologist,  's  Response
Hui
The problem you are having is heart burn due to reflux esophagitis
Proton pump inhibitor like Omeprazole and all other proton pump inhibitors are very safe medicines and can be taken for years without any side effectl
request your Gastroenterologist to prescribe you Levosulpiride once daily in combination with proton pump inhibitor. This will help you symptomatically in long term.
Food advice
Follow a High fiber diet.
Drink lots of Cold milk.
Take lots of yogurt in food.
Avoid any fast food for few months.
No fried food or spicy food.
Increase luke warm water intake
Do not drink water during and after meals
Don't drink juices of citric fruits like orange,It may increase acidity.
No smoking and alcohol.
Restrict Tea or Cofee.
Try to eat a lot of fresh salad,Vegetables and fruits.
Thanks.
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What Causes Pain Under The Right Rib Cage With Metallic Taste In Mouth?

Hui The problem you are having is heart burn due to reflux esophagitis Proton pump inhibitor like Omeprazole and all other proton pump inhibitors are very safe medicines and can be taken for years without any side effectl request your Gastroenterologist to prescribe you Levosulpiride once daily in combination with proton pump inhibitor. This will help you symptomatically in long term. Food advice Follow a High fiber diet. Drink lots of Cold milk. Take lots of yogurt in food. Avoid any fast food for few months. No fried food or spicy food. Increase luke warm water intake Do not drink water during and after meals Don t drink juices of citric fruits like orange,It may increase acidity. No smoking and alcohol. Restrict Tea or Cofee. Try to eat a lot of fresh salad,Vegetables and fruits. Thanks.