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Having Upper Abdominal Pain And Heartburn. Taking Pantaprazole. Safe Remedy?

Posted on Tue, 5 Feb 2013

Question: I have been having frequent stomach aches - pain in upper abdomen area and heartburn. 1-2times a week. It comes suddently and lasts for about 30-40 minutes. When this happens I genrally take antacid - sucral, eno. I have been taking pantaprazole daily since over a month. Even that doesn't seem to help much.

Please advise. What could be the cause of pain?

Answered by Dr. Om Lakhani (1 hour later)

Hi XXXXXXX

Thanks for writing in to WWW.WWWW.WW
I have taken a note of your symptoms. I would suggest you that we do the following tests

1. Ultrasound of abdomen and KUB (fasting)
2. Serum Lipase (blood test)

Also I would like to know the following :

1. Is the pain after meals ?
2. Is there any problems in motions ?

The pain you have described is most probably a colic. The tests are mainly to rule other things out. What you need is some good anti-spasmodic agent (a GP nearby can prescribe it to you, It May be taken with or without food.). I would advise you to take Pantocid-L instead of plain Pantocid and continue it for alteast another month.

Do get back to me with the reports I suggested.

Hope I have answered your query. If you have any further questions I will be happy to help.

Regards
Dr. Om Lakhani, MD
Consultant Physician
Former XXXXXXX Registrar, Asian Institute of Gastroenterology, Hyderabad.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Om Lakhani (28 hours later)

Thank you doctor for the quick response.

Answers to your questions -
1. Is the pain after meals ? NO
2. Is there any problems in motions ? NO

Since pain attacks became too frequent, I consulted a local gantroenterologist close to my home. He said I had slightly enlarged liver and suggested Endoscopy, Liver function test and Lipid profile. All reports have come out normal and blood test results are all within limits. He said I had indigestion issues. enlarged liver could be due to fat deposits as I am slightly overweight.

He suggested the below medicines-
Cintodac (Cinitapride and Pantoprazole) - 30 days, 1 tablet a day
Pruf-p (Flupirtine maleate & paracetamol) - pain killer on demand

Are these medicines safe for a lactating mother?

Do I still need these tests?
1. Ultrasound of abdomen and KUB (fasting)
2. Serum Lipase (blood test)

Please advise. Thanks.

Answered by Dr. Om Lakhani (15 minutes later)

Hi XXXXXXX,

I am sorry but both the components of cintodac are not safe during lactation. I would suggest you to use simple anatacids instead which are safest during lactation. All other acidity medications carry some warning or precautions. I would still advise you to get an Ultrasound done just to rule out something else

I wouldn't worry about the enlarged liver size much. You can try loosing some weight, that helps in most cases.

Hope this helps

Regards.
Dr. Om

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar