How Should Severe Stomach Cramps, Fatigue, Nausea, Black Feces And Dizziness Be Treated While On Several Medication For Acute Idiopathic Intracranial Hypertension?
Drug induced gastritis.
Detailed Answer:
Hello,
The symptoms you are describing are mostly suggestive of severe gastritis as a result of taking a number of medicines at a time.
You were on 20 types of medicines plus a combination of two antibiotics in very high dose with a proton pump inhibitor is added further.Usually high dose combination of Amoxicillin clarithromycin and metronidazole is given to treat H.pylori.But right now with 20 other medicines i don't think its a good idea to treat H.pylori.Its difficult for mucosa to tolerate such high doses of antibiotics with other medicines.Therefore my suggestion is stop therapy for H.pylori for the time being.
Once your medicines for intracranial hypertension are tappered off start taking H.pylori medication.
As of now add a ppi like Omeprazole 40 mg twice daily with antacid to provide relief from symptoms of gastritis.
Drink chilled milk to neutralise the acid in stomach.
I can't find any attachement so you have to repost them with follow up.
However a cocktail of so many medicines given at one time is not a good idea.
waiting for follow up.
Thanks.
Treatment is not good.
Detailed Answer:
Hello again my dear patient,
For treating H pylori the combination you have mentioned is a very old one used in 80's and 90's to treat it
tetracycline 250 mg (2 tablets, 4 times a day), TriPotassium DiCitratobisumthate 120mg (1 tablet, 4 times a day) and Metronidazole 250mg (1 tablet, 4 times a day).
Please consult another doctor and get a prescription for
Amoxicillin 1000 mg twice daily
Clarithromycin 500mg twice daily
Lansoprazole 30 mg twice daily
This combination is to be used for 21 days.
It consists of latest medicines which are very well tolerated by patients and eradication rate is also very high.
Stop the medications you are on.Your symptoms are side effect of medicines you are on.
Regards.
I just wanted to mention that I am allergic to penicillin; therefore, what would you recommend in place of Amoxicillin?
Many thanks once again.
Follow up answer.
Detailed Answer:
Hello again,
Thanks for follow up,
Metronidazole 400mg twice daily can be taken as a part of triple therapy.
Regards.