Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
I Have Gastritis For 9 Months Now. I Have Taken
Question: I have gastritis for 9 months now. I have taken nexium from 40 to 80 mg daily supplemented with pepcid 10 to 20 mg daily. My symptoms have improved only somewhat. I have cut down alcohol to only 3 drinks a week and eat limited amounts of fatty foods. Very little fried foods. Exercise regularly. The main discomfort I have is gnawing unease in lower left stomach. Can you give more ideas on what to do. Some thoughts I have are:
1) Try aciphax for 2 weeks
2)Try stem cell supplements hoping they help stomach lining
3) Any other ideas
4) Continue with present approach of 40 mg nexium plus 10 mg pepcid
Thank you.
1) Try aciphax for 2 weeks
2)Try stem cell supplements hoping they help stomach lining
3) Any other ideas
4) Continue with present approach of 40 mg nexium plus 10 mg pepcid
Thank you.
I have gastritis for 9 months now. I have taken nexium from 40 to 80 mg daily supplemented with pepcid 10 to 20 mg daily. My symptoms have improved only somewhat. I have cut down alcohol to only 3 drinks a week and eat limited amounts of fatty foods. Very little fried foods. Exercise regularly. The main discomfort I have is gnawing unease in lower left stomach. Can you give more ideas on what to do. Some thoughts I have are:
1) Try aciphax for 2 weeks
2)Try stem cell supplements hoping they help stomach lining
3) Any other ideas
4) Continue with present approach of 40 mg nexium plus 10 mg pepcid
Thank you.
1) Try aciphax for 2 weeks
2)Try stem cell supplements hoping they help stomach lining
3) Any other ideas
4) Continue with present approach of 40 mg nexium plus 10 mg pepcid
Thank you.
Brief Answer:
Please give additional information and post reports of investigations
Detailed Answer:
Hi.
Thanks for your query.
Noted your history and understood the concerns.
If I study your query well, I notice that you have written ''gnawing unease in lower left stomach'' which is surely not related to ''gastritis as gastritis pain is always in upper abdomen.
Please give additional information for me to assist you better and have proper interaction to clear your doubts:
Since when is the left lower abdomen pain present?
Stools:
consistency (loose/hard)
Frequency in 24 hours?
any mucus/blood/ black color?
any bloating, nausea, vomiting?
Any other symptoms?
Any relation to food, anxiety, stress, beverages, medications and other factors that increase or decrease pain?
Please post actual reports.
Awaiting for detailed feedback.
With Regards.
Dr T Chandrakant.
General Surgeon.
Please give additional information and post reports of investigations
Detailed Answer:
Hi.
Thanks for your query.
Noted your history and understood the concerns.
If I study your query well, I notice that you have written ''gnawing unease in lower left stomach'' which is surely not related to ''gastritis as gastritis pain is always in upper abdomen.
Please give additional information for me to assist you better and have proper interaction to clear your doubts:
Since when is the left lower abdomen pain present?
Stools:
consistency (loose/hard)
Frequency in 24 hours?
any mucus/blood/ black color?
any bloating, nausea, vomiting?
Any other symptoms?
Any relation to food, anxiety, stress, beverages, medications and other factors that increase or decrease pain?
Please post actual reports.
Awaiting for detailed feedback.
With Regards.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Please give additional information and post reports of investigations
Detailed Answer:
Hi.
Thanks for your query.
Noted your history and understood the concerns.
If I study your query well, I notice that you have written ''gnawing unease in lower left stomach'' which is surely not related to ''gastritis as gastritis pain is always in upper abdomen.
Please give additional information for me to assist you better and have proper interaction to clear your doubts:
Since when is the left lower abdomen pain present?
Stools:
consistency (loose/hard)
Frequency in 24 hours?
any mucus/blood/ black color?
any bloating, nausea, vomiting?
Any other symptoms?
Any relation to food, anxiety, stress, beverages, medications and other factors that increase or decrease pain?
Please post actual reports.
Awaiting for detailed feedback.
With Regards.
Dr T Chandrakant.
General Surgeon.
Please give additional information and post reports of investigations
Detailed Answer:
Hi.
Thanks for your query.
Noted your history and understood the concerns.
If I study your query well, I notice that you have written ''gnawing unease in lower left stomach'' which is surely not related to ''gastritis as gastritis pain is always in upper abdomen.
Please give additional information for me to assist you better and have proper interaction to clear your doubts:
Since when is the left lower abdomen pain present?
Stools:
consistency (loose/hard)
Frequency in 24 hours?
any mucus/blood/ black color?
any bloating, nausea, vomiting?
Any other symptoms?
Any relation to food, anxiety, stress, beverages, medications and other factors that increase or decrease pain?
Please post actual reports.
Awaiting for detailed feedback.
With Regards.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you for your insights.
1) I wrote gnawing unease. It is actually as if some one just touching the stomach on the inside. It is not there all the time. Nexium and pepcid help.
2)This unease is present since Nov 2019. Previously I had it in 2011, took dexilant for 6 months then Zantac and it was fixed in 2012.
3)I have chronic constipation. I was taking 1500 mg of magnesium daily in 2018. Since the unease, I have to take only 250 mg magnesium daily. Psyllium fiber helps but does not soften the stool like magnesium. In 2011, I took too much magnesium and I think that was one factor in causing lower left stomach unease.
4)Stools are once every one to two days. No blood or mucus.No bloating, nausea or vomiting at all.The unease is mild but irritating.
5) In 2012, I had endoscopy. Doctor just found a red spot on the stomach which eventually healed.
6)One year back, anxiety started the unease in stomach. I ignored it, drank more than normal(10 drinks in one week) and those two triggered it. Foods such as grapes, soda make it worse. High fat foods also bad.
7) Normally my stomach is very resilient and I could eat almost anything without any stomach issues.
I hope this gives additional information you need. Looking forward to your detailed reply.
1) I wrote gnawing unease. It is actually as if some one just touching the stomach on the inside. It is not there all the time. Nexium and pepcid help.
2)This unease is present since Nov 2019. Previously I had it in 2011, took dexilant for 6 months then Zantac and it was fixed in 2012.
3)I have chronic constipation. I was taking 1500 mg of magnesium daily in 2018. Since the unease, I have to take only 250 mg magnesium daily. Psyllium fiber helps but does not soften the stool like magnesium. In 2011, I took too much magnesium and I think that was one factor in causing lower left stomach unease.
4)Stools are once every one to two days. No blood or mucus.No bloating, nausea or vomiting at all.The unease is mild but irritating.
5) In 2012, I had endoscopy. Doctor just found a red spot on the stomach which eventually healed.
6)One year back, anxiety started the unease in stomach. I ignored it, drank more than normal(10 drinks in one week) and those two triggered it. Foods such as grapes, soda make it worse. High fat foods also bad.
7) Normally my stomach is very resilient and I could eat almost anything without any stomach issues.
I hope this gives additional information you need. Looking forward to your detailed reply.
Thank you for your insights.
1) I wrote gnawing unease. It is actually as if some one just touching the stomach on the inside. It is not there all the time. Nexium and pepcid help.
2)This unease is present since Nov 2019. Previously I had it in 2011, took dexilant for 6 months then Zantac and it was fixed in 2012.
3)I have chronic constipation. I was taking 1500 mg of magnesium daily in 2018. Since the unease, I have to take only 250 mg magnesium daily. Psyllium fiber helps but does not soften the stool like magnesium. In 2011, I took too much magnesium and I think that was one factor in causing lower left stomach unease.
4)Stools are once every one to two days. No blood or mucus.No bloating, nausea or vomiting at all.The unease is mild but irritating.
5) In 2012, I had endoscopy. Doctor just found a red spot on the stomach which eventually healed.
6)One year back, anxiety started the unease in stomach. I ignored it, drank more than normal(10 drinks in one week) and those two triggered it. Foods such as grapes, soda make it worse. High fat foods also bad.
7) Normally my stomach is very resilient and I could eat almost anything without any stomach issues.
I hope this gives additional information you need. Looking forward to your detailed reply.
1) I wrote gnawing unease. It is actually as if some one just touching the stomach on the inside. It is not there all the time. Nexium and pepcid help.
2)This unease is present since Nov 2019. Previously I had it in 2011, took dexilant for 6 months then Zantac and it was fixed in 2012.
3)I have chronic constipation. I was taking 1500 mg of magnesium daily in 2018. Since the unease, I have to take only 250 mg magnesium daily. Psyllium fiber helps but does not soften the stool like magnesium. In 2011, I took too much magnesium and I think that was one factor in causing lower left stomach unease.
4)Stools are once every one to two days. No blood or mucus.No bloating, nausea or vomiting at all.The unease is mild but irritating.
5) In 2012, I had endoscopy. Doctor just found a red spot on the stomach which eventually healed.
6)One year back, anxiety started the unease in stomach. I ignored it, drank more than normal(10 drinks in one week) and those two triggered it. Foods such as grapes, soda make it worse. High fat foods also bad.
7) Normally my stomach is very resilient and I could eat almost anything without any stomach issues.
I hope this gives additional information you need. Looking forward to your detailed reply.
Some additional information.
A 2019 MRI showed homogeneous T2 hyperintense and T1 hypointense exophytic cyst arising from the upper pole left kidney measuring 6 cm, previously measuring 4 cm on study dated 2011.No hydronephrosis. There is mild diffuse fatty infiltration of liver. The gallbladder is within normal limits. No intrahepatic or extrahepatic biliary dialation. The pancreas is unremarkable in non aggressive unenhanced scan. The adrenal glands are normal. The main pancreatic duct is normal in caliber.
I dont know if this has any relevance to the stomach unease.
A 2019 MRI showed homogeneous T2 hyperintense and T1 hypointense exophytic cyst arising from the upper pole left kidney measuring 6 cm, previously measuring 4 cm on study dated 2011.No hydronephrosis. There is mild diffuse fatty infiltration of liver. The gallbladder is within normal limits. No intrahepatic or extrahepatic biliary dialation. The pancreas is unremarkable in non aggressive unenhanced scan. The adrenal glands are normal. The main pancreatic duct is normal in caliber.
I dont know if this has any relevance to the stomach unease.
Some additional information.
A 2019 MRI showed homogeneous T2 hyperintense and T1 hypointense exophytic cyst arising from the upper pole left kidney measuring 6 cm, previously measuring 4 cm on study dated 2011.No hydronephrosis. There is mild diffuse fatty infiltration of liver. The gallbladder is within normal limits. No intrahepatic or extrahepatic biliary dialation. The pancreas is unremarkable in non aggressive unenhanced scan. The adrenal glands are normal. The main pancreatic duct is normal in caliber.
I dont know if this has any relevance to the stomach unease.
A 2019 MRI showed homogeneous T2 hyperintense and T1 hypointense exophytic cyst arising from the upper pole left kidney measuring 6 cm, previously measuring 4 cm on study dated 2011.No hydronephrosis. There is mild diffuse fatty infiltration of liver. The gallbladder is within normal limits. No intrahepatic or extrahepatic biliary dialation. The pancreas is unremarkable in non aggressive unenhanced scan. The adrenal glands are normal. The main pancreatic duct is normal in caliber.
I dont know if this has any relevance to the stomach unease.
Brief Answer:
Relevant investigations- if normal then IBS
Detailed Answer:
Hi.
Thanks for detailed feedback really helping a lot.
Read and re-read the feedback.
This say the anxiety one year back started the unease in stomach.
Most of symptoms are related to the anxiety/stress based instigation or enhancement and is more suggestive of sort of IBS - irritable bowel syndrome or functional bowel disease.
Gastritis related pains ease out very soon on starting any PPI/Ranitidine/ Famotidine.
The need to take laxatives in any form goes for the same diagnosis.
Fortunately you have undergone MRI of the abdomen showing the results well. Exophytic cyst of left kidney is simple has not to be worried about, most of the patients/persons have some sort of fatty infiltration.
Hence my thoughts and advise with the history you have provided are as follows:
Send the stool samples for 3 consecutive days and if any positive finding then you will be treated accordingly.
To continue with stool softeners and laxative and to change over as this helps in avoiding dependance and gives you the most suitable medicine.
Upper GI Endoscopy helps to see if at all there is gastritis and related issues so that decision can be taken as to whether continue with PPI or are unnecessary.
Colonoscopy helps to know the cause of constipation and rule out any obstruction or so.
If all the relevant investigations as discussed above are normal then your problem can be treated as IBS or so and the best management is through control of anxiety and stress; with or without medications.
I hope this answer helps you the most.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
With Regards.
Dr T Chandrakant.
General Surgeon.
Relevant investigations- if normal then IBS
Detailed Answer:
Hi.
Thanks for detailed feedback really helping a lot.
Read and re-read the feedback.
This say the anxiety one year back started the unease in stomach.
Most of symptoms are related to the anxiety/stress based instigation or enhancement and is more suggestive of sort of IBS - irritable bowel syndrome or functional bowel disease.
Gastritis related pains ease out very soon on starting any PPI/Ranitidine/ Famotidine.
The need to take laxatives in any form goes for the same diagnosis.
Fortunately you have undergone MRI of the abdomen showing the results well. Exophytic cyst of left kidney is simple has not to be worried about, most of the patients/persons have some sort of fatty infiltration.
Hence my thoughts and advise with the history you have provided are as follows:
Send the stool samples for 3 consecutive days and if any positive finding then you will be treated accordingly.
To continue with stool softeners and laxative and to change over as this helps in avoiding dependance and gives you the most suitable medicine.
Upper GI Endoscopy helps to see if at all there is gastritis and related issues so that decision can be taken as to whether continue with PPI or are unnecessary.
Colonoscopy helps to know the cause of constipation and rule out any obstruction or so.
If all the relevant investigations as discussed above are normal then your problem can be treated as IBS or so and the best management is through control of anxiety and stress; with or without medications.
I hope this answer helps you the most.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
With Regards.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
Relevant investigations- if normal then IBS
Detailed Answer:
Hi.
Thanks for detailed feedback really helping a lot.
Read and re-read the feedback.
This say the anxiety one year back started the unease in stomach.
Most of symptoms are related to the anxiety/stress based instigation or enhancement and is more suggestive of sort of IBS - irritable bowel syndrome or functional bowel disease.
Gastritis related pains ease out very soon on starting any PPI/Ranitidine/ Famotidine.
The need to take laxatives in any form goes for the same diagnosis.
Fortunately you have undergone MRI of the abdomen showing the results well. Exophytic cyst of left kidney is simple has not to be worried about, most of the patients/persons have some sort of fatty infiltration.
Hence my thoughts and advise with the history you have provided are as follows:
Send the stool samples for 3 consecutive days and if any positive finding then you will be treated accordingly.
To continue with stool softeners and laxative and to change over as this helps in avoiding dependance and gives you the most suitable medicine.
Upper GI Endoscopy helps to see if at all there is gastritis and related issues so that decision can be taken as to whether continue with PPI or are unnecessary.
Colonoscopy helps to know the cause of constipation and rule out any obstruction or so.
If all the relevant investigations as discussed above are normal then your problem can be treated as IBS or so and the best management is through control of anxiety and stress; with or without medications.
I hope this answer helps you the most.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
With Regards.
Dr T Chandrakant.
General Surgeon.
Relevant investigations- if normal then IBS
Detailed Answer:
Hi.
Thanks for detailed feedback really helping a lot.
Read and re-read the feedback.
This say the anxiety one year back started the unease in stomach.
Most of symptoms are related to the anxiety/stress based instigation or enhancement and is more suggestive of sort of IBS - irritable bowel syndrome or functional bowel disease.
Gastritis related pains ease out very soon on starting any PPI/Ranitidine/ Famotidine.
The need to take laxatives in any form goes for the same diagnosis.
Fortunately you have undergone MRI of the abdomen showing the results well. Exophytic cyst of left kidney is simple has not to be worried about, most of the patients/persons have some sort of fatty infiltration.
Hence my thoughts and advise with the history you have provided are as follows:
Send the stool samples for 3 consecutive days and if any positive finding then you will be treated accordingly.
To continue with stool softeners and laxative and to change over as this helps in avoiding dependance and gives you the most suitable medicine.
Upper GI Endoscopy helps to see if at all there is gastritis and related issues so that decision can be taken as to whether continue with PPI or are unnecessary.
Colonoscopy helps to know the cause of constipation and rule out any obstruction or so.
If all the relevant investigations as discussed above are normal then your problem can be treated as IBS or so and the best management is through control of anxiety and stress; with or without medications.
I hope this answer helps you the most.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
With Regards.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you for your insights.
1) I understand that IBS is a chronic disease. In my case it happened 8 years back and I was 100 percent healed. Does that point against IBS ?
2)Should I continue with PPI while doing additional investigations?
3)Are there specific medicines you recommend for IBS ?
Thank you.
1) I understand that IBS is a chronic disease. In my case it happened 8 years back and I was 100 percent healed. Does that point against IBS ?
2)Should I continue with PPI while doing additional investigations?
3)Are there specific medicines you recommend for IBS ?
Thank you.
Thank you for your insights.
1) I understand that IBS is a chronic disease. In my case it happened 8 years back and I was 100 percent healed. Does that point against IBS ?
2)Should I continue with PPI while doing additional investigations?
3)Are there specific medicines you recommend for IBS ?
Thank you.
1) I understand that IBS is a chronic disease. In my case it happened 8 years back and I was 100 percent healed. Does that point against IBS ?
2)Should I continue with PPI while doing additional investigations?
3)Are there specific medicines you recommend for IBS ?
Thank you.
Brief Answer:
As detailed below.
Detailed Answer:
IBS 8 years back and again goes in favor of diagnosis of IBS but surely the basic investigations should be within normal limits for confirmation of IBS.
The symptom-free period in between indicates that the instigating factors were under control and the recent anxiety instigated or enhanced the problems.
Suppressing acid secretions all the time is not a good idea unless diagnosed well by an upper GI Endoscopy.
Since the medicines are prescription based your have to get a prescription from your Doctor. Please consult your Doctor to discuss and get a valid prescription. You may please give feedback as to what has been started.
Good control of the anxiety and/or stress by avoiding all the factors, foods, beverages may not need any medication. It is possible to control these factors on your own in many of the cases.
Take care well and you will be well, get investigations done and post the reports.
Feel free to ask for further relevant queries if you feel that there is a gap of communication.
With Regards
Dr T Chandrakant
As detailed below.
Detailed Answer:
IBS 8 years back and again goes in favor of diagnosis of IBS but surely the basic investigations should be within normal limits for confirmation of IBS.
The symptom-free period in between indicates that the instigating factors were under control and the recent anxiety instigated or enhanced the problems.
Suppressing acid secretions all the time is not a good idea unless diagnosed well by an upper GI Endoscopy.
Since the medicines are prescription based your have to get a prescription from your Doctor. Please consult your Doctor to discuss and get a valid prescription. You may please give feedback as to what has been started.
Good control of the anxiety and/or stress by avoiding all the factors, foods, beverages may not need any medication. It is possible to control these factors on your own in many of the cases.
Take care well and you will be well, get investigations done and post the reports.
Feel free to ask for further relevant queries if you feel that there is a gap of communication.
With Regards
Dr T Chandrakant
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
As detailed below.
Detailed Answer:
IBS 8 years back and again goes in favor of diagnosis of IBS but surely the basic investigations should be within normal limits for confirmation of IBS.
The symptom-free period in between indicates that the instigating factors were under control and the recent anxiety instigated or enhanced the problems.
Suppressing acid secretions all the time is not a good idea unless diagnosed well by an upper GI Endoscopy.
Since the medicines are prescription based your have to get a prescription from your Doctor. Please consult your Doctor to discuss and get a valid prescription. You may please give feedback as to what has been started.
Good control of the anxiety and/or stress by avoiding all the factors, foods, beverages may not need any medication. It is possible to control these factors on your own in many of the cases.
Take care well and you will be well, get investigations done and post the reports.
Feel free to ask for further relevant queries if you feel that there is a gap of communication.
With Regards
Dr T Chandrakant
As detailed below.
Detailed Answer:
IBS 8 years back and again goes in favor of diagnosis of IBS but surely the basic investigations should be within normal limits for confirmation of IBS.
The symptom-free period in between indicates that the instigating factors were under control and the recent anxiety instigated or enhanced the problems.
Suppressing acid secretions all the time is not a good idea unless diagnosed well by an upper GI Endoscopy.
Since the medicines are prescription based your have to get a prescription from your Doctor. Please consult your Doctor to discuss and get a valid prescription. You may please give feedback as to what has been started.
Good control of the anxiety and/or stress by avoiding all the factors, foods, beverages may not need any medication. It is possible to control these factors on your own in many of the cases.
Take care well and you will be well, get investigations done and post the reports.
Feel free to ask for further relevant queries if you feel that there is a gap of communication.
With Regards
Dr T Chandrakant
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
