
Severe Pain After Taking Aleve With Alcohol, Nausea, Loss Of Appetite, Black Stools. Symptoms Of Gastritis ?

Anyway im uninsured and i broke down and went to the ER. They did an ultrasound of my gullbladder (gallbladder) various blood test and a urainalysis and diagnosed me with Gastritis and prescribed me Prilisac. and some nausea medication and told me to also use OTC Maalox.
My question is are these symptoms normal for gastritis and how long can i expect this to go on?
Thanks for the query.
Upper abdominal pain in a person who had taken pain-killers and alcohol can occur because of
1. Gastric/duodenal ulcer
2. Acute pancreatitis.
Your description of pain, black loose stools, tachycardia (rapid heart rate), and pale skin favours the diagnosis of ulcer, which is complicated by bleeding resulting in black stools and pallor, low blood pressure and giddiness.
I am sure, the ER persons had considered this possibility and has recommended you prilisac. As you are providing me history of black stool, dizziness and pale skin, there is possibility of significant bleeding. In such circumstances, upper gastrointenstinal endoscopy needs to be considered.
Upper gastrointenstinal endoscopy will not only rule out actively bleeding ulcer, it will also help rule out other causes, and if biopsy is obtained, helicobacter pylori infection can also be ruled out. I suppose, you are not actively bleeding, as must have judged by ER personnel.
The other diagnosis of pancreatitis can be ruled out by getting serum amylase, and ultrasound abdomen/CT abdomen.
I would like to advise you to avoid any pain-killer, continue prilisac and get in touch with your regular GI(gastrointenstinal) specialist for further work up.
Regards
Dr Vaibhav Banait
MD (Medicine), DNB (Medicine), DM (Gastro-Enterology)
Consultant Gastro-Enterologist and Hepatologist
Therapeutic Endoscopist

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