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Suffer Abdominal Pain. Diagnosed Gastritis. Prescribed Nexium. Have Shortness Of Breath, Belching, Bloating And Loss Of Appetite. Help?

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Posted on Tue, 22 Oct 2013
Question: Hi. I got this upper abdominal pain which was almost constant. Was diagnosed with gastritis 8 years ago but it healed in month and symptoms didnt return till now. Went to GP, he prescribed me Nexium 40 mg for month. Pain was still here and other symptoms appeared as well, shortness of breath, belching, bloating, loss of appetite, weight loss, weakness, sore throat, cough at night. Went to gastroenterologist and did EGD. Diagnosed with GERD due to insufficient gastric cardia and chronic gastritis. Told to finish Nexium therapy of 40 mg and then start 20 mg for 2 weeks. Despite taking nexium, pain was still here. After finishing therapy, my appetite came back and i started eating more but after every meal there is always belching. Also, i lost 12 pounds during 2 months. Now the pain is constant but not so intense. Still have nausea in the morning, shortness of breath and weakness. I become depressed with all of these because i dont even wanna go out anymore with this pain. Also, found lump under jaw and GP told me that i have inflamed throat so i got antibiotics. On second day of antibiotics, my stomach got really upset, i could feel discomfort in my lower abdomen for the first time, stomach started making noises and got really upsetting nausea and increased bowel movement. So i wander, can this healing with gastritis take this long and could antibiotics be the cause of worsening of my symptoms?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (2 hours later)
Brief Answer:
I need more information

Detailed Answer:
Hi,

Please do let me know specifically about these 2 points so that I could guide you specifically.

I would like to know whether you were tested for H.pylori infection.
I would also like to know whether you are a diabetic.

Kindly get back to me with these information and I would give my opinion.
Regards,
Dr.Ratnakar Kini
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (6 hours later)
I had stool antigen test for H.pylori and it was negative. Also had blood test and fasting glucose level was in normal range (4.4mmol/L). Also did complete blood count and iron test and everything normal so no signs of anemia.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (9 hours later)
Brief Answer:
Detailed answer given below.

Detailed Answer:
Hi XXXXXXX
4-8 weeks of treatment with PPI like Nexium is enough to cure gastritis.
Good to hear that you are negative for H.pylori.

You have symptoms of GERD. In addition to Nexium, you need some lifestyle and dietary changes for complete relief. If you are obese, you need to reduce weight. You need to avoid coffee, citrus, tomatoes, chocolates, fatty food, alcohol and smoking. You should avoid heavy meals and eat multiple small frequent meals. You should avoid bedtime snacks and go to bed 2-3 hours after food.

The inflamed throat could be due to GERD only. Taking antibiotics could have possible caused your new symptoms. Get a stool test done.
Take probiotic supplements for better relief.

Let me know if I can assist you further.
Regards,
Dr.Ratnakar Kini
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2208 Questions

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Suffer Abdominal Pain. Diagnosed Gastritis. Prescribed Nexium. Have Shortness Of Breath, Belching, Bloating And Loss Of Appetite. Help?

Brief Answer:
I need more information

Detailed Answer:
Hi,

Please do let me know specifically about these 2 points so that I could guide you specifically.

I would like to know whether you were tested for H.pylori infection.
I would also like to know whether you are a diabetic.

Kindly get back to me with these information and I would give my opinion.
Regards,
Dr.Ratnakar Kini