
Suggest Treatment For Abdominal Pain Caused By Mild Gastritis

Question: Hi, from 2 weeks ago, I can't eat meal as I usually do. I can only eat about 1/3-1/2 of the normal size. I started losing weight about 1 pound per day in the 1st week and about half pound /day in this week. After eating a small portion of food, I feel full. I used to have mild gastritis and I did a gastroscope today, the doctor said everything is fine in my stomach, but I still feel full after eating only small meal. When I feel full, I can feel that my stomach is kind of "weighting down" or "dragging" on my chest and back. I still have good appetite so far, but I can't eat much. When I'm hungry, esp in the afternoon, I feel pain in my stomach and the area between left rib and spleen (once the pain started, eating some food will alleviate it a bit but won't reduce it completely.
Brief Answer:
Gastroparesis?
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
You probably have gastroparesis.
Losing weight however is abnormal.
Any other medical illness you have?
Please upload all your reports.
Regards,
Dr.R.K.
Gastroparesis?
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
You probably have gastroparesis.
Losing weight however is abnormal.
Any other medical illness you have?
Please upload all your reports.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


The report will probably be available in a week or so. Here is the background:
- I went to see doctor 3 years ago. The key symptoms are: eating cold food will make my stomach "heavy" - as if the cold foods are stuck in the stomach; when I'm hungry in the afternoon (e.g. long commute) w/o eating, the stomach feels really uncomfortable and sometimes with dull pain. Other than that, everything is normal, no losing weight, appetite is good. I had been diagnosed with mild gastritis and H.pylori was found in my stomach. After taking some medicine and then gastroscope, I was told H.pylori is gone but the symptoms mentioned above still exists
- I started working out in the gym and tried to bulk up about 1 year ago and I ate a lot of fruit, protein and adding meal in the between. I didn't have any issue except felt full all day long - which is expected since I eat so much (but I still can't eat or drink cold food/drink)
- I dropped the working-out about 6 month ago and then picked it up again about 2-3 month ago. I started with bulking, everything was fine - my weight grew slowly, so was my strength until about 2-3 weeks ago. My weight didn't grow anymore and about 2 weeks ago, I suddenly can't eat normal size of meal and since then my weight lost drastically, 1 pound/day for the 1st week and half pound/day for next week.
- Now I can only eat about 1/3-1/2 of the normal meal and then immediately feel full. Eating even a small piece of meat will make it even worse. I still have relatively good appetite, but I just can't eat much due to the fullness.
- After each meal, If I stand up and walk slowly for a while, it will alleviate the symptom. If I sit or lying down, it will get worse.
- I feel losing the strength and I have to take much longer sleep to recharge.BTW, I used to have (about 1 year ago) heartburn when I drink soup or water before meal. I found that if I drink liquid after meal or if I change the drink to a carbonated drink (like coke), heartburn will be reduced to a level I can almost ignore.
- I went to see doctor 3 years ago. The key symptoms are: eating cold food will make my stomach "heavy" - as if the cold foods are stuck in the stomach; when I'm hungry in the afternoon (e.g. long commute) w/o eating, the stomach feels really uncomfortable and sometimes with dull pain. Other than that, everything is normal, no losing weight, appetite is good. I had been diagnosed with mild gastritis and H.pylori was found in my stomach. After taking some medicine and then gastroscope, I was told H.pylori is gone but the symptoms mentioned above still exists
- I started working out in the gym and tried to bulk up about 1 year ago and I ate a lot of fruit, protein and adding meal in the between. I didn't have any issue except felt full all day long - which is expected since I eat so much (but I still can't eat or drink cold food/drink)
- I dropped the working-out about 6 month ago and then picked it up again about 2-3 month ago. I started with bulking, everything was fine - my weight grew slowly, so was my strength until about 2-3 weeks ago. My weight didn't grow anymore and about 2 weeks ago, I suddenly can't eat normal size of meal and since then my weight lost drastically, 1 pound/day for the 1st week and half pound/day for next week.
- Now I can only eat about 1/3-1/2 of the normal meal and then immediately feel full. Eating even a small piece of meat will make it even worse. I still have relatively good appetite, but I just can't eat much due to the fullness.
- After each meal, If I stand up and walk slowly for a while, it will alleviate the symptom. If I sit or lying down, it will get worse.
- I feel losing the strength and I have to take much longer sleep to recharge.BTW, I used to have (about 1 year ago) heartburn when I drink soup or water before meal. I found that if I drink liquid after meal or if I change the drink to a carbonated drink (like coke), heartburn will be reduced to a level I can almost ignore.
Brief Answer:
?Gastroparesis and GERD
Detailed Answer:
Hi,
Thanks for the additional information.
The loss of weight could be probably be due to inadequate intake of food.
You are having probable gastroparesis and gastroesophageal reflux disease.
You need a repeat gastroscopy and if needed gastric emptying scan to confirm the diagnosis.
You can also get a breath test or a stool test to check for H.pylori again.
If blood glucose was not checked already, get the test done.
You can take Nexium and Reglan for relief.
Regards,
Dr.R.K
?Gastroparesis and GERD
Detailed Answer:
Hi,
Thanks for the additional information.
The loss of weight could be probably be due to inadequate intake of food.
You are having probable gastroparesis and gastroesophageal reflux disease.
You need a repeat gastroscopy and if needed gastric emptying scan to confirm the diagnosis.
You can also get a breath test or a stool test to check for H.pylori again.
If blood glucose was not checked already, get the test done.
You can take Nexium and Reglan for relief.
Regards,
Dr.R.K
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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