Suggest Treatment For Acidity And Burning Sensation In Neck And Belly
Detail Follows.
Detailed Answer:
Dear Friend.
Welcome to HCM . I am Dr Anshul Varshney. I understand your concern.
It seems you are suffering from Acid Peptic Disease. The cause of that or you can say triggers are alcohol and smoking.
I advise following in such situations:
1. To take a combination of Pantoprazole and Domperidone once a day instead of plain Famotidine or Pantoprazole.
2. To take a anti flatulent / anti acidity syrup which contains Simethicone. Very commonly used is Syrup Digene/ Gelusil.
3. To take soft and bland diet for a few days.
4. Walk after every meal.
5. Take frequent meals instead of 3 heavy meals.
6. Say NO to alcohol and smoking.
In case you have taken the combination of Pantoprazole and Domperidone earlier with no relief you can take a combination of Pantoprazole with Levosulpride available with name Pantocid-L once a day.
Follow these medications for 7 days. Even after that if your problem persists you would require Upper Gastro Intestinal Endoscopy.
If you have any further query please ask me.
Stay Healthy.
I'm taking pantoprazole 40 with domperdome SR 30 combination and Gelusil mps 10ml 30 mns after each meal. It seems that the condition is improving but perhaps mucus is mixed with stool.. and gas is forming after each heavy meal.. but acidity is less, would you like to suggest any more medication because I have complain of irregular bowel.. sometimes it remains ok for days but sometimes it forms too much gas in belly in upper GI.. please suggest some medication for the long run and advise what to do in future..
Detail Follows.
Detailed Answer:
Dear Friend.
I have two possible diagnosis for you:
1. Irritable Bowel Syndrome.
2. Malabsorption Syndrome like Celiac Disease
Now I am talking about this because change in frequency of stool is not an association with Acid Peptic Disease.
I advise you to get a test done. That is IgA Anti TTG Antibody. If this comes out to be negative I will treat you on lines of Irritable bowel syndrome.
So just get this blood test done and Revert back with report.
Till then continue with the same medications that you have mentioned.
Stay Healthy.
I've consulted the local pathology shops nearby, but since the area I worked is so remote, this IGA Anti TTG test can't be done here. The first possible diagnosis for IBS might be suitable for me because I've no burning sensation in stomach only gas and irregular bowel clearance. Since I've started medications u advised, it helped a lot to stop acidity, but after meal gas formation is still continued. It is to mention that I've some problem with digestion because sometimes stool passing is irregular. Even from last 32 hrs stools was not cleared nor even i felt to go for big..
Please suggest diet routine and medication for IBS, I'LL let you know my status and if something get worse, provision for UPPER GI endosocopy is also there..
regards XXXXXXX pratim XXXXXXX
0000
Detail Follows.
Detailed Answer:
Dear Friend.
You can get the test done later. You can get it done at Dr. Lal Path labs.
Now for IBS continue with the same medicine and Start simultaneously Tablet Normaxin-DT initially once a day.
Revert back after 15 days.
Stay Healthy.