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Suggest Treatment For Acidity And Gas Along With Pain Beneath The Ribs

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Posted on Mon, 20 Apr 2015
Question: I HAVE BEEN SUFFERING FROM ACIDITY AND GAS FORMATION AND HENCE PAIN BENEATH RIBS FOR LAST 4 MONTHS. SOME TIMES PAIN RADIATES AND I LL BECOME PANIC AND HENCE STRESSED A LOT. I HAVE TAKEN TAB LIKE SOMPRAZ 40 AND CINTAPRO FOR 2 MONTHS AS PER PHYSICIANS ADVISE AND STOPPED IT GRADUALLY. MY PBLM IS, THOUGH MY DISCOMFORT HAS REDUCED, IT DOESNT DISAPPEAR COMPLETELY. IT MAY PAIN SOMETIMES AND HUNGER HAS INCREASED MUCH. I HAVE CHANGED MY FUD HABITS AND NOW TAKE FOOD FOR AROUND 6 TIMES AS SMALL PACKS. I AM NON ALCOHOLIC AND NON SMOKER(WAS AN OCCASSIONAL SMOKER EARLIER). SOME TIMES DUE TO MUCH HUNGER I FEEL AS IF I AM TIRED A LOT AND I HAVE O URGE TO HAVE FUD(HAPPENED THRICE IN FOUR MONTHS). ALL MY MEDICAL EXAMS ARE NORMAL. SUGAR LEVEL IS ALSO NORMAL. HAD UNDERONE ECG AND TMT TESTS DUE TO MY ANXIETY AND WAS FOUND AS NORMAL. I WALK FOR 30 MIN DAILY IN EVE FOR LAST 4 MONTHS. SOETIMES I FIND IT SLIGHTLY HARD TO INHALE. KINDLY ADVICE ME. MY TOTAL CHOLESTEROL WAS A IT HIGH(216) AND NOW IT IS 179. I AM MUCH CONCERNED WITH ALL THESE. MY SYMPTOMS ARE PAIN BENEATH RIBS AND SOMETIMES IN UPPER ABDOMEN, INCREASED HEART BEAT (FOUND IN EARLY STAGES, NOT NOW), FREQUENT BURPING, HUNGER THAN BEFORE ETC
doctor
Answered by Dr. Mohammed Taher Ali (4 hours later)
Brief Answer:
Stress related gastritis

Detailed Answer:
Hi
Thanks for choosing HCM for your query.
I appreciate your concern towards your present problem.

I have gone through the history in detail and the reports of various laboratory investigations done since 2014 till March 2015.

I am of the opinion that you have some sort of stress related acid peptic disease reflected in the form of gastritis.
Apart from high Triglycerides, most of your laboratory results are within the normal ranges, so no need to worry about the investigations.

If I were your physician, I would advice you the following:

Life style modifications:
It is good that you have the habit of daily walking, please continue it on daily basis for 7 days in a week
Try to avoid the stressful conditions or anticipated panic situations.
Avoid hot and spicy food, take an early dinner and sleep after 2-3 hrs of having the dinner.
Take breakfast, lunch and dinner pattern of meals. Avoid snacks in between.
Avoid carbonated soft drinks, NSAID drugs, coffee, etc.
Take plenty of oral fluids

Take a course of Pantoprazole along with Domperidone once daily for at least 6 weeks.
Take the combination of above medication one hour before the breakfast.
You may be required to visit a doctor for the prescription of the above mentioned medications.

Start taking the treatment without interruption.
If there is no improvement, then you may have to undergo endoscopic examination of food pipe and the stomach.

Hope your query is being answered.
If you still have some doubt, please feel free to send your query.
Wishing you best of your health.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Mohammed Taher Ali

General & Family Physician

Practicing since :1988

Answered : 6261 Questions

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Suggest Treatment For Acidity And Gas Along With Pain Beneath The Ribs

Brief Answer: Stress related gastritis Detailed Answer: Hi Thanks for choosing HCM for your query. I appreciate your concern towards your present problem. I have gone through the history in detail and the reports of various laboratory investigations done since 2014 till March 2015. I am of the opinion that you have some sort of stress related acid peptic disease reflected in the form of gastritis. Apart from high Triglycerides, most of your laboratory results are within the normal ranges, so no need to worry about the investigations. If I were your physician, I would advice you the following: Life style modifications: It is good that you have the habit of daily walking, please continue it on daily basis for 7 days in a week Try to avoid the stressful conditions or anticipated panic situations. Avoid hot and spicy food, take an early dinner and sleep after 2-3 hrs of having the dinner. Take breakfast, lunch and dinner pattern of meals. Avoid snacks in between. Avoid carbonated soft drinks, NSAID drugs, coffee, etc. Take plenty of oral fluids Take a course of Pantoprazole along with Domperidone once daily for at least 6 weeks. Take the combination of above medication one hour before the breakfast. You may be required to visit a doctor for the prescription of the above mentioned medications. Start taking the treatment without interruption. If there is no improvement, then you may have to undergo endoscopic examination of food pipe and the stomach. Hope your query is being answered. If you still have some doubt, please feel free to send your query. Wishing you best of your health.