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Suggest Treatment For Antral Gastritis And IBS

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Posted on Sat, 17 Jan 2015
Question: Hello Doctor,
I have antral gastrits and IBS as shown in the endoscopy and doctor has prescribed me Razo L and Lubowel 8. I am taking this medicine since last one month but still I have pain in lower part and left side of abdomen whole day. I go toilet at least four to five times in day but still Never feel comfortable after going toilet.Whenever I go toilet , stool passes with cramp and pain in stomach. Always feel incomplete evacuating of stool and Always desire to go toilet specially after taking food. I am suffering from this problem since last five years. Pls suggest me best medicine and diet chart , Suffering from very cronic problem, It seems to me some thing is trapped in my left side of abodmen whole day and it forced me to go toilet again and again, but stool don't come out . I have also thyroid problem taking thyronorm tab 50 mg daily.
doctor
Answered by Dr. Anshul Varshney (17 hours later)
Brief Answer:
Get thyroid under well control. Med are discussed.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
Most important here is to get your thyroid under perfect control. So get TSH done every 3 monthly and dose of Thyroxine to view modified accordingly.
For IBS and Gastritis symptoms, I personally advise following to my patients:
1. To take a combination of Pantoprazole and Levosulpride once a day.
2. To take Medicine like Mebeverine which will give you immense relief.
3. Not to take any pain killers.
4. Not to take alcohol.
5. Take small , frequent meals.
6. Avoid spicy food.
7. Increase fibers in diet.
8. To take Lactulose , whenever you are severely constipated.
I am hopeful that if these measures are followed , you will see improvement in next 3 weeks.
If you have any further query please ask me.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (11 hours later)
Dear Sir,
Thanks for your valuable advice,
Please reply my answer of following
1. To take a combination of Pantoprazole and Levosulpride once a day.
2. To take Medicine like Mebeverine which will give you immense relief.

When to take Pantoprazole and Levosulpride and when and how much Mebeverine should I take in a day. How long I will take this three medicine to get complete relief because I am very much worried with my stomach problem. My daily life is very much disturbed. Can I take meva -C or Meb SR.(Mebeverine )

My main problem cramp and light pain in stomach. Pain at the time of passing stool, Not feeling comfortable after passing stool. whole day urge to go toilet. Not Complete evacuating of stool in the moring in one time.

Thanks & Regards
XXXX
doctor
Answered by Dr. Anshul Varshney (1 hour later)
Brief Answer:
usually takes months to get better.

Detailed Answer:
Dear Friend.
This problem is very disappointing. I understand your concern. It takes at least 4-6 weeks to get improvement.
Pantoprazole and Levosulpride should be taken in morning just before the breakfast.
Yes , you can take Meb SR. I prescribe it twice daily. You need to talk to your doctor to prescribe it for you.
You will be fine but you have to stop worrying about the Disease. Stop thinking that you have this problem.
Stress aggravates this problem.
If you have any further query please ask me.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (43 hours later)
Dear Sir,

Thanks for your reply

Can I take VSL#3 and Fludac 20 one each along with above medicine because my doctor earlier advice me to take these medicine.

Regards
XXXX
doctor
Answered by Dr. Anshul Varshney (32 minutes later)
Brief Answer:
I won't advise Fludac.

Detailed Answer:
Dear Friend.
You can take VSL#3. It is a probiotic. I won't suggest you to take Fludac as it is Anti Depressant. It is given in cases of Non specific Acid peptic disease with Somatic disorders.
If you have any further query please ask me.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For Antral Gastritis And IBS

Brief Answer: Get thyroid under well control. Med are discussed. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. Most important here is to get your thyroid under perfect control. So get TSH done every 3 monthly and dose of Thyroxine to view modified accordingly. For IBS and Gastritis symptoms, I personally advise following to my patients: 1. To take a combination of Pantoprazole and Levosulpride once a day. 2. To take Medicine like Mebeverine which will give you immense relief. 3. Not to take any pain killers. 4. Not to take alcohol. 5. Take small , frequent meals. 6. Avoid spicy food. 7. Increase fibers in diet. 8. To take Lactulose , whenever you are severely constipated. I am hopeful that if these measures are followed , you will see improvement in next 3 weeks. If you have any further query please ask me.