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Suggest Treatment For Bleeding Ulcers And Abdominal Bloating

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Posted on Mon, 24 Apr 2017
Question: I had bleeding ulsurs 2 months ago now I have salty saliva always and I get bloated after I eat anything
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Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Dyspepsia and Gastro esophageal reflux disease without Heart burn.

Detailed Answer:
Hi Dear,
Thanks for choosing HealthcareMagic for your query.

Have gone through your brief history.
As per your history your symptoms are likely because of overlapping Dyspepsia with reflux-esophagitis or it can be Gastro esophageal reflux disease without heartburn.
All the three conditions mentioned above have overlapping symptoms,Hence its very difficult to differenciate between them just on the basis of history .However the good news is that treatment is more or less the same for all the three.

A sour salty or bitter taste in the mouth is usually because of the backflow of stomach acid and juices into the esophagus. Studies say's that the most common cause associated with sour burps is GERD or gastroesophageal reflux disease, which is also sometimes called acid reflux. Expulsion of gas up into the muscular tube called esophagus gives rise to acid burps that may some times also cause burning and sour taste in your mouth.

The intestine normally contains gas that is rapidly transmitted through the small intestine to the colon.However improper digestion of food especially carbohydrates cause release of gases like hydrogen sulphide etc which starts to accumulate in stomach increasing belching bloating and sensation of fullness of abdomen.

Treatment-
In case you still have ulcer start taking Sucralfate. They help in healing gastric ulcers.
Start taking Rabeprazole 20mg once daily 30 minutes before breakfast empty stomach.
Ask your Gastro to add Levosulpiride to Rabeprazole- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's(Rabeprazole) have excellent effect in patients suffering from acid reflux.

Along with it ask Him/Her to add Acotiamide. Trials showed that 30mg doses taken thrice daily were highly effective in treatment of of dyspepsia.The positive effect of acotiamide on both gastric emptying and gastric accommodation. Gastric accommodation and gastric emptying in acotiamide group were significantly enhanced in people taking it.

.Drastic change in lifestyle and diet is recommended.
.-Take a lot's of yogurt in food.Drink a glass of chilled cold milk at 9a.m and 9p.m daily.
-Avoid meat eat a lot of vegetarian easily digestible food.
-Take a low fat diet,Avoid spicy and Heavy foods..
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid cheese, Dairy, Milk etc.
.-Avoid spicy or fast food(No pizza or Burger).
-If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.Avoid orange or pineapple juice.-Eat 1 cups of fruit like banana daily.

Tests recommended are-

24 hours ambulatory ph monitoring.
Upper G.I endoscopy.

As of now discuss all i suggested with your gastroenterologist. Start following it. You will feel much better in a week.

Thanks.
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Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Suggest Treatment For Bleeding Ulcers And Abdominal Bloating

Brief Answer: Dyspepsia and Gastro esophageal reflux disease without Heart burn. Detailed Answer: Hi Dear, Thanks for choosing HealthcareMagic for your query. Have gone through your brief history. As per your history your symptoms are likely because of overlapping Dyspepsia with reflux-esophagitis or it can be Gastro esophageal reflux disease without heartburn. All the three conditions mentioned above have overlapping symptoms,Hence its very difficult to differenciate between them just on the basis of history .However the good news is that treatment is more or less the same for all the three. A sour salty or bitter taste in the mouth is usually because of the backflow of stomach acid and juices into the esophagus. Studies say's that the most common cause associated with sour burps is GERD or gastroesophageal reflux disease, which is also sometimes called acid reflux. Expulsion of gas up into the muscular tube called esophagus gives rise to acid burps that may some times also cause burning and sour taste in your mouth. The intestine normally contains gas that is rapidly transmitted through the small intestine to the colon.However improper digestion of food especially carbohydrates cause release of gases like hydrogen sulphide etc which starts to accumulate in stomach increasing belching bloating and sensation of fullness of abdomen. Treatment- In case you still have ulcer start taking Sucralfate. They help in healing gastric ulcers. Start taking Rabeprazole 20mg once daily 30 minutes before breakfast empty stomach. Ask your Gastro to add Levosulpiride to Rabeprazole- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's(Rabeprazole) have excellent effect in patients suffering from acid reflux. Along with it ask Him/Her to add Acotiamide. Trials showed that 30mg doses taken thrice daily were highly effective in treatment of of dyspepsia.The positive effect of acotiamide on both gastric emptying and gastric accommodation. Gastric accommodation and gastric emptying in acotiamide group were significantly enhanced in people taking it. .Drastic change in lifestyle and diet is recommended. .-Take a lot's of yogurt in food.Drink a glass of chilled cold milk at 9a.m and 9p.m daily. -Avoid meat eat a lot of vegetarian easily digestible food. -Take a low fat diet,Avoid spicy and Heavy foods.. -No alcohol or smoking. -No aerated beverages or soda. -Avoid cheese, Dairy, Milk etc. .-Avoid spicy or fast food(No pizza or Burger). -If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.Avoid orange or pineapple juice.-Eat 1 cups of fruit like banana daily. Tests recommended are- 24 hours ambulatory ph monitoring. Upper G.I endoscopy. As of now discuss all i suggested with your gastroenterologist. Start following it. You will feel much better in a week. Thanks.