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Suggest Treatment For Burning Sensation In The Upper Left Abdominal Area
Question: hi good afternoon doc..i am having burning sensation in upper left and right quadrants of abdomen...and always have the sensation of hot air coming out from anus. i am having the burping also frequently. i have been using medications for diabetes and thyroid . please give suggestion. thank u.
Brief Answer:
Gastritis with indigestion with heartburn.
Detailed Answer:
Thanks for choosingHealthcareMagic for your query,
Most likely your symptoms are because of reflux disorder overlapped with gastritis dyspepsia and indigestion . Reflux of acid contents of stomach back into esophagus causing Heart-burn and chest pain while indigestion causes formation of excess gas leding to abdominal pain.
So suggestions are:
- Firstly I would suggest you to start taking Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80mg twice a day.On the day of appointment ask your gastroenterologist to add Prokinetic drug like
Option 1. -Levosulpiride- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's have excellent effect in patients suffering from acid reflux.
Option 2. Domperidone- Very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.
.Strict adherence to the diet suggested below is required along with medications-
-Take a low fat easily digestible food.
-Eat a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc.
.-Take a lot's of yogurt in food
.-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.
Get a ultrasound abdomen done.
Thanks and follow up with reports.
Gastritis with indigestion with heartburn.
Detailed Answer:
Thanks for choosingHealthcareMagic for your query,
Most likely your symptoms are because of reflux disorder overlapped with gastritis dyspepsia and indigestion . Reflux of acid contents of stomach back into esophagus causing Heart-burn and chest pain while indigestion causes formation of excess gas leding to abdominal pain.
So suggestions are:
- Firstly I would suggest you to start taking Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80mg twice a day.On the day of appointment ask your gastroenterologist to add Prokinetic drug like
Option 1. -Levosulpiride- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's have excellent effect in patients suffering from acid reflux.
Option 2. Domperidone- Very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.
.Strict adherence to the diet suggested below is required along with medications-
-Take a low fat easily digestible food.
-Eat a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc.
.-Take a lot's of yogurt in food
.-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.
Get a ultrasound abdomen done.
Thanks and follow up with reports.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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