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Suggest Treatment For Chest Pain, Headache And Eye Pain
Question: Dear Sir
There is a female patient...my aunt.age approx 43 years.since last sux months she is suffering from gastric problem.there are several diseses ehich she is going through these are...gastric, chest pain, headeche etc.once she notice blood bomitting. Now there is a pain in the chest and testine of neck. Due to headecheque she was facing .ale also faced eye pain.
She has gone through various pathlogical and radiological tests .findings were....
1.Cardiomegali
2.access intenstinal gases seen.
3.Antral gastritits.
Himgl
obin and blood tests reveals suger also.
Pls provide suggedtion and medicine.
There is a female patient...my aunt.age approx 43 years.since last sux months she is suffering from gastric problem.there are several diseses ehich she is going through these are...gastric, chest pain, headeche etc.once she notice blood bomitting. Now there is a pain in the chest and testine of neck. Due to headecheque she was facing .ale also faced eye pain.
She has gone through various pathlogical and radiological tests .findings were....
1.Cardiomegali
2.access intenstinal gases seen.
3.Antral gastritits.
Himgl
obin and blood tests reveals suger also.
Pls provide suggedtion and medicine.
Brief Answer:
Discuss options with your physician.
Detailed Answer:
As per your query,
Most likely al symptoms arebecause of gastritis and dyspepsia.
However an ecg shoulsd be done initially if normal.
Firstly I would suggest you to start her on Rabeprazole 20mg twice daily.
Ask her physician to add Prokinetic drug like Domperidome-Very effective in treating reflux not controlled by PPI's especially when combined with Rabiprazole.
Acotiamide- 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.
These medications suggested above should be discussed with your Physician. Ask him /her to increase the doses from minimal to optimal.
Strict adherence to the diet suggested below is required along with medications-
-Take a low fat easily digestible food.
-Eat 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 curd..
-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.
You can go for a Endoscopy if not relieved by above suggested treatments.
For comments on cardiomegaly please attach her 2d echo reports.Cardiomegaly can be mild,moderate or severe.So please attach reports or specify.
In case of further query feel free to ask.
Thanks.
Discuss options with your physician.
Detailed Answer:
As per your query,
Most likely al symptoms arebecause of gastritis and dyspepsia.
However an ecg shoulsd be done initially if normal.
Firstly I would suggest you to start her on Rabeprazole 20mg twice daily.
Ask her physician to add Prokinetic drug like Domperidome-Very effective in treating reflux not controlled by PPI's especially when combined with Rabiprazole.
Acotiamide- 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.
These medications suggested above should be discussed with your Physician. Ask him /her to increase the doses from minimal to optimal.
Strict adherence to the diet suggested below is required along with medications-
-Take a low fat easily digestible food.
-Eat 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 curd..
-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.
You can go for a Endoscopy if not relieved by above suggested treatments.
For comments on cardiomegaly please attach her 2d echo reports.Cardiomegaly can be mild,moderate or severe.So please attach reports or specify.
In case of further query feel free to ask.
Thanks.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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