HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Gastritis While On Nexium

Posted on Thu, 21 Jan 2016

Question: HI I had gastritis about a month ago the symptoms went away then I took some tynol extra strength ok Thursday and I been having sharp pains in my upper abdomen and loss appetite I've been using the nexium but I still feel pain when I wake up and wheb I lay down ...

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Gastritis, XXXXXXX dose treatment with PPI

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description, it appears to be another episode of gastritis or GERD. If the epigastric pain is persistent despite taking the nexium then the dose should be adjusted. 40 mg of esomeprazole can be taken twice a day for gastritis or GERD despite using nexium. Pro kinetic medication like metoclopramide or domeperidone and sucralfate can also be added to this regimen for added control, initially. Serum Amylase and lipase levels can be done to rule out possibility of pancreatitis. If there are recurrent episodes of such abdominal pain and discomfort then an upper GI endoscopy would be the way to go in consultation with a gastroenterologist.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

is this normal.. it's been stressing me out the discomfort causes me not to have a appetite

Answered by Dr. Dr. Muhammad Sareer Khalil (10 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

No, its not normal to have these symptoms despite being on esomeprazole. As I stated above the PPI dose needs to be given in maximum recommended amount and if the symptoms persist then an endoscopy should be done to rule out any sinister cause.

Wishing you best of health

Thanks

Let me know if you have any query

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar