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

Suggest Treatment For Persistent Abdominal Discomfort

Posted on Tue, 12 Apr 2016

Question: I have been experiencing discomfort and have been taking an anti acid over the counter pill, Ranitidine (I ran out and started using Equate otc) for about 7 months. Usually I need one or two a day. This does not seem to be getting better or getting worse. I am not sure what is causing this. It is worrisome..

Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

I need some more information before I can give my opinion.

1. Where do you feel the discomfort?
2. Since when are you having the discomfort?
3. Does it wake you up from sleep?
4. Do you have nausea and vomiting?
5. Any other medical illness?
6. What are the tests done so far?

Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.P.Ratnakar Kini (3 days later)

answers to your questions:
1.0 discomfort mainly in the middle left toe, only when attempting to flex it downward. the pain an be sharp;
2.) i have had this for at least 5 months
3.) It doe not hurt while I walk; it never wakes me up at night;
4. no naseau or vomiting;
5.) no other illnesses;
6.) no tests whatsoever; it is not going away;
7.) I have been taking Vitamin D3 and CoQ10 for 4 days
oops, I just realized i have replied to the wrong questions. please disreguard the previous message, which was for a foot discomfort.answers to your GI questions:
1. ) I feel a slight stomach upset; no pain as such;
2.) I have had this for about 12 -15 months;
3.) It does not wake me;
4. Not naseau or vomiting; just discomfort;
5.) a foot problem, probably due to trauma;
6) the only thing I have tried was prescribed by a doctor in XXXXXXX 2015, ranitidine; it relieve the symptom completely for a while; but it keeps coming back after 8 -12 hours

Answered by Dr. Dr.P.Ratnakar Kini (25 hours later)

Brief Answer:
Omeprazole

Detailed Answer:
Hi,
Previously you got relief with Ranitidine.
Since you dont get relief with it anymore you can switch to Proton pump inhibitors like Cap.Omeprazole 40mg Twice daily before food for first 5 days then reduce it to Once daily before breakfast for the next 15days .

If there is loss of appetite, loss of weight, low hemoglobin, discuss with your doctor about getting an Upper GI Endoscopy done.

Feel free to ask any further queries.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

nO, i IN FACT do get RELIEF FROM Ranitidine. however, i WAS WONDERING IF AT AGE 67 IT IS UNUSUAL TO BE ON IT FOR 8 MONTHS. iF i STOP TAKING IT SYMPTOMS OF DISCOMFORT RETURN IN A DAY. iS THERE ANYTHING i CAN DO TO MINIMIZE THE CAUSES?

Answered by Dr. Dr.P.Ratnakar Kini (29 hours later)

Brief Answer:
Was upper GI endoscopy done?

Detailed Answer:
Hi,
Was upper GI endoscopy done?

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (15 hours later)

No, I have not had an upper GI endoscopy.

Answered by Dr. Dr.P.Ratnakar Kini (22 hours later)

Brief Answer:
Endoscopy and tests for H.pylori

Detailed Answer:
Hi,
Since the symptoms return if you stop medications, I advise you to undergo an upper GI endoscopy and also get tested for H.pylori infection to decide further treatment.

Regards,
Dr.R.K.

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

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