Suggest Treatment For Pressure In The Abdomen While Having IBS And GERD

Posted on Thu, 7 Jul 2016

Question: I rec

ently (3 weeks ago) had an endoscopy for some stomach issues I've been dealing with. Barrett's Esophagus was negative as was cancer, H Pylori and Celiacs. It did show some acid damage and gastritis. I felt much better after the test due to stress relief. The last 5 days I have had a pressure sensation in the center of my upper abdomen. it has been pretty steady. I feel like a balloon is stuck there. I can feel acid but it's not coming up. I can't make myself take in a lot of air to make myself burp it up. The severity of it goes up and down. It is really making life hard. I talked to my GI a few days back and he says it not much to worry about as I was on Keflex at the time which he said can make your gut feel
awful. Been off the Keflex for 3 days and no better. I'm seeing GI in a week but I cant stop dwelling on this in the meantime. I take Dexilant daily as well as a probiotic. The only thing that seems to help is Xanax. Most recent blood work, Ekg have been fine.No fever or weight loss. Just discomfort...Please help! I have been diagnosed with IBS and GERD

Answered by Dr. Amit Jain (2 hours later)

Brief Answer:
avoid tea coffee spicy and fatty meals and citrus fruits

Detailed Answer:
Hello. Thanks for putting your quwry in hcm. I am Gastrenterologist

I can understand your concerns.

It is due to acid and bloating

So in my opinion:
1. Take a prokinetic agent alao like domperidone 30mg once a say before breakfast along with dexilant
2. For better eelief take tablet famotidine 40mg od after dinner
3. Take capsule simethiconethrice a day. It will help in relieving bloating
4. Avoid spicy food, fatty meals and tea and coffee and citrus fruits
5. Dont lie down soon aftwr meals at least for 2 hrs
6. Dint drink water for at leat 2hrs after taking meals
7. Take small and frequent meals instead of full meal at a time
Get prescription of these medicines from your doctor

I hope I have answered your query and this wil help you. Wish you a good health

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Amit Jain (6 hours later)

Why do I sleep fine without waking up from it? when I wake up I feel okay then within10-15 minutes I begin to feel the bubble form and I'm right back to where I started. Can this be stress induced or psychosomatic. It seems to happen right after I take me daily mess which include a multi-vitamin, dexilant, lysine and sometimes sinus medication. There is also mucus in my stool...very small amount....and lots of gurgling. I have a prescription for Hyoscyamine which I sent use often. is that something I may want to use more often?

Answered by Dr. Amit Jain (5 hours later)

Brief Answer:
take hyoscyamine on sos basis that is whenever required

Detailed Answer:
Welcome back.

In my opinion this is due to bloating. For which I have advised earlier.

It appears little bit due to anxiety also as it is relieved after taking xanax.

Hyoscyamine is an antispasmodic agent. I will advise you to take whenever there is abdominal cramps or pain

So I will advise you to do what I advised earlier and tab hyoscyamine on sos basis

Also keep cool and calm. Do regular exercise and meditation to relieve stress

Wish you a good health

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Amit Jain (18 hours later)

the pressure has subsided somewhat now I'm left with a very sour stomach. stomach is growling and spasming....stool is filled with mucus...is this the end result of my gastritis or IBS flaring up the last few days...the acid activity or something new starting from all of this...I'm exasperated

Answered by Dr. Amit Jain (17 hours later)

Brief Answer:
take hyoscyamine on sos basis

Detailed Answer:
Welcome back
This appears to be acidity problem. Take prokinetic like domperidone and tab famotidine after dinner for relief
And take hyoscyamine on sos basis
Wish you a good health

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Above answer was peer-reviewed by : Dr. Sonia Raina