
What Causes Abdominal Pain And Fullness In Stomach With Small Amounts Of Food?

Incidentally, the increased dosage of PPI did not seem to affect the throat symptoms. Also, I mentioned that the pain had diminished; in fact, the constant fullness itself is a kind of pain. There is, too, conspicuous belching after eating anything.
---sincere thanks for any comment.
Cholecyst/candida infection of bowels to rule out
Detailed Answer:
Hi,
I am really sorry for the situation you are going through.
It seems that acid reflux is not dominated well.
Now, before going into final conclusions, I want to know if you have run any test like :
- upper endoscopy (to evaluate acid reflux )
- abdominal ultrasound to rule out cholecyst (biliary ) issues
- culture of feces to exclude candida infection
The fullness and nausea after eating might be due to biliary or candida infection of bowels apart acid reflux.
Next, I want to know what other medicines you are currently taking apart PPIs. If I was your caring doctor would advise to add :
- simethicone to ease bloating
- probiotics to optimize intestinal flora which is altered due to stomach hyperacidity
It is also important to make changes to your diet and lifestyle regimen.
Hope it was of help!
Dr.Albana


---There has been no abdominal ultrasound and no culture of feces to exclude candida infection.
---Was advised by Internal Med physician to double the dosage of Omeprazole to 40mg twice daily. Will begin this tomorrow morning. (Should mention that when the diagnosis was made, several PPIs were attempted; at that time, only the Omeprazole seemed to work, if only to some degree.) To this day, the acid in the throat is a constant problem. It is hoped, apparently, that the more aggressive dosing of the PPI will help.
---Other meds, besides the PPI, include Tamsulosin, Metoprolol, as well as OTC antacids and vitamin supplements (E, B-6, C, Co-Q10, Omega-3 fish oil).
---Should also mention that, though an acid stomach has always been there (managed for years with Pepcid AC), this dramatic situation began about six years ago, and it began with similar food-poison / stomach flu kind of symptoms resulting from a processed “instant breakfast.” The attack was immediate. With this new attack of five days ago, there was the initial sense that the GERD and the gastroenteritis were separate. Now, one wonders about that and if something very serious could be the cause.
---Will certainly make diet and life-style changes. Thanks for stressing it. Also, will pursue the probiotics and the simethicone.
---Sincere thanks. Yours has been the most thoughtful response we have ever had from an on-line med-help.
Advised to repeat upper endoscopy now...
Detailed Answer:
Hi back,
Thank you for following up.
1. If you had your last upper endoscopy around 6 years ago, I think it is time to repeat it again now. I highly advise to discuss with your GI specialist to schedule another upper endoscopy.
2. It is also necessary to run abdominal ultrasound and culture of feces as mentioned earlier.
3. If I was your caring doctor would advise the same: to double the dose of Omeprazole 80mg twice daily.
4. There are many factors contributing to reduction of stomach pH including:
- stomach flu
- foods/drinks you consume
- stress
- cold weather
You can do the advised tests and let me know how it goes!
Dr.Albana


---Again thanks for your thoughts, XXXXXXX
If bleeding in feces,colonoscopy to be scheduled now...
Detailed Answer:
Hi back XXXXXX,
1. As you are also having a previous history of colon polyps, then, colonoscopy is also advised to run now, when the red blood is appearing in the stool.
If I was your caring doctor would evaluate the current situation with your colon. So, to my opinion, you should run colonoscopy now.
By the way, colonoscopy can be run by GI specialist or general surgeon specialized in colon endoscopy.
2. Colonoscopy is examination of colon , while upper endoscopy is examination of your upper GI tract organs (beginning from throat, esophagus, stomach and duodenum).
Let me know if I can be of further help!
Dr.Albana

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