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What Causes Acidity And Gas After Eating With Normal USG Reports?

Posted on Tue, 23 Sep 2014

Question: Sir, After eating anything I feel acidity and gas. Endoscopy and USG are normal. OTC drugs do not help. Only Ganaton Total gives me relief. Starchy foods like bread give more acidity. I do not have loss appetite. Generally the acidity starts after 30 minutes after eating and goes away after 2 hours or so. One very interesting find is that if I take some pieces of apple it helps a lot. I stopped Ganaton and started eating apples which really helped since the last 3-4 months. But, few days ago after eating some heavy foods it started again and I am again back to Ganaton. Please help to provide a permanent cure. I am having this acidity problem for almost 2 years now. Thanks.

Answered by Dr. Deepak Kishore Kaltari (17 minutes later)

Brief Answer:
Gastroscopy is indicated

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Mr XXXX,

The symptoms you are experiencing is due to Acid Peptic disease. They usually respond to Proton pump inhibitors like Ganaton which suppresses secretion of acid. Sometimes they tend to recur on discontinuation of drug.

The cause of recurrence is likely to be due to

1. Helicobacter Pylori infection: Presence of this infection in the stomach and duodenum is cause of recurrence.
2. Presence of Gastric/Duodenal Ulcer

I would suggest you the following

1. H Pylori erradication: Ulcikit/ HP Kit, one kit per day for 10 days
2. Avoid Spicy and oily foods
3. Eat small quantity frequent meals
4. Avoid tea/coffee/alcohol/carbonated beverages
5. Consume high fiber diet
6. Consume plenty of oral fluids

If the symptoms persists would suggest you to see a doctor for to get assessed for H pylori.

In case you need any further assistance, will be glad to assist you.

Wishing you happy and healthy life

Take Care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCh

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepak Kishore Kaltari (34 minutes later)

Thank you sir. Endoscopy confirmed Helicobacter Pylori infection 4 months ago and I had remained under HP Kit for a month. Things were perfect at that time. After completion of the kit after some days the symptoms came back again in lighter intensity. I started eating apples which really helped me. I believe if there was Presence of Gastric/Duodenal Ulcer endoscopy would have found that but except H Pylori it came normal. Pls help.

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
Repeat HP Kit

Detailed Answer:
Dear XXXX

Normal Endoscopy apart from positive H Pylori is very much reassuring. The recurrence of symptoms 4 months after HP kit is likely to be due to re-infection with H Pylori.
I would suggest you one more course of HP kit for 10 days. Also do follow my previous advise.

Take Care

Regards
Dr Deepak

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Above answer was peer-reviewed by : Dr. Vaishalee Punj