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What Causes Flare Up Of Hunger Pains?

Posted on Thu, 24 Apr 2014

Question: I have been dealing with hunger pains off and on for the last 48 hours . I have gerd ... And have recently switched medications from protonixs to Dexilant. I have no fever , feel fine except for the hunger pain flair ups ... Normal bowel movements ... What does this sound like

Answered by Dr. Vaddadi Suresh (35 minutes later)

Brief Answer: you are in short of a prokinetic Detailed Answer: Hi, Both the meications are fine, but in short of a prokinetic. They suppress the acid production and may not totally relieve GERD. You need addition of a prokinetic (like levosulpride or itopride or domperidone) to tighten your gastro esophageal sphincter, otherwise, the residual reflux is sufficient to cause problems. Donot keep yourself fasted for too long. take frequent short meals, avoid hot beverages and increase the pillow size while you lie down. hope these will help you.

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

Follow up: Dr. Vaddadi Suresh (3 minutes later)

I have not been fasting ... In fact I have a normal appetite . I think this flair up was caused by drinking wine this past weekend . As for this other medications ... Do they have names ..? So the medication I am on is fine ... But I need more ?

Answered by Dr. Vaddadi Suresh (13 minutes later)

Brief Answer: Alcohol, in any form can assault the ulcer Detailed Answer: Hi, Yes, Alcohol, in any form can assault the ulcer prone stomach. The drug you are presently using is fine, but as i said, it will not reduce the acid reflux effectively. hence you may need one of these mentioned below for better response. (Sorry, we are not authorized to suggest brand names in this portal.) Many of these are OTC drugs; you may ask for either Domperidone 20 or 30 mg or Itopride 50 mg in any pharmacy nearby. Hope this will help.

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

Follow up: Dr. Vaddadi Suresh (1 minute later)

Hi thanks so much ... Last question ... These hunger pain flair ups then can be associated with my Gerd ?... Thanks again

Answered by Dr. Vaddadi Suresh (15 minutes later)

Brief Answer: Yes, most certainly. Detailed Answer: Hi, Yes, most certainly. Handle the GERD, you will see no hunger pains. If you are finished with the question, please rate it for encouraging us. Thank you in advance.

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