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What Causes Nausea After Eating Along With Loss Of Appetite And Weight?
Question: I feel nausea after eating. I have also lost my appetite and 8 punds of body weight over the last 2-3 weeks. On 20th XXXXXXX 2015, I vomited in the night after having a packed garlic bread with a vitamin C drink, next day morning, I consulted a physician who prescribed me general medicines and I was fine by 30th XXXXXXX until 17th Feb 2015. On 17th Feb I had same gastric gastric trouble in stomach discomfort with lot of burping after meal and indegestion, I took some acid supressant again and consulted a specialist who prescribed in ENDOSCOPY of upper abdomen, some blood tests ( including lever function test), stool test and ultra sound.
All the test were normal. However there was some mild gastiritis and abrasion in my stomach lining. He prescribed me omeprazole 20 mg and pregabalin (lyrica) tablet for 15 days. I have uploaded my reports for your reference. In the last 15 days I have lost my diet and no relief from symptoms. I follow very strict diet ( small quantity of light food such melon, papaya, banana , boiled rice and vegetables) but there is no recovery from the indigesiton and nausea ( without vomiting ) though. I am an XXXXXXX origin person ( a veggie and non-alcholic) living in Hong Kong.
Kindly help me while answering my questions and advise me what might cause me such symtoms and loss of diet and how to cure it. I have been prescribed gmedicines for good live bacteria (Lactobacillus) but did not improve my condition.
H-pyroli test ( both breath test and test on sample taken during endoscopy are normal). Ultra sound test is normal ( liver, pancrease, spleen, and kidneys found normal, there was moderate diffuse increase in parenchymal echogenicites but no discrete mass lesion seen)
Thanks
XXXXXXX XXXXXX
All the test were normal. However there was some mild gastiritis and abrasion in my stomach lining. He prescribed me omeprazole 20 mg and pregabalin (lyrica) tablet for 15 days. I have uploaded my reports for your reference. In the last 15 days I have lost my diet and no relief from symptoms. I follow very strict diet ( small quantity of light food such melon, papaya, banana , boiled rice and vegetables) but there is no recovery from the indigesiton and nausea ( without vomiting ) though. I am an XXXXXXX origin person ( a veggie and non-alcholic) living in Hong Kong.
Kindly help me while answering my questions and advise me what might cause me such symtoms and loss of diet and how to cure it. I have been prescribed gmedicines for good live bacteria (Lactobacillus) but did not improve my condition.
H-pyroli test ( both breath test and test on sample taken during endoscopy are normal). Ultra sound test is normal ( liver, pancrease, spleen, and kidneys found normal, there was moderate diffuse increase in parenchymal echogenicites but no discrete mass lesion seen)
Thanks
XXXXXXX XXXXXX
Brief Answer:
You need further investigations- pl give details.
Detailed Answer:
Hi XXXXXXX
Thanks for your query and an elucidate history.
I have read the history, investigations and understood your concerns.
You have nausea after eating, loos of appetite, loss of weight of 8 pounds in just 3 weeks, this is a problem of concern.
The first incidence took 10 days to settle.
Second attack came on 17 th Feb - started with gastric trouble, discomfort, burping after meal and indigestion.
You took Specialist's opinion, got investigated and treated.
Upper GI shows only gastritis and H. pylori is negative. USG shows fatty infiltration.
You were on Omreprazole and Lyrica, Lactobacilus strict diet. Symptoms continue with poss of appetite and weight too.
Please give me few details about:
- How are the stools ?- the color, consistency, any mucus / stickiness, how many times a day?
- Were there any loose motions in last 3 months ?
- Had you been to XXXXXXX recently ?
- Any fever, body ache, weakness, chills ?
- Have you got altered taste in mouth like that of earthen taste ?
- Please mention any other symptoms you may think related or unrelated to the present problems.
These details will help me further.
The probable diagnosis can be known by further tests.
I would advise you stool test for three consecutive days.
CT scan of the abdomen.
Colonoscopy if required.
Blood tests for Typhoid (Widal), blood culture and sensitivity.
A course of an antibiotic like Oflaxacin / Cefixime and Metronidazole. You need a prescription for this from your local Doctor.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications if you feel there is a gap of communication.
You need further investigations- pl give details.
Detailed Answer:
Hi XXXXXXX
Thanks for your query and an elucidate history.
I have read the history, investigations and understood your concerns.
You have nausea after eating, loos of appetite, loss of weight of 8 pounds in just 3 weeks, this is a problem of concern.
The first incidence took 10 days to settle.
Second attack came on 17 th Feb - started with gastric trouble, discomfort, burping after meal and indigestion.
You took Specialist's opinion, got investigated and treated.
Upper GI shows only gastritis and H. pylori is negative. USG shows fatty infiltration.
You were on Omreprazole and Lyrica, Lactobacilus strict diet. Symptoms continue with poss of appetite and weight too.
Please give me few details about:
- How are the stools ?- the color, consistency, any mucus / stickiness, how many times a day?
- Were there any loose motions in last 3 months ?
- Had you been to XXXXXXX recently ?
- Any fever, body ache, weakness, chills ?
- Have you got altered taste in mouth like that of earthen taste ?
- Please mention any other symptoms you may think related or unrelated to the present problems.
These details will help me further.
The probable diagnosis can be known by further tests.
I would advise you stool test for three consecutive days.
CT scan of the abdomen.
Colonoscopy if required.
Blood tests for Typhoid (Widal), blood culture and sensitivity.
A course of an antibiotic like Oflaxacin / Cefixime and Metronidazole. You need a prescription for this from your local Doctor.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications if you feel there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor
Appreciate your prompt reply
Please find my answer below
Please give me few details about:
Q- How are the stools ?- the color, consistency, any mucus / stickiness, how many times a day?
Ans : I have undigested food sometimes in the stool. Stool test was normal with any presence of blood cells or mucus or piles. I pass stool usually 1or 2 times in a day. I don't pass loose stool it is either solid or soft but color depends upon the food I had a day before like if I take boiled green vegetables it is usually brown
or when I had carrot or melon or papaya it is slightly reddish otherwise it is yellow. Yes but the stool is not as consistent as before.
Q :Were there any loose motions in last 3 months ?
Ans : No loose motion since last
Q. Had you been to XXXXXXX recently ?
Ans : I visited XXXXXXX last year in Oct 2014.
Q. Any fever, body ache, weakness, chills ?
Ans. No fever, no body ache, but I have feeling of tiredness as I am upset with persistent symptoms. But two weeks ago I was jogging continuously for 45 mins despite having these symptoms.
Q. Have you got altered taste in mouth like that of earthen taste ?
Ans. Since last two days I have felt some change in taste like iron ( metal) kind of taste.
Q. Please mention any other symptoms you may think related or unrelated to the present problems.
Ans. It started with indigestion symptoms with burping and blotting but I used feel hungry and eat despite these symptoms. Currently symptoms of nausea and gas movement are prominent. But since last two weeks my appetite is significantly reduced.
Q . These details will help me further.
The probable diagnosis can be known by further tests.
I would advise you stool test for three consecutive days.
CT scan of the abdomen.
Colonoscopy if required.
Blood tests for Typhoid (Widal), blood culture and sensitivity.
A course of an antibiotic like Oflaxacin / Cefixime and Metronidazole. You need a prescription for this from your local Doctor.
Ans. Doctors in Hong Kong do not prescribe antibiotic unless there is H-Pyroli bacteria doctor told me that it is required when you have bacteria. I have already tried to get antibiotic prescription from 5 doctors but they refused saying that this is not correct protocol. But In my opinion not treating me with antibiotic led me to the present situation.
Please assist me in finding solution to this problem.
Thanks and Best Regards XXXXXXX XXXXXX
Appreciate your prompt reply
Please find my answer below
Please give me few details about:
Q- How are the stools ?- the color, consistency, any mucus / stickiness, how many times a day?
Ans : I have undigested food sometimes in the stool. Stool test was normal with any presence of blood cells or mucus or piles. I pass stool usually 1or 2 times in a day. I don't pass loose stool it is either solid or soft but color depends upon the food I had a day before like if I take boiled green vegetables it is usually brown
or when I had carrot or melon or papaya it is slightly reddish otherwise it is yellow. Yes but the stool is not as consistent as before.
Q :Were there any loose motions in last 3 months ?
Ans : No loose motion since last
Q. Had you been to XXXXXXX recently ?
Ans : I visited XXXXXXX last year in Oct 2014.
Q. Any fever, body ache, weakness, chills ?
Ans. No fever, no body ache, but I have feeling of tiredness as I am upset with persistent symptoms. But two weeks ago I was jogging continuously for 45 mins despite having these symptoms.
Q. Have you got altered taste in mouth like that of earthen taste ?
Ans. Since last two days I have felt some change in taste like iron ( metal) kind of taste.
Q. Please mention any other symptoms you may think related or unrelated to the present problems.
Ans. It started with indigestion symptoms with burping and blotting but I used feel hungry and eat despite these symptoms. Currently symptoms of nausea and gas movement are prominent. But since last two weeks my appetite is significantly reduced.
Q . These details will help me further.
The probable diagnosis can be known by further tests.
I would advise you stool test for three consecutive days.
CT scan of the abdomen.
Colonoscopy if required.
Blood tests for Typhoid (Widal), blood culture and sensitivity.
A course of an antibiotic like Oflaxacin / Cefixime and Metronidazole. You need a prescription for this from your local Doctor.
Ans. Doctors in Hong Kong do not prescribe antibiotic unless there is H-Pyroli bacteria doctor told me that it is required when you have bacteria. I have already tried to get antibiotic prescription from 5 doctors but they refused saying that this is not correct protocol. But In my opinion not treating me with antibiotic led me to the present situation.
Please assist me in finding solution to this problem.
Thanks and Best Regards XXXXXXX XXXXXX
Brief Answer:
Read the full feedback - May try another Doctor - ask the Pharmacy people.
Detailed Answer:
Hi.
Thanks for your nice feedback.
Undigested food sometimes in the stool: this may be due to intestinal infection / IBS (Irritable Bowel Syndrome), Pancreatic insufficiency and so on.
Stool test was normal on 13/3/15.
some change in taste like iron ( metal) kind of taste: Due to intestinal problems of any sort.
Currently symptoms of nausea and gas movement are prominent. But since last two weeks my appetite is significantly reduced.
Doctors in Hong Kong do not prescribe antibiotic unless there is a proof of infection: I know this is the problem in many countries. It is in XXXXXXX that the Doctor thinks and diagnoses more by the clinical judgement.
My thoughts:
You can tell the next Doctor: your symptoms in detail including the weight loss and all the other symptoms. He may wither go for further tests and add you some prescription, may be the medicines we think can help you. Please try. Since these medicines are prescription drugs you need a valid prescription. Also discuss these points with the Pharmacy staff, they may help you to go to a particular Doctor.
Please confirm with the Pharmacy whether the Pancreatic Enzymes Medicines are OTC (Over The Counter), if you get them take 2 tablets with meals.
Please let me know the progress and I too will try to see what else can be done.
Read the full feedback - May try another Doctor - ask the Pharmacy people.
Detailed Answer:
Hi.
Thanks for your nice feedback.
Undigested food sometimes in the stool: this may be due to intestinal infection / IBS (Irritable Bowel Syndrome), Pancreatic insufficiency and so on.
Stool test was normal on 13/3/15.
some change in taste like iron ( metal) kind of taste: Due to intestinal problems of any sort.
Currently symptoms of nausea and gas movement are prominent. But since last two weeks my appetite is significantly reduced.
Doctors in Hong Kong do not prescribe antibiotic unless there is a proof of infection: I know this is the problem in many countries. It is in XXXXXXX that the Doctor thinks and diagnoses more by the clinical judgement.
My thoughts:
You can tell the next Doctor: your symptoms in detail including the weight loss and all the other symptoms. He may wither go for further tests and add you some prescription, may be the medicines we think can help you. Please try. Since these medicines are prescription drugs you need a valid prescription. Also discuss these points with the Pharmacy staff, they may help you to go to a particular Doctor.
Please confirm with the Pharmacy whether the Pancreatic Enzymes Medicines are OTC (Over The Counter), if you get them take 2 tablets with meals.
Please let me know the progress and I too will try to see what else can be done.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you for your expert management of my symptoms
AA ) I have received a prescription for Ofloxacin 200 mg one tablet twice daily after meal. I am also taking multi vitamin ( B6, C & E) each tablet once everyday ( prescribed by current doctor) >>>>Could you please confirm if prescribed dosage is appropriate and what should be the duration of this treatment.
BB) I had a great relief after having two doses of Ofloxacin 200 mg, one yesterday night and another today morning. It was the my best day in the last three weeks, today I had my normal diet in the breakfast and lunch and I felt hungry too. However, in the evening when I was empty stomach symptoms came back suddenly with lot of gas movements after I had a green tea in warm water.
CC) As you recommended, I approached to a nearby Pharmacy store and bought DIAZYME Tablets which contains (Pancreatin 50mg, Amylase 10 mg, Cellulase 30mg ad papain 15 mg)>>> Is it the same enzyme you mentioned in your last email.
DD) The specialist who I am consulting has prescribed me few more blood tests for Amylase, repeat tests for previous blood tests and tumor marker tests. He has recommended CT scan on Monday after receiving blood tests reports.
EE) I have no pain in my complete abdomen area. Neither I had any vomiting ever since the first time when I had vomiting on 20th XXXXXXX 2015. However I have persistent symptoms of nausea and gas movement in the upper gut area which affects my normal life and work in the office.
I request your further expert comments.
Thanks and Regards XXXXXXX XXXXX
XXXX
AA ) I have received a prescription for Ofloxacin 200 mg one tablet twice daily after meal. I am also taking multi vitamin ( B6, C & E) each tablet once everyday ( prescribed by current doctor) >>>>Could you please confirm if prescribed dosage is appropriate and what should be the duration of this treatment.
BB) I had a great relief after having two doses of Ofloxacin 200 mg, one yesterday night and another today morning. It was the my best day in the last three weeks, today I had my normal diet in the breakfast and lunch and I felt hungry too. However, in the evening when I was empty stomach symptoms came back suddenly with lot of gas movements after I had a green tea in warm water.
CC) As you recommended, I approached to a nearby Pharmacy store and bought DIAZYME Tablets which contains (Pancreatin 50mg, Amylase 10 mg, Cellulase 30mg ad papain 15 mg)>>> Is it the same enzyme you mentioned in your last email.
DD) The specialist who I am consulting has prescribed me few more blood tests for Amylase, repeat tests for previous blood tests and tumor marker tests. He has recommended CT scan on Monday after receiving blood tests reports.
EE) I have no pain in my complete abdomen area. Neither I had any vomiting ever since the first time when I had vomiting on 20th XXXXXXX 2015. However I have persistent symptoms of nausea and gas movement in the upper gut area which affects my normal life and work in the office.
I request your further expert comments.
Thanks and Regards XXXXXXX XXXXX
XXXX
Brief Answer:
Great ! let us see the response.
Detailed Answer:
Thanks for your feedback.
A) Prescription dosage absolutely appropriate. Minimum of 5 days.
B) Please stop the green tea or anything which can increase your problems for the time being.
C) Great, this is a great preparation. Diazyme.
D) This is a great news, please go for all the tests as recommended. Let us rule out some serious problems.
E) I hope the proper antibiotic will take care of these symptoms too; your Doctor must have given something for these symptoms of nausea and gases.
Let us wait for a few days to see for the action of Ofloxacin.
You may again visit the Pharmacy and ask for Activated Charcoal tablets (with or without Simethicon - as is available). You may please take 2 tablets 3 times a day. These are good for gases.
For Nausea, Domperidone is used, please check with your Pharmacy if this is a prescription medicine or not.
Please carry on, at least you are getting on the right tract.
Give me the feedback. I shall be happy to assist you more.
(You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant )
Great ! let us see the response.
Detailed Answer:
Thanks for your feedback.
A) Prescription dosage absolutely appropriate. Minimum of 5 days.
B) Please stop the green tea or anything which can increase your problems for the time being.
C) Great, this is a great preparation. Diazyme.
D) This is a great news, please go for all the tests as recommended. Let us rule out some serious problems.
E) I hope the proper antibiotic will take care of these symptoms too; your Doctor must have given something for these symptoms of nausea and gases.
Let us wait for a few days to see for the action of Ofloxacin.
You may again visit the Pharmacy and ask for Activated Charcoal tablets (with or without Simethicon - as is available). You may please take 2 tablets 3 times a day. These are good for gases.
For Nausea, Domperidone is used, please check with your Pharmacy if this is a prescription medicine or not.
Please carry on, at least you are getting on the right tract.
Give me the feedback. I shall be happy to assist you more.
(You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant )
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
You mentioned this in your prescription
"A course of an antibiotic like Oflaxacin / Cefixime and Metronidazole."
I am taking only Oflxacing (1 morning and 1 in evening). Do I need to take Metronidazole too along with Oflxacing ?
There is some improvement after taking antibiotic and enzyme supplements.
Please let me know.
Thanks
"A course of an antibiotic like Oflaxacin / Cefixime and Metronidazole."
I am taking only Oflxacing (1 morning and 1 in evening). Do I need to take Metronidazole too along with Oflxacing ?
There is some improvement after taking antibiotic and enzyme supplements.
Please let me know.
Thanks
Brief Answer:
May not be needed.
Detailed Answer:
Hi.
I hoped to read near-complete relief.
Well, Metronidazole may not be written in areas like Hong Kong as there may be no or very less amoebiasis in such area.
If you are getting a complete relief with Ofloxacin Metronidazole / Tinidazole may not be needed.
I also do not know whether this is a prescription medicine in Hong Kong or can get as OTC in Pharmacy. Please inquire about this too.
Continue the present course and let us see the results.
May not be needed.
Detailed Answer:
Hi.
I hoped to read near-complete relief.
Well, Metronidazole may not be written in areas like Hong Kong as there may be no or very less amoebiasis in such area.
If you are getting a complete relief with Ofloxacin Metronidazole / Tinidazole may not be needed.
I also do not know whether this is a prescription medicine in Hong Kong or can get as OTC in Pharmacy. Please inquire about this too.
Continue the present course and let us see the results.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor.
Thanks for your answer.
I have uploaded my repeat blood test reports 1&2 which also included few more blood tests. All the results are within normal ranges.
Yesterday, I had CT scan of my complete abdomen (both with and without dye). Report will come in one or two days.
I have finished 5 days course of oflxacin and diazyme yesterday. My current status of symptoms is as
Nausea ---------------------------- I have near complete relief from nausea
Indigestion & Burping -------------------I have near complete relief from burping
Fullness ----------------------------------- Fullness feeling is not significant
Appetite -----------------------------------recovering say about 40-50 %
Acidity ------------------I feel burning , warm & cold feeling in epigastria area
which is sometimes relieved by chilled milk or chewable antacid tablets.
However, I sometimes feel a type of discomfort in stomach which you experience when you are excited, worried, or in anxiety.
Stool ----------------BM has improved. yellow and solid without any visible undigested food .
Please review my blood test reports and let me know how long I need to continue this medication or any other preparation.
Meteronidazole is not sold OTC however it is available in a bottle of 250 tablets which is clearly marked as POISON.
I will post CT Scan reports as soon as received
Thanks
Regards
XXXXXX
Thanks for your answer.
I have uploaded my repeat blood test reports 1&2 which also included few more blood tests. All the results are within normal ranges.
Yesterday, I had CT scan of my complete abdomen (both with and without dye). Report will come in one or two days.
I have finished 5 days course of oflxacin and diazyme yesterday. My current status of symptoms is as
Nausea ---------------------------- I have near complete relief from nausea
Indigestion & Burping -------------------I have near complete relief from burping
Fullness ----------------------------------- Fullness feeling is not significant
Appetite -----------------------------------recovering say about 40-50 %
Acidity ------------------I feel burning , warm & cold feeling in epigastria area
which is sometimes relieved by chilled milk or chewable antacid tablets.
However, I sometimes feel a type of discomfort in stomach which you experience when you are excited, worried, or in anxiety.
Stool ----------------BM has improved. yellow and solid without any visible undigested food .
Please review my blood test reports and let me know how long I need to continue this medication or any other preparation.
Meteronidazole is not sold OTC however it is available in a bottle of 250 tablets which is clearly marked as POISON.
I will post CT Scan reports as soon as received
Thanks
Regards
XXXXXX
Brief Answer:
Good reports- take Omeprazole - no stress or anxiety please.
Detailed Answer:
Hi.
Seen the reports.
ALT and Eosinophils are just raised.
CEA and CA are normal is the best news.
It is good that symptomatic relief is there except for the discomfort in upper abdomen on excitement, worry or anxiety. This may be due to acidity as a part of gastroenteritis or due to Ofloxacin as it does increase acidity, or part of IBS one gets on such incidence and this is temporary. Please stop worrying about it as worry increases such problems. I would start Ranitidine 150 twice daily or Omeprazole 20 twice daily with your doctors permission. Continue Antacid tablets whenever you are on empty stomach.
Take small frequent meals of soft bland diet.
Have sound sleep of 7 to 8 hours.
No stress or strain even for the CT scan report (everyone gets it until seen a report, I know).
Metronidazole may not be necessary as you have improved well. We shall think of it is the stools are sticky.
I hope to see your CT scan report.
Good reports- take Omeprazole - no stress or anxiety please.
Detailed Answer:
Hi.
Seen the reports.
ALT and Eosinophils are just raised.
CEA and CA are normal is the best news.
It is good that symptomatic relief is there except for the discomfort in upper abdomen on excitement, worry or anxiety. This may be due to acidity as a part of gastroenteritis or due to Ofloxacin as it does increase acidity, or part of IBS one gets on such incidence and this is temporary. Please stop worrying about it as worry increases such problems. I would start Ranitidine 150 twice daily or Omeprazole 20 twice daily with your doctors permission. Continue Antacid tablets whenever you are on empty stomach.
Take small frequent meals of soft bland diet.
Have sound sleep of 7 to 8 hours.
No stress or strain even for the CT scan report (everyone gets it until seen a report, I know).
Metronidazole may not be necessary as you have improved well. We shall think of it is the stools are sticky.
I hope to see your CT scan report.
Above answer was peer-reviewed by :
Dr. Prasad
Hi Doctor,
Thanks for your answers.
I was prescribed Omeprazole 20 mg twice daily along with domeperidone ( 3times daily) . Medicines were stopped by doctor after I complained for headache and light head and he prescribed me an Antacid syrup ( 3 times in a day after meal).
I have received my CT scan report . Kindly review and revert your expert comments.
I have progressive relief from symptoms except in the morning when i feel nausea after BM or Breakfast. I am taking bland diet since one month.
I have stopped Oflaxcin and Diazyme ( pancreatic enzyme)
I have uploaded my CT scan report on the website for your review.
Thanks and best regards. XXXXXXX
Thanks for your answers.
I was prescribed Omeprazole 20 mg twice daily along with domeperidone ( 3times daily) . Medicines were stopped by doctor after I complained for headache and light head and he prescribed me an Antacid syrup ( 3 times in a day after meal).
I have received my CT scan report . Kindly review and revert your expert comments.
I have progressive relief from symptoms except in the morning when i feel nausea after BM or Breakfast. I am taking bland diet since one month.
I have stopped Oflaxcin and Diazyme ( pancreatic enzyme)
I have uploaded my CT scan report on the website for your review.
Thanks and best regards. XXXXXXX
Brief Answer:
Seen the report.
Detailed Answer:
Thanks for your feedback.
Seen the CT scan report: It says fecal loaded large bowel loops and a tiny calcification(this is not significant of anything hence not noted in the summary. Most important is the absence of anything related to malignancy, tuberculosis or so. Hence the scan is practically normal for which it is done.
For the loaded colon, you may be prescribed a laxative or enema.
Omeprazole and Domperidone caused you headache. You can try either of it alone for each day so that we can know what caused the headache and remember not to take it in future.
You can try Ranitidine in place of Omeprazole for acidity.
Now the only complaint is nausea after BM or Breakfast.I hope this would get covered over time. Try Omeprazole and Domperidone separately as said. You should take antacid when you are on empty stomach.
Please let me know the progress and which medicine caused you the headache. Please consult your Doctor about the role of a mild laxative, as clean colon (unloaded) may reduce your morning problem.
Nice to know a good progress and near-normal CT scan report.
Seen the report.
Detailed Answer:
Thanks for your feedback.
Seen the CT scan report: It says fecal loaded large bowel loops and a tiny calcification(this is not significant of anything hence not noted in the summary. Most important is the absence of anything related to malignancy, tuberculosis or so. Hence the scan is practically normal for which it is done.
For the loaded colon, you may be prescribed a laxative or enema.
Omeprazole and Domperidone caused you headache. You can try either of it alone for each day so that we can know what caused the headache and remember not to take it in future.
You can try Ranitidine in place of Omeprazole for acidity.
Now the only complaint is nausea after BM or Breakfast.I hope this would get covered over time. Try Omeprazole and Domperidone separately as said. You should take antacid when you are on empty stomach.
Please let me know the progress and which medicine caused you the headache. Please consult your Doctor about the role of a mild laxative, as clean colon (unloaded) may reduce your morning problem.
Nice to know a good progress and near-normal CT scan report.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor,
Many thanks for your expert guidance. I visited my local Gastroenterologist who had referred for CT Scan. He said you are suffering from gastritis ( non ulcer due to functional problem) as your reports are normal.
He has prescribed me Fomatidine 20 mg two times daily for 15 days ( no matter any time before or after meal). Since i had reported nausea and headache problem after taking omeprazole 20 mg twice daily for 15 days, he has now changed medicine to Fomatidine 20mg .
I also have ranitidine 150 mg ( Aciloc) which my friend brought from XXXXXXX last month. Could you please advise
A) which is the most suitable medicine , Aciloc 150 mg or Fomatidine 20 mg ?
B) When should i take above medicine before food or with food or after food or bed time ?
C) What should be the Dosage everyday and duration of the medication ?
Thank you once again for your great help !
Regards XXXXXXX
Many thanks for your expert guidance. I visited my local Gastroenterologist who had referred for CT Scan. He said you are suffering from gastritis ( non ulcer due to functional problem) as your reports are normal.
He has prescribed me Fomatidine 20 mg two times daily for 15 days ( no matter any time before or after meal). Since i had reported nausea and headache problem after taking omeprazole 20 mg twice daily for 15 days, he has now changed medicine to Fomatidine 20mg .
I also have ranitidine 150 mg ( Aciloc) which my friend brought from XXXXXXX last month. Could you please advise
A) which is the most suitable medicine , Aciloc 150 mg or Fomatidine 20 mg ?
B) When should i take above medicine before food or with food or after food or bed time ?
C) What should be the Dosage everyday and duration of the medication ?
Thank you once again for your great help !
Regards XXXXXXX
Brief Answer:
Aciloc - control of stress and anxiety.
Detailed Answer:
Hi.
Thanks again for your feedback.
It is good that, your have both Famotidine and Aciloc.
I think Aciloc one in the morning, the moment you get up and the next dose exactly after 12 hours irrespective of the time of the day and food will be good choice. I hope you will not get any problem with Aciloc 150. And anyway we have another choice of Famotidine.
You may please take this for 2 weeks.
But more important than this is the stress and anxiety (the functional thing your Gastroenterologist says) have to be well under control.
Aciloc - control of stress and anxiety.
Detailed Answer:
Hi.
Thanks again for your feedback.
It is good that, your have both Famotidine and Aciloc.
I think Aciloc one in the morning, the moment you get up and the next dose exactly after 12 hours irrespective of the time of the day and food will be good choice. I hope you will not get any problem with Aciloc 150. And anyway we have another choice of Famotidine.
You may please take this for 2 weeks.
But more important than this is the stress and anxiety (the functional thing your Gastroenterologist says) have to be well under control.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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