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What Causes Pain Around Abdormen And Chest?
Question: Doctor I feel pain all around my abdormen and chest sumtime like burning sensation especially righr side. I am heb b possititive with e antingent negative and undetectable hbv dna as at last 2 month. Recently my abdorminal scan shows excess gas colitis. And once I mistakenly tok overdose lamivudine for atleast 3 month which my doctor suddenly gave just because am heb possitive wirhout any further tests.
Brief Answer:
pantoprazole . probiotic, life style modification
Detailed Answer:
Hi,
I went through the query and understood your concern.
1. The current symptoms looks like acid peptic disease. This may be induced by your drug or due to variations in your life style. What ever the cause, acid suppressants like pantoprazole or omeprazole (proton pump inhibitor) along with anti emetic like domperidone will help you in preventing and reducing the symptoms. If symptoms persists then endoscopy may be required.
2. More than 90% of hepatitis B positive patients doesn't require treatment in their lifetime. In your case also no treatment required but just keep monitoring liver function test and viral load.
3. Colitis if you have symptoms of inflammation then antibiotic is required. Otherwise with the above said medications use probiotics, yogurt ever day. You should also concentrate on your life style. Daily 30min exercise with plenty of water and green leaf vegetables will help. If signs of bacterial infection then antibiotics will be required.
I hope this information helps you. Feel free to ask for any further queries. I will be glad to answer them.
Wish you good health and faster recovery.
Regards
pantoprazole . probiotic, life style modification
Detailed Answer:
Hi,
I went through the query and understood your concern.
1. The current symptoms looks like acid peptic disease. This may be induced by your drug or due to variations in your life style. What ever the cause, acid suppressants like pantoprazole or omeprazole (proton pump inhibitor) along with anti emetic like domperidone will help you in preventing and reducing the symptoms. If symptoms persists then endoscopy may be required.
2. More than 90% of hepatitis B positive patients doesn't require treatment in their lifetime. In your case also no treatment required but just keep monitoring liver function test and viral load.
3. Colitis if you have symptoms of inflammation then antibiotic is required. Otherwise with the above said medications use probiotics, yogurt ever day. You should also concentrate on your life style. Daily 30min exercise with plenty of water and green leaf vegetables will help. If signs of bacterial infection then antibiotics will be required.
I hope this information helps you. Feel free to ask for any further queries. I will be glad to answer them.
Wish you good health and faster recovery.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you for your prompt and professional respond. Sir, i hope the above medication for abdorminal pain relieved you mentioned is safe for my liver as hepatitis b patient? and i forgot to mention that my recent LFTs shows my ALT 77 and AST 54, but before i took lamivudine all my LFTs are at normal range. I hope these medication is safe for my present condition?
Brief Answer:
You can take the drugs mentioned.
Detailed Answer:
Hi,
No need to worry about the above mentioned drugs with hepatitis B. You can take those drugs.
LFT and slight raise in enzymes may be due to drug (or any Insult). This will come back to normal in time as liver has very good regenerative power if damaged. But I advise you to check for LFT every 3 months and if any variations then viral load.
As I told before more than 90% of hepatitis B infected patients does not need any extra care during their life time. So be relaxed.
I hope this information clarified your concern and answered your queries. Wish you good health.
Regards
You can take the drugs mentioned.
Detailed Answer:
Hi,
No need to worry about the above mentioned drugs with hepatitis B. You can take those drugs.
LFT and slight raise in enzymes may be due to drug (or any Insult). This will come back to normal in time as liver has very good regenerative power if damaged. But I advise you to check for LFT every 3 months and if any variations then viral load.
As I told before more than 90% of hepatitis B infected patients does not need any extra care during their life time. So be relaxed.
I hope this information clarified your concern and answered your queries. Wish you good health.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir the what are the dosages of the drugs tou mentioned above (domperidone, pantoprazole and the probiotic)? And I want to know if esomeprazole 20mg and pantoprazole 20mg are all the same.
Brief Answer:
40mg, 10mg. same class different drugs
Detailed Answer:
Hi,
pantoprazole 20 or 40mg..I prefer 40 mg.
domperidone 10mg.
these two come as a combination in single tablet.
Probiotics contain required bacilli and these can vary from thousands to lakh. Some trade name like bacelac, I prefer.
pantoprazole and esmoprazole are different drug of same class. You can use any one.
I hope this information answered your concern.
Regards
40mg, 10mg. same class different drugs
Detailed Answer:
Hi,
pantoprazole 20 or 40mg..I prefer 40 mg.
domperidone 10mg.
these two come as a combination in single tablet.
Probiotics contain required bacilli and these can vary from thousands to lakh. Some trade name like bacelac, I prefer.
pantoprazole and esmoprazole are different drug of same class. You can use any one.
I hope this information answered your concern.
Regards
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Above answer was peer-reviewed by :
Dr. Yogesh D
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