
What Causes Pain In The Upper Right Abdomen?

I consulted gastroenterlogist and the detail of all the report and prescription is attached for your review.
As suggested by the local Doctor I have undergone few tests including Upper GI Endoscopy. Please find attached below given documents and co-relate the same with earlier attached reports.
• Prescription first part.
• Prescription second part.
• USG Report.
• Hepatic Fibrosis Assessment.
• Upper GI Endoscopy report.
• Vitamin B12 & D3 report.
Doctor has advised following medicine
• 2 months long medicine for because of high SGPT, SGOT (refer blood report) and impression of Hepatomegaly.-URSOKEM 300 MG twice after meal .
• 2 month empty stomach once in a day Rabonik Plus
• Antifungal capsule- Syscan 150 Mg for 7 days because during endoscopy they have seen infection in my throat & food pipe.
• Vitamin B12 Injection & Vitamin D3 Calcirol Granules.
Kindly note that the above written querry was posted and replied by some other doctor but since the question is closed now I cannot raise my followup question & test report which now I have written here.
My current query or followup question was that I had already taken medicine for 1 month but still I am having excess gas. How long this excess gas would continue? Moreover for last 1 week I am experiencing that after I take meal some of my food return back to my mouth during blurp.
Further as per endoscopy apart from Gastritis, I was also diagnosed with LAX Lower Esophageal Sphincter and Esophageal candidiasis.
I am not aware about what the last two problem is (other than Gastritis).
Kindly advise me the food/beverages which I should avoid so that it is completely cured.
Can I eat pomegranate, or other fruits or I still need to have only boiled food?
Also the medicine which is prescribed by Dr is sufficient for all the problems identified.
Your medication should be changed.
Detailed Answer:
Hi
There will be sphincter in the lower esophagus at the junction with the stomach which doesn't allow the food go back again into esophagus. If it is lax,food enters into esophagus causing Esophagitis leading to heart burn.As there is no response with Rabonik plus ,you should shift to Tablet Esmoprazole 40mg along with Domperidone before food. I also recommend you to take Syrup Sucralfate 10ml thrice daily.
Cadida is a fungus .Esophageal infection with this fungus is called Esophageal candidasis. The prescription given by your doctor for this is sufficient.
Regarding diet, you should take frequent small feeds.Avoid spicy, masala foods. Carbonated drinks, caffeine products should be avoided. You should completely stop Alcohol and smoking if you are taking them. You should avoid Citric acid containing fruits.You can take pomegranate.
There is no need to take only boiled food.
Nothing to worry.
It will come down.
Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.
Regards


Regarding change of medicine from Rabonik Plus- I have experienced relief in pain but not completely cured. I ensure to take small meal after every 2-3 hrs but if any small meal is skipped then slight pain and discomfort is noticed.
Further, I am worried of excess gas which I am passing. Is there any underlying reason for such excess gas because until this gas is released I feel discomfort in by stomach and also slight pain anywhere in the abdomen but after I go for a walk gas is passed and relief in the pain is also observed.
So need your suggestion now if I should switch medicine. Also the current Dr has not prescribed any probiotic so should I drink any probiotic with current prescribed medicine(Rabonik Plus, Ursokem). If yes kindly name any probiotic and also is there any side effect of pro biotic?
Thanks
You can take Prepro HS.
Detailed Answer:
Hi
I prescribe Prepro HS or ILAC or Darolac Capsule (Pre and Probiotic) to my patients. I have prescribed these drugs to my patients and didn't notice any side effects.
Gas enters the stomach through mouth and some amount of gas is accumulated depending on the food you take. Please take green leafy vegetables.
Inspire of Probiotic if the problem continues, you can take Esmoprazole 40 mg and Levosulpiride 150 mg daily. Levosulpiride is a prokinetic medicine which propels the food and gas distally.
Wish you good health.
Regards

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