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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Pain In Duodenum, Heart Burn, Dry Eye. Taken Aleve For Pain. Recommendations?

I have deveoped what seems to be chronic pain in the duodenum, that used to be situational. It got worse an stayed as it is ever since I took an Aleve for pain after surgery. I have had to take PPI's, and when I do not take them, I have intolerable pain and heart burn in the area. As a result fo the PPI's I have developed severe dry eye problems, and must get off the meds. I want to treat this wholistically. All the docs just want to prescribe another PPI. Help!~
Do you have an answer or suggestion?
Fri, 18 Oct 2013
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General & Family Physician 's  Response
As you have used PPIs alot let me just give you some daily activites lifestyle modification tips

1.lose weight ( if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight.
2.Avoid alcohol, chocolate, citrus based fruits,tomato based products
3.avoid pepper mint coffe and possibly the onion family
4.eat small freequent meals rather than large meals.
5.wait at least 3 hours after the meal to lie down or sleep.
6.refrain from ingesting food (except liquids) with in 3 hours of bed time.
7.eleate te head of your bed at least 8 inches
8.avoid bending or stooping positions
9.dont use nsaids
10.dont smoke
11. have a proper sleep routine
12. use cold milk as drink avoid all hot beverages and carbonated ones

i wont talk medicines here
but if these tips didnt help then ask me again and we will step up

Regards
Dr Shafi Ullah Khan
My patient Is My family
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Chronic Pain In Duodenum, Heart Burn, Dry Eye. Taken Aleve For Pain. Recommendations?

As you have used PPIs alot let me just give you some daily activites lifestyle modification tips 1.lose weight ( if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight. 2.Avoid alcohol, chocolate, citrus based fruits,tomato based products 3.avoid pepper mint coffe and possibly the onion family 4.eat small freequent meals rather than large meals. 5.wait at least 3 hours after the meal to lie down or sleep. 6.refrain from ingesting food (except liquids) with in 3 hours of bed time. 7.eleate te head of your bed at least 8 inches 8.avoid bending or stooping positions 9.dont use nsaids 10.dont smoke 11. have a proper sleep routine 12. use cold milk as drink avoid all hot beverages and carbonated ones i wont talk medicines here but if these tips didnt help then ask me again and we will step up Regards Dr Shafi Ullah Khan My patient Is My family