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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gastritis, Chest Pain, Excessive Hunger Post Intake Of Azithromycin For Strep Throat. Natural Remedy?

So, I m pretty sure i have Gastritis caused from Azithromycin , taking 500MG doses every day for the past couple days(Dr s orders, for strep throat ) and I ve had immense stomach/ chest pain , right around where the ribs end and stomach begin, been unable to hold down much of anything, while all the time being voraciously hungry, but full at the same time(due to gas i would imagine). I have no insurance and need some kind of solution, i work 6 days a week and cannot afford to be crippled like this. Please if there is anything over-the-counter or even natural. Thanks
Fri, 22 Jun 2012
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Internal Medicine Specialist,  's  Response
Hello.Your symptoms are simulating gastritis , or GIT ulcer. The basic cause of this is exposure of unprotected gastric mucosa(usually protected by layer of mucus) to gastric acid.
The common causes for this to happen are H pylori infection , Use of pain killers, antibiotics,stress, food habits and excessive alcohol consumptions etc.The treatment is basically directed towards reducing acid production or neutralizing it.
A use of antacid like (ranitidine) can give relief within in short duration, however action last for shorter duration. Proton pump inhibitor(Prilosec) reduce acid formation and have comparatively longer duration of action.

Pro-motility drugs (metoclopramide ) can be used. They increase the pressure in the lower esophageal sphincter and strengthen the contractions of the esophagus.
Other useful measures are stop use of NSAIDs (pain killers),avoid spicy food, take good sleep , avoid alcohol or carbonated drinks.

If symptoms persist then consider a visit to doctor.The doctor may ask you to undergo investigation like urea breath test and even gastroscopy before starting treatment.

Hope that answers your question.Regards
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Gastritis, Chest Pain, Excessive Hunger Post Intake Of Azithromycin For Strep Throat. Natural Remedy?

Hello.Your symptoms are simulating gastritis , or GIT ulcer. The basic cause of this is exposure of unprotected gastric mucosa(usually protected by layer of mucus) to gastric acid. The common causes for this to happen are H pylori infection , Use of pain killers, antibiotics,stress, food habits and excessive alcohol consumptions etc.The treatment is basically directed towards reducing acid production or neutralizing it. A use of antacid like (ranitidine) can give relief within in short duration, however action last for shorter duration. Proton pump inhibitor(Prilosec) reduce acid formation and have comparatively longer duration of action. Pro-motility drugs (metoclopramide ) can be used. They increase the pressure in the lower esophageal sphincter and strengthen the contractions of the esophagus. Other useful measures are stop use of NSAIDs (pain killers),avoid spicy food, take good sleep , avoid alcohol or carbonated drinks. If symptoms persist then consider a visit to doctor.The doctor may ask you to undergo investigation like urea breath test and even gastroscopy before starting treatment. Hope that answers your question.Regards