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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have GERD, Duodenal Ulcer. Had A Heartburn, Took Medicines. After Eating Have Mild Sensation In Chest. Treatment?

I have been suffering from GERD. & small duodenal ulcer.I never have any paid in stomach.After endoscopy small ulcer in duodenal & H Pylori negative but urease enzyme positive found. Primarily I had problem of Heartburn at night when I sleep.One Doctor prescribed me to take Razo - D at morning & Razo 20 at evening.My nigh hurtburn gone but after somedays, I started to feel uneasy and mild sensation in chest after eating breakfast/lunch/diner.It continus.So I changed Doctor. New one prescribed me to take for two weeks Pantocid HP kit & Mox at morning before breakfast & night before Dinner. But after eating the same problem i.e uneasy feeling and mild sensation do not go.Even at night when I sleep also feel uneasiness. Though New Doctors medication has been started 6days before.Can you tell me why such feelings I feel after eating?After 2 weeks above medicines will be stopped & only Nexpro 40 one tablet at morning in empty stomach will start for 6 weeks.
Tue, 11 Jun 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

GERD and peptic ulcers can cause chronic inflammation of the esophagus or stomach. Due to chronic inflammation, cancer cells can appear. That is why it si very important to have stomach controlled every few years with a gastroscopy. Moreover, new ulcer and H.Pylori infection could appear. This can trigger your symptoms. In case of H.Pylori infection, medicines blocking stomach acid can be ineffective.

That is why I suggest you to visit your doctor, have gastroscopy repeated and H.Pylori test done. In case of an infection antibiotics should be prescribed.

If the gastroscopy will be negative, abdominal ultrasound to rule gallstones out should be also done.

In a meanwhile please avoid fatty foods, spicy foods, coffee, alcohol.

Hope this will help.
Regards.
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Have GERD, Duodenal Ulcer. Had A Heartburn, Took Medicines. After Eating Have Mild Sensation In Chest. Treatment?

Hello! Thank you for the query. GERD and peptic ulcers can cause chronic inflammation of the esophagus or stomach. Due to chronic inflammation, cancer cells can appear. That is why it si very important to have stomach controlled every few years with a gastroscopy. Moreover, new ulcer and H.Pylori infection could appear. This can trigger your symptoms. In case of H.Pylori infection, medicines blocking stomach acid can be ineffective. That is why I suggest you to visit your doctor, have gastroscopy repeated and H.Pylori test done. In case of an infection antibiotics should be prescribed. If the gastroscopy will be negative, abdominal ultrasound to rule gallstones out should be also done. In a meanwhile please avoid fatty foods, spicy foods, coffee, alcohol. Hope this will help. Regards.