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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Acid Reflux, Pressure In Stomach, Belching, Acidity In Throat, Hunger Pain. On Lansoprazole. Is It An Ulcer?

I am on medication (lansoprazole) for acid relux (symptons were pressure in the upper stomach, belching, and acid feeling in the throat. I still have the pressure in the upper stomach at times, the belching and acid feeling (not as much as before the medication) I also tend to have hunger pains when I shouldn't be hungry,sometimes shortly after a meal and stomach discomfort in the morning . I feel fine one day and than the symptons will appear a day or two later. Could I possibly have an ulcer. -- I also take a daily antibiotic (trimethorprim 100mg) due to a history of urinary tract infections.
Mon, 27 May 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility.
Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound , excessive flatulence.
Dyspepsia could be due to peptic ulcer disease, bile reflux disease and functional in nature.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, blood sugar, thyroid profile, and renal function test.
You should also go for endoscopy and urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria.
Meanwhile, you should also take proton pump inhibitors along with prokinetics.
Take care,
Dr. Mayank Bhargava
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Have Acid Reflux, Pressure In Stomach, Belching, Acidity In Throat, Hunger Pain. On Lansoprazole. Is It An Ulcer?

Hi, Thanks for posting your query. With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility. Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound , excessive flatulence. Dyspepsia could be due to peptic ulcer disease, bile reflux disease and functional in nature. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, blood sugar, thyroid profile, and renal function test. You should also go for endoscopy and urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, you should also take proton pump inhibitors along with prokinetics. Take care, Dr. Mayank Bhargava