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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Gastritis, Duodenitis, Arthritis Of Sternum. Taken Prilosec. Negative H. Pylori Test. Have Hypothyroidism. Any Suggestions?

After recent EGD, diagnosed with Gastritis & Duodenitis & Arthritis of sternum. At time of EGD, had been on Prilosec (40mg 1xday) and restricted diet for 10 weeks...no chocolate, caffeine, fried foods, carbonation, beef/pork, fruit/veggies, tomato, citrus. Only ate baked chicken, eggs, toast, potato w/o skin, applesauce and tea. H.Pylori test at time of EGD is negative. GI doc had no suggestions as to cause or treatment other then taking 2 tylenol daily and increased Prilosec for an undetermined amount of time. Condition has been dragging on since early May. Workups for heart, asthma tested normal. Also diagnosed with Hypothyroid when this all started in May. Any other possible bacteria in gut that can be tested for? Food allergies? Thinking of starting significant probiotic regime but read about possible health issues in body not being able to clear toxins (from dying bad bacteria) fast enough. Any thoughts, suggestions?
Wed, 20 Nov 2013
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Diabetologist,  's  Response
hello friend
i am sorry for your prolonged ailments
i have a few suggestions that may help
these are all non pharmacological measures
so there is minimum risk of side effects

1. have the head end of the bed raised.
2. avoid non vegetarian food. causes more acid production
3. dietary restrictions, from your message, i consider you already know.
4. avoid smoking and alcohol, espeacially just prior to bed.
5. after having food, never go to bed directly. walk for at least half an hour.
6. have your thyroid levels checked. incompletely corrected thyroid will not help you.

while probiotics are a good idea, prolonged use of proton pump inhibitors is the best therapy available.
i would like to suggest taking ranitidine as well
ppi 40 mg in the morning half hour prior to first oral intake, and ranitidine 150 before dinner.

best of luck.
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Have Gastritis, Duodenitis, Arthritis Of Sternum. Taken Prilosec. Negative H. Pylori Test. Have Hypothyroidism. Any Suggestions?

hello friend i am sorry for your prolonged ailments i have a few suggestions that may help these are all non pharmacological measures so there is minimum risk of side effects 1. have the head end of the bed raised. 2. avoid non vegetarian food. causes more acid production 3. dietary restrictions, from your message, i consider you already know. 4. avoid smoking and alcohol, espeacially just prior to bed. 5. after having food, never go to bed directly. walk for at least half an hour. 6. have your thyroid levels checked. incompletely corrected thyroid will not help you. while probiotics are a good idea, prolonged use of proton pump inhibitors is the best therapy available. i would like to suggest taking ranitidine as well ppi 40 mg in the morning half hour prior to first oral intake, and ranitidine 150 before dinner. best of luck.