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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can GERD And Upper Abdominal Pain Be Treated?

Hi, I have GERD & sometimes will belch & it is like rotten eggs (sulfur) I also get pain in left upper quadrant. Will sometimes vomit and I usually feel better. However 3 weeks ago I had same symptoms for 2 - 3 days no vomiting. All of a sudden in the night I vomited projectile and was unable to control a bout of diarrhea in my bed, still did not feel better. Spent 3 days in bed exhausted and week. I thought I must have flu. 4th day better but not 100%. 4 days later same problem, I did not lose control of bowels but was sick, had pain in stomach was weak & could not eat. It lasted 4 days. Thursday last week felt recovered enough to continue normal activities & have been fine until today when about 2 hours ago started feeling nauseous, return of sulfur and mild discomfort in upper left quadrant. Have had Gastroscopy 2 months ago & am scheduled for 24 hr PH study. I am very concerned as I cannot eat properly. I have cut down on black tea, have not had coffee and trying to eat a balanced diet. Can you give me any advise, my doctor is on vacation?
Wed, 4 Jan 2017
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General & Family Physician 's  Response
Hello and welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here is my advice.

Looking at your description I would advise you to take anti-acidity medicine like pantoprazole or ranitidine group of drugs with antacids. You may require a course of antibiotics like ofloxacin and ornidazole group of drugs under medical supervision. Meanwhile continue to have healthy diet consisting of lots of fresh fruits and vegetables and more of dietary fiber.

Have lots of fluids like lemon water, ORS solution and fruit juices to counter dehydration and electrolyte imbalances. Maintain good hygiene wash your hands properly whenever you use washroom or you eat. Try to avoid junk frozen and spicy food. Don't lie down immediately after food, and have small and frequent meals.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. B R Hudda
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How Can GERD And Upper Abdominal Pain Be Treated?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Looking at your description I would advise you to take anti-acidity medicine like pantoprazole or ranitidine group of drugs with antacids. You may require a course of antibiotics like ofloxacin and ornidazole group of drugs under medical supervision. Meanwhile continue to have healthy diet consisting of lots of fresh fruits and vegetables and more of dietary fiber. Have lots of fluids like lemon water, ORS solution and fruit juices to counter dehydration and electrolyte imbalances. Maintain good hygiene wash your hands properly whenever you use washroom or you eat. Try to avoid junk frozen and spicy food. Don t lie down immediately after food, and have small and frequent meals. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B R Hudda