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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On And Off Abdominal Pain. On Antacids, Prilosec. Pain Worse At Night. Cure?

My husband who is 53 has been having abdominal pain that is on and off for over a week. He has been taking antacids and Prilosec for two days. The pain is in the middle of his stomach and is getting worse at nite. He does not have medical insurance and we try to stay away from Drs. unless its necessary. When he lies down its worse.
Thu, 19 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since pain is from the last 7 days i.e.acute gastritis or hyper acidity.
As diagnosis is clear so you will have to take few steps for this pain.
Try raising the head of your bed about 4 inches with the blocks. It might also help to avoid eating or drinking fro two hours before your husband lie down.
To help control the stomach acid one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy food or greasy food .
As antacid & prilosec not providing complete relief get in endoscopy of upper G I . In such type of cases I usually prescribe rebamipide 100 mg 2-2-2 for 10 days .
2nd reason of this pain may be due to acute pancreatitis , this can be confirmed by blood examination of pancreatic enzymes like lipase and amylase. More over this pain worse when patient bends or sits .
Consultation of a physician will help.
Good luck.
Dr. HET
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On And Off Abdominal Pain. On Antacids, Prilosec. Pain Worse At Night. Cure?

Hello, Thanks for the query to H.C.M. Forum. Since pain is from the last 7 days i.e.acute gastritis or hyper acidity. As diagnosis is clear so you will have to take few steps for this pain. Try raising the head of your bed about 4 inches with the blocks. It might also help to avoid eating or drinking fro two hours before your husband lie down. To help control the stomach acid one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy food or greasy food . As antacid & prilosec not providing complete relief get in endoscopy of upper G I . In such type of cases I usually prescribe rebamipide 100 mg 2-2-2 for 10 days . 2nd reason of this pain may be due to acute pancreatitis , this can be confirmed by blood examination of pancreatic enzymes like lipase and amylase. More over this pain worse when patient bends or sits . Consultation of a physician will help. Good luck. Dr. HET