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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Acute Active Gastritis, Acute Duodenitis, Painful Chest, Acidity, Had Typhoid. What Can Help?

Hi sir , I am prashant suffering from acute acyive Gastritis from last 3 to 4 yrs, before that i was a victim of Typhoid for 6 to 7 time consecutively. Gastroscopy results shows acute Duodenitis & acute active gastritis. Pantaprazole adminstered for 6 months but not so much result obtained. I have a pains on my left side near chest & the problem of acidity get more worsen in stressed situation.. Let me consult the way to tackle the problem & to get rid of it....
Thu, 15 Aug 2013
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General & Family Physician 's  Response
Welcome to HealthCare Magic

I can understand your concern. You did not Mentioned your age which is quite important in such cases. Before getting the treatment you should know the causes of Gastritis which will help you with the treatment.

basic causes are : Use of certain medications such as aspirin or other anti-inflammatory drugs.
viruses, parasites, fungi, and bacteria other than H. pylori.
Smoking , Drinking Alcohol , Tension , Stress , junk food .
and much more.

First thing you should do is avoid stress and anxiety.
Use Pentaprazole or Omprazole or any PPI available near you
Use Motilium ( domperidone ) Before each meal for 15 minutes
Syp gavison 2 teaspoon after every time you eat
avoid spicey and oily food.
Do not sleep after eating at least walk for 15 minutes avoid drinking water after eating and before going to bed.
Sleep well at night you can use any relaxant for it.

Do few lab test for H-pylori , if the result is positive , do consult with your doctor. but the above mention treatment will help you tackling your problem.

I hope have answered your query. feel free to ask
Wish you good health
Regards


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Pediatrician Dr. E Venkata Ramana's  Response
Hi Prashanth,

Thank you for your query on Healthcare Magic.

Erosive gastritis and acidity requires long term treatment with proton pump inhibitors such as pantpprazole, omeprazole, or esmoprazole.

In addition to the drugs food habits and life style modification is important to manage this problem.

Try to reduce your stress by relaxation and meditation techniques.

Eat soft diet at regular meal timings.

Don't skip the meal.

Avoid spicy, junk, and fried foods.

Stop smoking and alcoholism if you are having these habits.

Avoid drinking caffeinated and carbonated drinks like cool drinks, coffee, and tea.

Repeat of upper GI endoscopy may be required to look for any erosion or ulcers in the stomach.

Helicobacter pylori infection has to be ruled out by appropriate investigations and if present it should be treated with antibiotic course.

I advise you to consult the gastroenterologist for further evaluation and management.

Hope I have answered your query.

Regards.

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Pediatrician, Surgery Dr. Anand Sinha's  Response
Hello
Thank you for placing your query on Health Care Magic
Chronic and recurrent gastritis is most likely due to infection by a bacteria called Helicobacter pylori. It does not cause any other major problem but increases the acidity. It can readily be detected by doing a Rapid Urease Test during endoscopy. However you need not undergo a repeat scopy. Empirical treatment can be given if you are not responding to pataprazole. We need to give 2-3 weeks of antibiotics to get rid of the bacteria. Consult a gastro-enterologist or a surgeon for proper doses. Also along with pantaprazole, sucralfate syrup can be started. It helps in healing the stress ulcers. Finally stress is a major risk factor. Try meditation and lifestyle modification to relieve yourself of the stress and anxiety. Even drugs can be prescribed for the same.
Hope that helps you
God bless you
Dr Anand Sinha
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Suffering From Acute Active Gastritis, Acute Duodenitis, Painful Chest, Acidity, Had Typhoid. What Can Help?

Welcome to HealthCare Magic I can understand your concern. You did not Mentioned your age which is quite important in such cases. Before getting the treatment you should know the causes of Gastritis which will help you with the treatment. basic causes are : Use of certain medications such as aspirin or other anti-inflammatory drugs. viruses, parasites, fungi, and bacteria other than H. pylori. Smoking , Drinking Alcohol , Tension , Stress , junk food . and much more. First thing you should do is avoid stress and anxiety. Use Pentaprazole or Omprazole or any PPI available near you Use Motilium ( domperidone ) Before each meal for 15 minutes Syp gavison 2 teaspoon after every time you eat avoid spicey and oily food. Do not sleep after eating at least walk for 15 minutes avoid drinking water after eating and before going to bed. Sleep well at night you can use any relaxant for it. Do few lab test for H-pylori , if the result is positive , do consult with your doctor. but the above mention treatment will help you tackling your problem. I hope have answered your query. feel free to ask Wish you good health Regards