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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Gallstone And Acid Reflux

Gallstone problems
Hi! I found out last year that I have gallstones and suffer from acid reflux. The doctor I went to put me on dicyclomine for the acid reflux but nothing for the gallstones.They only bother me once in a blue moon but when they do, it get's pretty bad. What are some things that I can do to prevent being in pain until I can have surgery to get them removed? Are there any over-the-counter meds I can take for the pain? I'm 22, about 5'1, female, and weight about 200 lbs. I take pepogest to help with acid reflux but I need something for the gallstones. I heard you can pass them but as far as I know, I haven't passed any yet. What can I do about? Help please?!? Thank you
Wed, 27 Apr 2016
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General & Family Physician 's  Response
Hi & Welcome to HCM.
Incomplete data: Duration of your symptoms, lab tests like liver function tests, etc?
1. You need to take a proton pump inhibitor (like Pantoprazole) along with a prokinetic drug (like Domperidone or Mosapride) one hour before breakfast once daily is effective for the symptomatic relief of acid reflux.
A prescription is needed from a GP for the above medications.

1. You need to have certain life style modifications like:
i. Avoid fatty, spicy vegan and non-vegan foods, alcohol (if you consume)
ii. Eat home cooked food, increase the intake of vegetables, fruits, etc.
iii. Avoid eating with full stomach rather you eat small frequent meals.
iv. Avoid taking rest for 2 hours after meal.
v. Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty.
vi. Do exercise regularly and reduce your body weight
3. You can take OTC medications like Mefenemic acid+Dicyclomine for the symptomatic relief of pain due to gall stones.
4. The maximum diameter of bile duct is about 6 mm.
So, if you have smaller gallstones (less than 5 mm), they can get flushed and pass through the bile duct into the intestine.
5. There are some drugs available in the market to dissolve the already formed gall stones, but they have got their own problematic side effects in some. For this, you have to consult your family physician or your surgeon.
6. If your symptoms do not improve with the medications or when it causes obstruction or inflammation causing a 'sore' gallbladder, then it has to be removed by laparascopic surgery.
Hope the suggestions given above would be beneficial to you.
Take care.
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Suggest Treatment For Gallstone And Acid Reflux

Hi & Welcome to HCM. Incomplete data: Duration of your symptoms, lab tests like liver function tests, etc? 1. You need to take a proton pump inhibitor (like Pantoprazole) along with a prokinetic drug (like Domperidone or Mosapride) one hour before breakfast once daily is effective for the symptomatic relief of acid reflux. A prescription is needed from a GP for the above medications. 1. You need to have certain life style modifications like: i. Avoid fatty, spicy vegan and non-vegan foods, alcohol (if you consume) ii. Eat home cooked food, increase the intake of vegetables, fruits, etc. iii. Avoid eating with full stomach rather you eat small frequent meals. iv. Avoid taking rest for 2 hours after meal. v. Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty. vi. Do exercise regularly and reduce your body weight 3. You can take OTC medications like Mefenemic acid+Dicyclomine for the symptomatic relief of pain due to gall stones. 4. The maximum diameter of bile duct is about 6 mm. So, if you have smaller gallstones (less than 5 mm), they can get flushed and pass through the bile duct into the intestine. 5. There are some drugs available in the market to dissolve the already formed gall stones, but they have got their own problematic side effects in some. For this, you have to consult your family physician or your surgeon. 6. If your symptoms do not improve with the medications or when it causes obstruction or inflammation causing a sore gallbladder, then it has to be removed by laparascopic surgery. Hope the suggestions given above would be beneficial to you. Take care.