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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Gastric Problem

Can i have question.I have gastric, especially when after eat. My pain is cramp, n i suffering pain till feel dizziness. I go specialist check, have endoscopy. In scop, dr say i have GERD and h.pylori bacteria. So dr give me medication of nexium, gaviscon, and 2 type antibiotic(klacid). But seem no recover, still same situation happen. I when back see the dr, he advice me take 1 month nexium.But just few days when on, I suffer pain till non stop,is continuely especially is nite time. Until cant sleep because stomach is cramp. I meet back the dr., so the dr do ultrasound for my abdomen. But seem nothing. What should be happen?i suffering pain, is continue pain non stop. I be given another medicine, pariet 20mg, buscapon and gaviscon. but seem not work..What should happen with me??May dr give some opinion. I will be suspect stomach cancer? Latesly my dad also get stomach cancer, but when we know is too late. is already spread to his whole bone. So he pass away. My percentage should be high or not? What test i need to do??
Thu, 3 May 2018
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Internal Medicine Specialist 's  Response
Hello,

As you already have Upper GI Endoscopy done, and revealed GERD and H.Pylori and no evidence of any neoplastic/cancer lesion, it's highly unlikely to have the stomach malignancy at this point. In future, you need to be checked again for any possible malignancy considering your strong family history.

For now, your abdominal pain may be due to gastric ulcer and acid reflux. Your doctor suggested you right to take Nexium 40 mg once a day or Omeprazole in the same dose daily for 4 weeks for maximum effect and full recovery. Besides this, you can prop up your bed or use extra pillows to elevate your head up to prevent acid reflux in your esophagus. Treating gastric ulcer with medication alone can sometimes be so difficult, without modifying lifestyle change.

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

Regards,

Dr. Ameet Kumar
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Suggest Treatment For Gastric Problem

Hello, As you already have Upper GI Endoscopy done, and revealed GERD and H.Pylori and no evidence of any neoplastic/cancer lesion, it s highly unlikely to have the stomach malignancy at this point. In future, you need to be checked again for any possible malignancy considering your strong family history. For now, your abdominal pain may be due to gastric ulcer and acid reflux. Your doctor suggested you right to take Nexium 40 mg once a day or Omeprazole in the same dose daily for 4 weeks for maximum effect and full recovery. Besides this, you can prop up your bed or use extra pillows to elevate your head up to prevent acid reflux in your esophagus. Treating gastric ulcer with medication alone can sometimes be so difficult, without modifying lifestyle change. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ameet Kumar