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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Stomach After Eating Inspite Of Taking Pantoprazole?

Hey I hope you guys can help me out here (crossing my fingers), Ive emailed you about over month ago and you replied. I still seem to be stuck with my ongoing stomach problems. Very bad stomach ache mostly after I eat and on and off all day kinda thing but mostly during the middle of the day Had attacks at night to. All this abdominal stomach pain lasting from different lengths of pain periods, from a couple hours to 15 min. Been on a very bland diet for over a month. Drinking lots of water , NO coffee,beer NOR pizza/fried foods/fast food. Eating yogurt,carrots,bananas and chicken noodle soup basically. Also have been on Pantoprazole (PPI) since October the 9th taking a pill a day at a dose of 40mg. I ve even got an ultrasound done to confirm no gallbladder or anything seeming wrong. At this point I cant tell if the pills have been really working or not. I may have a new theory also that finally during the day the dosage runs out so pain comes by,then supper roles around when I take my pill the discomfort i snt as overwhelming or not as often. What do i do? The last time you advised to take the (PPI) Esomeprazole should I be on this instead of Pantoprazole ? Please I need help, hope to hear from you. Real.
Mon, 30 Mar 2020
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General Surgeon 's  Response
Hello,

The pantoprazole will help to relieve the gastric upset from hyper secretion of stomach acid in usual cases. However, there are many of the clinical conditions, during which one gets stomach ache after eating as:
- Propulsive movement issues as diabetic gastroparesis
- digestive enzyme deficiencies
- Liver, gall bladder, billiary system issues
- Narrowing of part of small intestine
- Others

Primary relief with antispasmodic medication as dicyclomine or drotaverine is best way, and discuss the need of additional investigation as CT scan or others for looking into the matter in greater depth above gall bladder dysfunction.

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

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Severe Pain In Stomach After Eating Inspite Of Taking Pantoprazole?

Hello, The pantoprazole will help to relieve the gastric upset from hyper secretion of stomach acid in usual cases. However, there are many of the clinical conditions, during which one gets stomach ache after eating as: - Propulsive movement issues as diabetic gastroparesis - digestive enzyme deficiencies - Liver, gall bladder, billiary system issues - Narrowing of part of small intestine - Others Primary relief with antispasmodic medication as dicyclomine or drotaverine is best way, and discuss the need of additional investigation as CT scan or others for looking into the matter in greater depth above gall bladder dysfunction. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon