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GERD and IBS - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   Hello Doctor
Doctor :  
How can I help you?
User :   I am 34 years male
User :   I was diagnosed with GERD and IBS few months back
Doctor :   Ok

User :   I have been suffering from acidity problem from last 10 years
Doctor :   Ok

User :   My problem is last one month I am feeling a sharp in piercing pain in my lower abdomen
User :   this happens when I move or sit in some particular position
User :   On feeling the stomach I can not locate the pain area
Doctor :   Ok

User :   It is a mild pain pain and feel as if something sharp is pinching or something inflamed
User :   I feel it only when I amke movements lie sitting on chair or bending in a certain way
User :   I am extremely worried about it
Doctor :   Ok

Doctor :  
If you are having pain on movement, it could be a muscular pain as well
User :   Could you please tell me what is this pain
Doctor :  
and moreover you are able to touch the painful area and it increases on touching
User :   No it is not muscular pain since it already 4,5 months for this pain
Doctor :   Ok

User :   No I can not locate the pain area
Doctor :   Ok
User :   when I touch it simply does not feel
User :   any pain
Doctor :  
but since you mentiond that it fluctuates on movemnt
Doctor :  
I could think of that cause
User :   yes it fluctuates
Doctor :  
Ok
User :   on moment
User :   Lie when sitting on chair I feel it
Doctor :  
The next cause is intestinal movements
User :   like
User :   ok
Doctor :  
meaning the movements going on within the stomach
User :   Is this something serious
User :   ok
Doctor :  
Not really
User :   It is almost 4,5 months and the pain is still there
Doctor :  
It could be a presentation of your IBS
User :   though it i mild and tolerable
User :   ok
Doctor :  
Are you taking any medications for IBS?
User :   yes I take PAN-D and sometime Nexpro fast
Doctor :  
Ok
User :   not regularly
Doctor :  
That is not for IBS but rather gastric problem
Doctor :  
It does help you in this pain as well
Doctor :   where is the pain mainly?
User :   but can this be due to inflamtion or twisting of intestines
User :   it is on the lower left side
Doctor :  
Left lower or right lower abdomen?
Doctor :  
Ok
Doctor :  
there it is mainly the colon
Doctor :  
and the contractions can cause you pain
Doctor :  
How is your motions?
User :   I also feel this same pain sometime in the middle of the abdomen and sometime also lower right side
Doctor :   Ok

Doctor :  
Then it is more towards IBS
User :   From last 3 days not ok
User :   2 days back I had severe constpation
Doctor :   Ok

User :   I also vomittted some white foamy liquid
Doctor :  
Do you have any discoloration of your stools?
User :   like a bile or something
Doctor :  
Like blackening
User :   it was bitter
Doctor :   Ok
User :   not black
Doctor :  
Stool means motion
User :   white like our "thook"
User :   Motions are not black
User :   but little tarry
Doctor :   Ok

Doctor :  
That could be due to straining
User :   dark brown
Doctor :  
Do look for it everyday
User :   ok
Doctor :  
and if it is black,
Doctor :  
it could relate to a bleeding inside
User :   ok
User :   I remeber one few months back I took a medicine to relive constipation
Doctor :   Ok

User :   I had evere cramps early morning
User :   to excerte
Doctor :   Yes it happens on such medications

User :   and after that this pain started
User :   could it be case of twisted intestines
User :   or blocked bowl
Doctor :   No, you should not think of it

Doctor :  
as in case of blocked bowel, you wont be able to pass any motions
User :   ok
User :   So please tell me what is the best I can do to cure it
Doctor :   Now there is no need for you to think about obstruction

User :   ok
User :   thx I a relieved oterwise i was quit tensed
Doctor :  
You should consult a Gastroenterologist
User :   ok
Doctor :  
and get an examination done
User :   Is this something serious
Doctor :  
IBS, since it is already diagnosed
Doctor :  
these symptoms do fall under it
User :   Could it be gastrits as well
Doctor :  
and just a confirmation is necessary
Doctor :  
Gastritis yes as you have had vomiting
User :   ok
Doctor :  
but not the lower abdominal pain relation to it
User :   ok
User :   can it be cured
Doctor :   IBS needs to be maintained

User :   any alternative herbal medicine
Doctor :  
Gastritis can be cured
User :   ok
Doctor :  
I practise Allopathy
Doctor :  
and not about other systems
User :   should i continue with nexpro fast
Doctor :   You should but only on prescription

Doctor :  
as it does require one
User :   one last question
Doctor :  
Sure
User :   two differenr phycisians hav prescribed me two different medicines. One is PaN-D other is nexpro fast. which one you thing would be more effective. Which one you recommend
Doctor :   Pan D as you have vomiting as well

User :   ok
User :   Can u recommend me any good gestroentrologist in my
Doctor :  
if you are fine
User :   ok
User :   ok
Doctor :  
WWW.WWWW.WW User :   one more question please
User :   thanks
Doctor :   Ok
User :   can i try using the bottle or cloth to heat the effected area of stomach.
User :   for pain relief and cure
Doctor :   Which bottle?

User :   this rubber bottle usd for this purpose only
Doctor :   Ok

Doctor :  
You can but not useful in your case
Doctor :  
as the pain is internal
User :   yes
Doctor :   Is there any thing else I can help you with?

User :   ok
User :   thankyou
Doctor :   Please fill the feedback form say done when done.
User :   sure
User :   thanks
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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