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Help for chronic gastritis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3394 Questions
Doctor :   hi
Doctor :   how can i help you
User :   hi, I tried the live chat earlier, are any of the notes from the first session still available?
Doctor :   nope
User :   ok
Doctor :   please tell me ur medical problem in brief
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   26, female, bar owner, married, 5'6'', 130 lbs, no dependents
User :   I need help with my chronic gastritis
Doctor :   ok
Doctor :   how long
User :   1 year
User :   endoscopy revealed only gastritis
Doctor :   ok
User :   no h pylori
Doctor :   ok
Doctor :   any ulcers on endoscopy?
User :   no
User :   no other medical issues
User :   had blood test, sonogram...nothing else is wrong
Doctor :   ok
User :   I was prescribed antacid meds and they didn't help..only temporarily
Doctor :   ok
User :   antibiotics were prescribed for a week, helped, but pain returned the following week
Doctor :   ok
User :   I think it might be bacterial in nature...not h pylori
Doctor :   ok
User :   but no doctor will prescribe any more antibiotics without h pylori
Doctor :   H.pylori is the most common
Doctor :   cause of gastric ulcer due to infection
Doctor :   ok
Doctor :   As this is an online consultation, This would require a detailed history
User :   ok
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often and how long you have?
User :   drink alcohol very rarely....none in th past 3 months
Doctor :   ok
User : other drugs
Doctor :   ok
Doctor :   Do you have any other health problems? Over weight, Diabetes, High Blood pressure, Asthma, Allergies,Thyroid?
User :   no
User :   have been tested for most of that stuff
Doctor :   ok
Doctor :   Any Operations If so why? please say if there is family history of such problems.
User :   no surgeries, no family history.
Doctor :   ok
User :   I do have some stress, so that makes symptoms worse at times
Doctor :   ok
Doctor :   yes it does
Doctor :   being overweight will cause the problem to worse as well
User :   Is there a certain course of antibiotics that you would recommend for an assumed infection?
Doctor :   treatment of gastritis depends on the specific cause
User :   The only time I've fely better was after taking antibitoics the first time, but the doctor didn't seem to know what to prescribe me
Doctor :   ok
User :   I don't think the regimen was long enough
Doctor :   antibiotic alone will not solve the problem
User :   ok
Doctor :   it will help if only there is infection underlying it
Doctor :   usually anti ulcer drug treatment along with h.pylori antibiotics is given for atleast 2 weeks
User :   ok
Doctor :   following with repeat endoscopy to check the status
Doctor :   or some patient will be put on proton pump inhibitors
Doctor :   Medications called proton pump inhibitors reduce acid by blocking the action of tiny pumps within the acid-secreting cells of your stomach
Doctor :   gastritis can also be due to lax lower esophageal spinchter
Doctor :   r u able to follow
User :   yes
Doctor :   if any doubts please ask
Doctor :   in this case the acid contents in the stomach will cause acid brash in the esophagus and cause heart burn
Doctor :   for this again proton pump inhibitors are precrisbed
Doctor :   anta cids are given only for temporary relief
User :   I fI had an infection other than h pylori how would they test for that?
Doctor :   they do test for H pylori
Doctor :   breathe test
Doctor :   breathe test is simple test can help determine whether you are currently infected with H. pylori bacteria.
User :   But is it possible that I have an infection other than h pylori that's causing symptoms?
Doctor :   also stool tests are done to check for h pylori infection
Doctor :   yes it could be
Doctor :   there are other causes which could give picture of gastritis
Doctor :   i would suggest you to get a chest xray, ECG and Upper Gi endoscopy
Doctor :   by these we will be able to know the exact cause
Doctor :   along with blood test, breathe and stool test for Hpylori
Doctor :   with good diet control and exercise u can reduce the symptoms , since the problem is persisting for long time
User :   Could other bacteria in my stomcah be causing gastritis?
Doctor :   we need to evaluate the problem throughly
User :   besides h pylori
User :   And would the treatment be the same as with h pylori?
Doctor :   95% of timeshpylori is the cause of infection
Doctor :   it will vary
Doctor :   that is the reason they will do blood test to look for the exact organism causing the infection
Doctor :   confirm it and then treat
User :   what kind of blood tests would that be?
User :   They don't do those here except for h pylori
Doctor :   this is blood routine test along with culture
User :   ok,
User :   I'm just not sure what to do
User :   no other doctor will test for other bacteria
User :   all tests show no other problems
Doctor :   if the ulcer are present
Doctor :   biopsy will tell the exact cause
Doctor :   and if it is due to infection
Doctor :   sometimes antibiotic resistant E.coli can colonize the ulcer
User :   that sounds bad
Doctor :   this is extremely rare
Doctor :   pain killer which we use daily can also cause the ulcer
Doctor :   if used chronically
User :   any other bacteria that you know of might cause gastritis?
User :   I read this article and it's why I think I have some other type of infection
Doctor :   this is one bacteria that is medicall proved to be the cause in more 95%
User :   WWW.WWWW.WW
User :   Becasue I have responded to antibiotics in the past more than any other treatment
Doctor :   ok
User :   I just don't think it was the right regimen
Doctor :   u got to get these tests done and consult a gastroenterologist
Doctor :   he will be able to help you out
User :   they haven;t...that;s why I'm online
Doctor :   ok
User :   they don't think anything of this article or look for other infections
Doctor :   infection is one the causes
Doctor :   there are other causes
User :   But I got relief from antibiotics
User :   more so than other treatment
Doctor :   drugs like nsaids when used chronically is known to cause
Doctor :   ok
User :   I'm sorry, I just don't know what to do
User :   if it is some other one here will help me figure it out
Doctor :   it is unlikely
Doctor :   one reason u can thing of an ulcer not responding to anti biotic treatment is due to
Doctor :   malignancy
Doctor :   this is unlikely in ur age
Doctor :   if in doubt , a biopsy will be able to tell the exact cause
Doctor :   Is there any thing else that I could help you with?
User :   no, that's all. Thanks
Doctor :   ur welcome
Doctor :   bye for now
Doctor :   have a good day
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