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IBS and GERD medications and diet - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: IBS(Irritable Bowel Syndrome)
Answered by

General & Family Physician
Practicing since : 2009
Answered : 636 Questions
Doctor :   Hi
User :   Hello Doctor
Doctor :  
How can I help you?
User :   this is my first time using this portal.
User :   I have medical conern which is troubling me a lot
Doctor :  
Ok
Doctor :  
Proceed with it
Doctor :  
Are you there?
User :   Sorry I got disconnected
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
Doctor :   Ok
Doctor :  
Proceed
User :   I have been suffering from stomach problems from last 10 years
User :   I am 34 years old male
User :   Doctors diagnoed it as IBS and GERD
Doctor :   Ok

Doctor :  
Irritable Bowel Syndrome?
User :   I have been irregular on my diet and lifesyle
Doctor :   Ok

User :   a month ago I started taking Esomeprazole
Doctor :   Ok

User :   Nexpro Fast 25 mg tablets
Doctor :   Ok

User :   and sometime PAN-D tablets
User :   as prescribed my primary care physician
Doctor :  
Ok
User :   For 1 week I took Nexprofast 25 regularly and than I used to take it as needed
Doctor :   Ok

User :   Now my current problem is started 3 days back
User :   I has severe bloating and constipation
Doctor :   Ok

User :   I also felt like vomiting
Doctor :  
Ok
Doctor :   Are you on medications right now?
User :   Today I vomited some white foamy liquid
Doctor :  
Ok
User :   No
Doctor :  
Are you able to pass stools to some extent?
User :   Yesterday I took PAN-D on my own without any consultation
Doctor :   Ok

Doctor :  
Did it help you?
User :   I ate Kayam chooran and I was able to pass stool but with difficulty
User :   The pain problem is gurgling
Doctor :   Ok

User :   gurling sound
User :   burning feeling in stomach
Doctor :  
Ok
Doctor :  
It is a gastritis like picture
User :   Littele gnawing pain
Doctor :  
Ok
Doctor :  
Now how is your IBS symptoms? Is it frequent?
Doctor :   Are you there?

Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

User :   hello
User :   I got disconnected
Doctor :   Ok
Doctor :   Now how is your IBS symptoms? Is it frequent?

User :   Hello
User :   Yes it is not very high
User :   managable
Doctor :   Ok
Doctor :  
For now you shall require a tablet similar to Pan D
Doctor :  
but has to be taken on prescription
User :   the main problem that I am concerned with is
User :   ad this is the reason for me here
Doctor :   Sorry

Doctor :  
ad?
User :   I have a terrible internet connection
User :   really sorry about this
Doctor :   OK

Doctor :  
No problem
Doctor :  
Proceed with the answer
Doctor :   Are you there?

Doctor :   have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

User :   Hello
Doctor :   Hi
User :   Yes Doctor
User :   Do I need to say everything again
User :   sine I got disconnected
User :   since
Doctor :   No

User :   ok thanks
Doctor :  
I am the same doctor
Doctor :  
as you are in the same session
Doctor :  
and also the chat is available
User :   Now the main problem is that from last 1 month I am feeling this sharp pain in several parts of my stomach
Doctor :   ok
User :   This pain is lie needle piercing sharp pain
User :   lie
Doctor :  
Ok
User :   Like
Doctor :  
Gastric pains do produce such pains
User :   Sometime If Ipress my stomach I feel the pain location
Doctor :  
Yes it is the same
User :   But next time the pain is not there
Doctor :  
ok
Doctor :  
the tender points shift
User :   I feel this pain as something is tender and inflamed
Doctor :  
ok
Doctor :  
You shall need to be on continous antigastric medications
User :   and this happens in two three places mostly over lower abdomen
Doctor :  
also be strict in your diet to avoid very spicy, hot and sour foods
Doctor :  
Go for a bland diet
User :   Is this something emereny
User :   emergency
Doctor :  
I am coming to that
User :   ok
Doctor :  
With IBS it is common to find such pains as well
Doctor :  
for that to be prevented
User :   ok
Doctor :  
you shall need to consult a Psychiatrist
User :   ok
User :   I am worried about any criticl conditio lie cancer or somethng nad
User :   bad
User :   critical condition like cancer
Doctor :  
IBS as it is diagnosed
Doctor :  
you should not think of other possiblities
User :   bcos I having bad stomach since last last 10 years
User :   ok
User :   I worry too much about this
Doctor :  
Get the opinion of a Gastroenterologist once
User :   But what is that needle like sharp pain
Doctor :  
You shall need to present personally before the ddoctor
User :   Could it be ulcer
Doctor :  
It could be ulcer
Doctor :  
and not as well
User :   ok
Doctor :  
It just becomes a guess work
Doctor :  
and is not advisable
User :   Do I need an endoscopy
User :   or ultra sound can find that
Doctor :  
After a physical examination, things can be better assessed
User :   I understand
Doctor :  
and the need of endoscopy, ultrasound or CT scan shall be made after the clinical examination
User :   ok
Doctor :  
So for now do not delay in presenting before a Gastroenterologist
User :   But do you think I need to go immidiately to Doctor today or I can take my time
User :   ok
Doctor :   Answered

User :   ok
User :   One more thing I want to ask you
Doctor :  
Sure
User :   Can I continue taking Nexpro fast or there is any better medicine for this.
Doctor :   the medication should be taken on prescription only

Doctor :  
So I cannot do that online
Doctor :  
and is against the law
User :   ok
User :   I understand
Doctor :  
But you shall need those medications
User :   ok
Doctor :  
along with domperidone combination
User :   ok
User :   So I should not worry much about needle like pains that I am getting
User :   I am expecting the worst
Doctor :   Yes, worrying makes it worse in IBS

Doctor :  
So stay calm
User :   Yes I will now
Doctor :  
No need of apprehensions
User :   thanks Doctor
Doctor :  
I think that chances of ulcer or cancer like possibility is less
Doctor :  
So just relax
Doctor :  
and confirm the diagnosis with the Gastroenterologist consultation
User :   Can you recommend me any good gastroentrologist in my area
User :   I Live in Gurgaon
Doctor :   Ok

User :   Near Delhi
Doctor :  
Sure
Doctor :  
WWW.WWWW.WW User :   Ok
User :   Many thanks Doctor
Doctor :  
Is there any thing else I can help you with?
Doctor :   Are you there?
User :   No
User :   thanks
Doctor :  
Please fill the feedback form say done when done.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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