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Precautions to avoid acute gastritis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 352 Questions
User :   i am diagnosed with mild chronic gastritis and acid reflux. doctor has tried many medications like aciphex, ranitidine , prilosec. and now he is giving me combination of carafate and prilosec. yet i am getting regurgitation. why is this happenening.
do you think improvement will take place slowly and slowly my symptoms wiull go away. or do you have any other suggestions?
Doctor :   Hi
Doctor :  
May I know your age and gender?
User :   31 yo female
Doctor :  
Since when are you having these symptoms?
User :   6 weeks
Doctor :  
Have you got an endoscopy?
User :   yes he said mild chronic gastritis
User :   and acid reflux
Doctor :   Did you also have a biopsy?
User :   yes
Doctor :   May I know the results of the biopsy?
User :   antrum and body has mild chronic gastritis.
User :   n mild changes seen on esophagus relating to gerd
Doctor :   Ok.
Doctor :  
Let me explain it to you.
Doctor :  
The treatment of gastiritis involves medical and dietary modifications.
Doctor :  
Medical drugs are as prescribed by your doctor now.
Doctor :  
Apart from these dietary modifications such as regular food habits, avoiding spicy diiet, restricting caffeine consumption is equally essential.
Doctor :   In some of them treatment of H pylori infection which is also a possible causes for gastritis is necessary.
Doctor :   The presence of an H pylori infection can be determined by a biopsy.
Doctor :  
Have you followed?
User :   ok now no infection of pylori was found
Doctor :  
User :   my daily diet since 6 weeks: User :   2 cups of fate free milk with honey, oatmeal, psyllium husk, pear, banana, apple, 3 roti
Doctor :   Ok
User :   i cup moong daal, 1 cup green veg with potato, ginger,
User :   haldi, salt n dhaniya minimum.
User :   is my diet looking ok to you
User :   1/2 cup fat free yogurt too
Doctor :  
That is ok, restrict the use of ginger and other spices.
User :   o i thought ginger is good for u
Doctor :  
Be regular with your food habits and drink plenty of water along with it,
User :   i drink 14 cups a day
Doctor :  
Spices can add to the gastritis.
User :   ok will take it out completly
User :   now how about the mediation
Doctor :  
So preferably avoid them till you feel better, later restrict their use.
Doctor :  
Medications are good, if these are not helping you then
Doctor :  
an alternative form of medications are essential.
User :   aciphex, zantac, omeprazole not working
Doctor :   There are other form of medications in the same group that may be effective.
User :   doctor gave me carafate and prilosec but again i am getting regurgitation n burping
User :   y isnt it working
User :   do you have any more suggestions
Doctor :   There are other group of medications such as pantoprozole and other proton pump inhibitors that can be tried.
Doctor :  
These are prescription medications, hence consult your doctor for availing these medications.
Doctor :  
If all the medications are not effective, then the treatment is surgical.
User :   i am trying to ask that should i just take these medications and wait for 2 weeks or should i tell him in 4 days or so. when i take medication should i see immediate results or does it take time
Doctor :   SInce they are not effective till now, you can report to your doctor for the change of medications.
User :   ok. what do you feel about zegerid
Doctor :   You do not have to wait for another 2 weeks.
Doctor :   Zegrid and prilosec are the same medications.
Doctor :  
A newer proton pump inhibitors may be more effective and may be necessary, since the omeprazole is not helping you.
User :   ok i will stop haldi and dhania powder, ginger n see. what about prevacid
Doctor :   They are better than prilosec or zegrid, however these are prescription medications.
Doctor :  
You may have to visit your doctor to avail these medications.
Doctor :  
Have you followed?
User :   no prevacid is available otc
User :   it has lanoprazole
Doctor :   May I know your location?
User :   nj
Doctor :   If lansoprazole is available at your location, then you can try that instead of omeprazole.
User :   are you saying its a stronger drug than prilosec
Doctor :  
Since it is a newer class of proton pump inhibitor, newer than omeprazole, this may be effective.
Doctor :  
Though they belong to the same class of drugs.
User :   what do you think is my prognosis
Doctor :  
SInce your condition is proved by endoscopy as gastritis alone, the prognosis is good.
Doctor :  
All that is essential is strict diet modifications, good stress and anxiety reducing measures and medications.
User :   all you doctors keep saying that thank god its mild gastritis. yet how come i dont find relief with simple medications?
Doctor :  
A very few people need surgical treatment.
Doctor :   The effectiveness of the medications vary among different individuals.
Doctor :   Hence I cannot comment on the reason for the ineffectiveness.
User :   ok thanks for you insight.
User :   btw can i have milk or should i leave it too
User :   i drink fat free milk.
Doctor :  
Milk is very effective in the treatment of the gastritis.
Doctor :  
Continue with it.
User :   ok
User :   thanks.
Doctor :  
Be regular with your food habits
User :   ok
Doctor :  
Do not skip meals and also a good sleep is necessary.
User :   ok
Doctor :  
Do you have any other query?
User :   no thanks
Doctor :  
Thanks for consulting me. Bye for now. Please refer your friends to our service.
User :   yes
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