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Treatment for Acid peptic disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   Hi Dr, I've been going through pain in my right upper abdomin intermittently right below the rib cage. There is a squeezing sound in that area. The pain goes away for day and then comes right back. Pain radiated to the back as well and cannot empty my bowels completely at once.
Doctor :   Hi,
User :   Hi
Doctor :   Ok,
Doctor :   Is the pain dull are stabbing type ?
Doctor :   or*
User :   Some times its really bad..but dull at times
User :   I have to rest and then it gets a little better
Doctor :   Is there any relation with respiration ?
User :   I hear a lot of noises from my stomach
User :   no
Doctor :   Do you feel nauseated ?
User :   when the pain is intense, yes
Doctor :   ok, Did you ever vomit recently since pain ?
User :   no
Doctor :   ok, can you explain the relation of the pain with food intake ?
User :   sometimes it gets bad after eating...and passing gas and bloated
Doctor :   since when do you have this prblem ?
User :   a long comes after a few months and then goes away for a few...but has gotten worse recently
Doctor :   may i know you age , gender and occupation ?
User :   37 ,m, computer engineer
User :   I've physically very active, swim and run almost every other day
Doctor :   ok, after you history i think of two possibilities one is Acid peptic gastritis and the other being chronic cholecystitis
User :   ok
Doctor :   I suggest you to take a tab of PRILOSEC once a day early in the morning before breakfast for a week if it doesn't come down consult a gastroenterologist with a upper GI endoscopy and a Abdominal USG
User :   ok
Doctor :   Upper GI endoscopy and Abdominal UG are the tests to confirm the above diagnosis
Doctor :   USG*
User :   I was diagnose with that related?
Doctor :   yes,
Doctor :   reflux is also a type of Acid peptic disease
User :   what is the best way to manage this?
Doctor :   well confirmed by an Upper GI endoscopy
User :   so it doesnt get worse
User :   ok
Doctor :   it can get worse if untreated
User :   ok
Doctor :   treatmnent will include taking long term antacid like PRILOSEC
Doctor :   but before starting long term treatment better confirm it by endoscopy
User :   I had endoscopy done about 2 years ago when I had the same issue at that time and the results was that everything was normal
User :   however, I will take your advice and take Prilosec
Doctor :   its better to rule it out this time too
User :   ok
Doctor :   is there anything i can help you with ?
User :   is the multiple bowel movements related to either of the conditions above?
Doctor :   yes, both do present with increased bowel movements , cramps and flatulence
User :   ok..Thank you Dr
User :   that's all my questions were
Doctor :   Is there anything else ?
Doctor :   Thanks for consulting me , kindly provide your feedback
Doctor :   Bye for now
User :   Thank you
Doctor :   Take care
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