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Having pain below breast bone. Underwent endoscopy. Prescribed Nexium. What to do?

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Gastroenterologist, Surgical
Practicing since : 1984
Answered : 913 Questions
Hello Doctor

I am at a loss of what might be causing my problem. I have on and off again hunger pains right below the breast bone. I can eat a bowl of pasta and about 10 minutes to maybe an hour later its like I haven't eaten in hours. I underwent an endoscopy and he took a biopsy of the stomach and duodenum. He gave me a weeks worth of Nexium but so far that doesn't offer much relief. I am still having the on and off again hunger pains. Any suggestions? This is driving me crazy not to mention its putting on the weight. I am not a diabetic.
Posted Mon, 15 Jul 2013 in Abdominal Pain
Answered by Dr. Ajit Naniksingh Kukreja 27 minutes later

Thanks for writing in

The hunger pains which are not related to diabetes need evaluation

Do you have any other bowel or urinary symptoms

What is your bowel pattern, constipated or regular ?
Mucus in stool ?
Fullness of abdomen after meals ?
Stress level in you day to day life ?
Alcohol or Smoking ?

Do get back with these details and I will try to help you out ?
Above answer was peer-reviewed by
Follow-up: Having pain below breast bone. Underwent endoscopy. Prescribed Nexium. What to do? 3 minutes later
Bowels appear to be normal, no mucus in the stool. I do on occasion feel bloated and yes, I do have some stress and no on the alcohol and smoking. I do suffer from uti's but haven't had one in over a year now.
Answered by Dr. Ajit Naniksingh Kukreja 10 minutes later

Thanks for writing in again

I would suggest you continue nexium 40 twice a day for atleast two to three weeks

Add a probiotic twice a day for the same period

Manage your stress levels and follow the tips given below :

1] Avoid spicy, fermented meals
2] Do not have heavy meals
3] Avoid smoking and alcohol
4] Wear loose clothes
5] Do not stoop
6] Do not lift heavy weights
7] Raise the head end of your bed
8] If Obese lose weight
9] If under stress - Manage stress levels by meditation and exercise

Hope this helps
Do write back in case of concern
Wishing you a healthy life ahead
Above answer was peer-reviewed by
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