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Suggest Treatment For IBS, Gastritis And Acidity

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Posted on Fri, 4 Sep 2015
Question: IBS patient for a decade now.
Gastritis was diagnosed , 4 times Endoscopy , colonoscpy twice so far.
GRED problem. My stool is never clear , all the problem seems to be in upper stomach.early morning i have sever pressure from gas and acidity if no medicine taken.

Last 2.5 years I am on Ganaton Total.(reducing the medicne , trying to) , and taking normaxin each night.Taking B12 injection for more than a year now. Calcium tablet and Vitamin D suppliments. Ganaton and normaxin really helped me.

If the symptms are little bad , the 1st problem i have is sleepless night. Cant sleep with slitest aggravation of symptoms. I feel hungry very frequently which causes lot of irritation.

Last 1 week I am taking Renerve D .
And i think it has triggered my IBS symptoms really bad.Upper stomach discomfort , sleepless nights.

In short my symptoms:
1) Sleepless nights (only because of stomach problem) , Gas , Burping, upper abdomen discomfort , acidity , unclear stool (it becomes like clay of I have Basmati rice or I think too much of gluten , I am yet to understand my exact food allergies ) , i get backpain when my motion is not clear.

Please suggest me what medication I should try.

1) can I continue Ganaton Total? (alreaduy more than 2 years )
2) Is Penegra or any erectile Dysfuction related medicine bad for IBS.
3) For my immediate relief and sound sleep , would you suggest any medicine (antispasmodic may be) .
4) B12 should i continue? As contious usage of Ganaton reduces my B12 level.
5) mebiz sr , can I try it?
6) please suggest any alternate medicine if u can think of.
7) Multi Vitamin like Renerve D can aggravate my symptoms? I really need to prove this theory.
doctor
Answered by Dr. Anshul Varshney (20 hours later)
Brief Answer:
IBS

Detailed Answer:
Welcome to Healthcaremagic.
Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
Your symptoms are classical of Irritable Bowel Syndrome only.
I advice following for treatment of IBS:
1. A proton pump inhibitor like Pantoprazole and Rabeprazole, which will help in neutralizing any acid if you have in stomach.
2. You should avoid fat and pepper in diet and prefer to take soft, bland diet.
3. You can take Smooth Muscle Relaxant like Mebeverine for stomach pain, in case you have.
4. In refractory cases drugs like chlordiazepoxide and clidinium bromide can be used, if the condition is not responding.

Now, in your case scenario an ideal prescription would contain, Normaxin, Ganaton and Mebeverine.

Following are your answers:
1. Yes you can continue Ganaton Total.
2. No, Penegra can be taken on as or when required basis. It can cause acidity but won't trouble you for IBS issues.
3. Mebeverine would the the best one for you.
4. You don't need to take in on regular basis. Yes, Ganaton total can reduce your Vitamin B12, but you need to get the levels checked before starting the treatment.
5. Yes, Mebiz SR is Mebeverine, i would recommend and you will be benefited.
6. As discussed.
7. You don't require these multivitamins. They can aggravate IBS.

This is my personal opinion based on details available here. If you still have any other query, you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (2 days later)
Hello Doctor,
Thanks for the reply.
Should I take Mebiz SR and Normaxin both , Right now I am taking one of Mebiz SR and Normaxin before sleep? And ganaton before breakfast.
After introducing Mebiz SR , my sleep is bttr (last 3 days) but i am not sure if it can have any side effects. Please advise.
Can you suggest any probiotics?
I am loosing weight , not sure why , may be due IBS i am unable to absorb the nutrition from food. Should I go through any more diagnosis?
Thanks & Regards XXXXXXX

Hello Doctor ,,

Last 2.5 years of usage of Ganaton Total , and Normaxin.
And now last 5 months i was trying to alter the medication , slwoing down (trying alternate days or even less) and now I see my old symptoms are kind of bck.And the weight is gradually reducing . Which is little worrisome .
I burp a lot, at times little dizzy , sleepy due to lack of sleep , and i fart a lot whihc is usualy smelly and the stool mostly floats , and clay like at times.

I would want to know about the possible side effects of PIP and hlordiazepoxide and clidinium bromide.

hlordiazepoxide and clidinium bromide , i.e the normaxin , is it addictive?
and can i take it along with Mebiz R.

Mebiz SR is it only for stomach pain or it is for other intestinal issues also?
Unintentional weightloss can be reason for so many things , but then i have a tendency to loose weight easily . So want to keep a tab on my weight for longer time before going for any more diagnosis. What do you suggest?

Thanks & Regards XXXXXXX
doctor
Answered by Dr. Anshul Varshney (3 hours later)
Brief Answer:
Get evaluated for Celiac disease.

Detailed Answer:
Hello,
Yes weight loss is also a part of IBS. However, i always rule out Celiac disease in case IBS type symptoms are associated with weight loss.
For that you should get Anti TTG Antibody blood test done.

Yes, Mebiz SR helps in stomach pain as well as helps in Constipation and Diarrhea related IBS.

The possible side effects of PPI includes Calcium deficiency, Vitamin B12 deficiency.

Cholrdiazepoxide and Clinidium bromide causes sedation, drowsiness, nausea.

As far as probiotics are considered, you may go for a new brand of Probiotic in market made mainly for IBS. It's available with name Darolac-IBS.
You may take that.
So, my left concern in your case is weight loss. So, get evaluated for Celiac disease. Get this test done from a authentic laboratory.

If you have any further query, please ask me.
Stay healthy.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Anshul Varshney (11 hours later)
Hello Doctor ,

I will get tested for Celiac disease.
Does Endoscopy and biopsy also helps detect this issue?

Last night b4 sleep i took Mebiz and Darolac - IBS.
I think the latter didnt go well , i woke up in the middle of the night now with night sweat and burping , i feel pressure in my chest. This didnt happen in last 2 years , since i started taking ganaton and normaxin. I will start taking normaxin from tomorrow .
So i am planing to continue Ganaton total 1-0-0 (b4 food)
Normaxin 1-0-1 (after food)
Mebiz SR 1-0-1 (after food)

Please tell me if the medicine is correct.

Earlier i used to take VSL3.

Thanks & Regards XXXXXXX
doctor
Answered by Dr. Anshul Varshney (4 hours later)
Brief Answer:
You have to take Darolac IBS along

Detailed Answer:
Hello,
You have to actually take Darolac IBS or VSL 3 along with Ganaton Total , Normaxin and Mebiz SR.

You can take any of the Darolac IBS or VSL 3.

As far as Celiac disease is concerned, One can see some changes during the endoscopy and biopsy should be performed if the suspicion is high. However, one may not be able to recognize it on endoscopy.
So, Anti TTG Antibody is a reliable non invasive and relatively cheap test for the same.

Get it done and write back to me with reports.

You can any time visit my profile and ask me a query over there. You may also ask a query addressing my name, so that it comes directly to me.

Good Luck.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Anshul Varshney (19 hours later)
Hello Doctor,

I think i wont be able to continue this medication as in midnight i am waking up with excessive gas in my chest area and discomfort in upper abdomen.
Mebiz Sr is it known to have side effects of excessive gas?
please let me know.
These are my old symptoms which went away when i started taking Ganaton and Normaxin.

Please suggest any other medication if you think this sleeping problem due to gas is because of my new addition in medication (mebiz and darolac)
4:00 am i am up and filled with gas. writing to you :(

Thanks & Regards XXXXXXX
doctor
Answered by Dr. Anshul Varshney (4 hours later)
Brief Answer:
You need to take all 4 medicines.

Detailed Answer:
Hello,
Your problems are not because of Mebiz Sr and Darolac. You are getting these symptoms because you stopped Ganaton and Normaxin.
In my patients, i prescribe all these four medicines and see wonderful effect.

In case of severe gas and pain in night, you can take Syrup Diegene or Gelusil for symptomatic relief.

Get the advised test done.

I would also advice you to continue with all these 4 medicines, if your doctor also agrees to my opinion.

Feel free to ask me if you have any query in your mind.

Good Luck.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For IBS, Gastritis And Acidity

Brief Answer: IBS Detailed Answer: Welcome to Healthcaremagic. Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. Your symptoms are classical of Irritable Bowel Syndrome only. I advice following for treatment of IBS: 1. A proton pump inhibitor like Pantoprazole and Rabeprazole, which will help in neutralizing any acid if you have in stomach. 2. You should avoid fat and pepper in diet and prefer to take soft, bland diet. 3. You can take Smooth Muscle Relaxant like Mebeverine for stomach pain, in case you have. 4. In refractory cases drugs like chlordiazepoxide and clidinium bromide can be used, if the condition is not responding. Now, in your case scenario an ideal prescription would contain, Normaxin, Ganaton and Mebeverine. Following are your answers: 1. Yes you can continue Ganaton Total. 2. No, Penegra can be taken on as or when required basis. It can cause acidity but won't trouble you for IBS issues. 3. Mebeverine would the the best one for you. 4. You don't need to take in on regular basis. Yes, Ganaton total can reduce your Vitamin B12, but you need to get the levels checked before starting the treatment. 5. Yes, Mebiz SR is Mebeverine, i would recommend and you will be benefited. 6. As discussed. 7. You don't require these multivitamins. They can aggravate IBS. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Dr Anshul Varshney , MD