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Suggest Treatment For Pain Due To Gastritis
Question: I am the patients father, he is 25 year old male with gastritis from too many NSAIDs. He has been through barium xray, sonogram, endocopy, HIDA test, blood work up. He has a small hiatal hernia, and "mild gastritis", HIDA is 65%, no h plyori, no food alergies, no sugar, pancreas, liver, kidney, heart issues. Low B12, very low D. He is on mild diet, supplements, powders and vitamins (B12 and D as well as a few others prescribed by a naturopathic doctor). He got nauseaus and additional pain from prilosec, zantac, dexa something, and carafate. He would experience some relief for a few days, but then great discomfort after about three days on the meds and then a burst of pain from the ensuing flow of acid when he came off them. He also has anxiety driven pain, which we are addressing through some therapy.
Generally after three months he seems to be improving, but lately has hit a plateau - and though he doesn't have as much pain every day as he did when he started, he still has bursts of pain...and sometimes (like today) for no apparent reason.
Lately he says that the pain moves from just under his sternum (where it's been most of the time) across to the right side of under his rib cage.
1.Should mild gastritis create significant pain? He continues to work -- though some days he has had to stay home (about 4 in the last three months)
2.Will continued soft diet, exercise, supplements, therapy give him a strong chance of healing
3. should he see more healing by now, and have fewer flare ups
4. is there anything else we should be considering -- i feel like we've tried it all - this is tremendously frustrating.
Generally after three months he seems to be improving, but lately has hit a plateau - and though he doesn't have as much pain every day as he did when he started, he still has bursts of pain...and sometimes (like today) for no apparent reason.
Lately he says that the pain moves from just under his sternum (where it's been most of the time) across to the right side of under his rib cage.
1.Should mild gastritis create significant pain? He continues to work -- though some days he has had to stay home (about 4 in the last three months)
2.Will continued soft diet, exercise, supplements, therapy give him a strong chance of healing
3. should he see more healing by now, and have fewer flare ups
4. is there anything else we should be considering -- i feel like we've tried it all - this is tremendously frustrating.
Brief Answer:
How worried is he about this?
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about what your son has been experiencing. It sounds like he never knows just what to expect in terms of his health and this should be very frustrating for anyone to deal with. I share your frustrations and hope we would be able to find ways to help put this behind him.
I have reviewed all the information provided carefully.
1.Should mild gastritis create significant pain? He continues to work -- though some days he has had to stay home (about 4 in the last three months):
Mild gastritis should not cause this. And more to this, he is on a ton of medications that should be able to control this gastritis related pain. The fact that he has continued to experience symptoms is concerning to me and should prompt further evaluation.
2.Will continued soft diet, exercise, supplements, therapy give him a strong chance of healing:
All these measures would help with good health. However, the main problem needs to be identified and addressed as well. The fact that correct and well administered gastritis drugs have been used with no great relief means we may be missing out on something from a therapeutic trial stand point. I would have expected him to be feeling a lot better at this time.
I will like that he should be evaluated by a gastroenterologist. With this pain moving across to the right and of varying intensity and not constant could be related to the gall bladder. Why not get the gall bladder and bile tracts evaluated for any possible abnormalities that could explain this.
I hope this helps. I wish you well. Thank you so much for using our services abd feel free to ask for more information and clarifications if need be. I wish your son well.
How worried is he about this?
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about what your son has been experiencing. It sounds like he never knows just what to expect in terms of his health and this should be very frustrating for anyone to deal with. I share your frustrations and hope we would be able to find ways to help put this behind him.
I have reviewed all the information provided carefully.
1.Should mild gastritis create significant pain? He continues to work -- though some days he has had to stay home (about 4 in the last three months):
Mild gastritis should not cause this. And more to this, he is on a ton of medications that should be able to control this gastritis related pain. The fact that he has continued to experience symptoms is concerning to me and should prompt further evaluation.
2.Will continued soft diet, exercise, supplements, therapy give him a strong chance of healing:
All these measures would help with good health. However, the main problem needs to be identified and addressed as well. The fact that correct and well administered gastritis drugs have been used with no great relief means we may be missing out on something from a therapeutic trial stand point. I would have expected him to be feeling a lot better at this time.
I will like that he should be evaluated by a gastroenterologist. With this pain moving across to the right and of varying intensity and not constant could be related to the gall bladder. Why not get the gall bladder and bile tracts evaluated for any possible abnormalities that could explain this.
I hope this helps. I wish you well. Thank you so much for using our services abd feel free to ask for more information and clarifications if need be. I wish your son well.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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