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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Meftal Spas Tab Be Given For Gastric Ulcer Without Side Effects?

hi,my mother got acute abdomen pain. she took three tab of arthritis tab.daily one.celebrex.200mg.she got h/o. drug induce gastric ulcer. can i give her this metal.spastab. n what will be side effects. i have given her Esomeprazoltab.40mg twice.and anta acid tab.today. pls mail me in detail just now as we have come from india. pls write me other tab. e mail add.as follow. YYYY@YYYY . cell no.217 358 3100. many thanks.
Wed, 12 Nov 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read your history and understood the problem your Mother has got.

Yes , you can certainly give Meftal spas, this will not cause more problems.
Since she has to continue tablets for arthritis, they should be taken after food and continue Esomeprazole 40 once a day.

I would advise Her the following, please follow nicely and she may be fine:
I would advise the following in such a patient:
Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
EKG for the heart n a safer side to rule out cardiac problems.
This helps all my patients and should help you hopefully.
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Can Meftal Spas Tab Be Given For Gastric Ulcer Without Side Effects?

Hi. Thanks for your query. Read your history and understood the problem your Mother has got. Yes , you can certainly give Meftal spas, this will not cause more problems. Since she has to continue tablets for arthritis, they should be taken after food and continue Esomeprazole 40 once a day. I would advise Her the following, please follow nicely and she may be fine: I would advise the following in such a patient: Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully.