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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gastritis, Acidity, Pain Under Rib Cage, Swollen Liver. Temporary Relief With Antacids. Permanent Remedy With Medicines?

hello sir,i am suffering from serious problem of gastric and acidity problem from the past 1 year.i often face serious pain in right side of upper abdomen under rib cage once or twice in a month.i also had an ultrasound of upper abdomen,everything was alright my doctor said due ti swollen liver i am having this problem.he suggested me some medicines like pantocid, domperidone ,pantaprazole and other antacids,i very often take mucaine gel antacid but it gives temporary relief.i dont know what to do please guide me.some times my upper right side gets hard and it pains alot.i want to exactly abiut this problem and suggest me some appropriate medicine to get relief from this problem.
Thu, 21 Jun 2012
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General & Family Physician,  's  Response

Hi
Thanks for writing in.
For gastritis, the main treatment would be a proton pump inhibitor like pantoprazole and a prokinetic agent like domperidone. Since you have not responded to these, I would suggest that you speak with your physician about starting you on treatment for Helicobacter pylori. This is a bacterium which is known to cause gastric ulcers and this needs specific treatment.
If your liver is enlarged, then I would request you to get the following investigations done. A liver function test, Anti-HBs antibodies and Anti-HCV antibodies would be required . This will help us identify the cause of the enlarged liver.
Further, the following lifestyle modification will help:
a. Eat frequent meals and avoid spicy food and oily food
b. Avoid alcohol, tea, coffee and smoking
c. Eat your dinner atleast 2-3 hours before sleeping
d. Minimize stress

I hope this helps
Regards
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Gastritis, Acidity, Pain Under Rib Cage, Swollen Liver. Temporary Relief With Antacids. Permanent Remedy With Medicines?

Hi Thanks for writing in. For gastritis, the main treatment would be a proton pump inhibitor like pantoprazole and a prokinetic agent like domperidone. Since you have not responded to these, I would suggest that you speak with your physician about starting you on treatment for Helicobacter pylori. This is a bacterium which is known to cause gastric ulcers and this needs specific treatment. If your liver is enlarged, then I would request you to get the following investigations done. A liver function test, Anti-HBs antibodies and Anti-HCV antibodies would be required . This will help us identify the cause of the enlarged liver. Further, the following lifestyle modification will help: a. Eat frequent meals and avoid spicy food and oily food b. Avoid alcohol, tea, coffee and smoking c. Eat your dinner atleast 2-3 hours before sleeping d. Minimize stress I hope this helps Regards