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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nausea And Discomfort Under The Ribs. Have Acid Reflux. Taking Lansaprazole. Endoscopy Suggested. Serious?

Hi I've been having stomach problems for a few months now. Im 31 year old female with no previous medical problems. It started with a uncomfortablness in my stomach. Under left rib. Then the constant burping nausea and heartbeat began. It got so bad i ended up in a&e. They gave me omeprazole for suspected gastritis. Had a US to rule out gall bladder came back fine. 6 weeks on the nausea has gone but this stomach pain still with me, hard to explain its not a pain as such it feels like something hard is inside. More uncomfortable feeling. I still have acid reflex most days and burning but not as severe i have been back to my Dr and he's changed meds to lansaprazole, still no better. I have a endoscopy in 4 weeks. Im so worried its something serious
Tue, 9 Apr 2013
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General & Family Physician,  's  Response
Hello dear...
The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Lansaprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage
4. Surgical treatment- includes Fundoplication, done when medical measures fail.

An endoscopy will be helpful to rule out any abnormality in the gastrointestinal tract.
Based upon that, appropriate management steps could be taken.

There is no need to worry...you will be fine.
Wish you a good health & speedy recovery.
Thanks & Take care.
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Nausea And Discomfort Under The Ribs. Have Acid Reflux. Taking Lansaprazole. Endoscopy Suggested. Serious?

Hello dear... The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Lansaprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage 4. Surgical treatment- includes Fundoplication, done when medical measures fail. An endoscopy will be helpful to rule out any abnormality in the gastrointestinal tract. Based upon that, appropriate management steps could be taken. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care.