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Pain in right side after eating. On antacid. Prescribed bentyl. Solution?

Yes. My friends right side hurts after she eats. However she had an untra sound done and a hida scan which showed it wasn't her gallbladder causing the problem. They put her in a low fat diet and prescribed bentyl. However he bentyl is contraindicated with her antacids for her reflux problems. Her side still hurts. What could it be and how can we treat the pain after eating?
Asked On : Fri, 5 Apr 2013
Answers:  1 Views:  54
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Gastroenterologist 's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

Pain that is aggravated by food intake may be related to Gastric pathology like peptic ulcer disease especially gastric ulcer or Gallbladder disease, however as Ultrasound abdomen for Gallbladder is normal. So I think it may be related to peptic ulcer disease. So instead of taking antacid take a proton pump inhibitor like rabeprazole along with a prokinetic agent like domperidone for reflux symptoms

Other useful measures for your friend are:
1.Avoid fatty meals
2. Don't lie down soon after meals for at least half hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If overweight or obese do weight reduction with dieting and exercise

If still pain is not relieved then I will like to advise endoscopy examination to see what is happening inside. I hope apart fro gallbladder rest of the organs like Liver, pancreas are also normal and also there is no bowel trouble

I hope I have answered your query and this will help you. Remain in touch and get-well soon.
Answered: Sun, 7 Jul 2013
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