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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Under The Rib Cage, Nausea. Had EGD And Colonoscopy Done. Tortuous Colon. What Is The Treatment?

I sure hope you can help me. I am having severe pain and nausea . I have pain under the right side of my rib cage. I have had an ultrasound that showed no gall stones but the biliary duct was 7mm. I had an ultrasound that showed everything was normal. I had an EGD and a colonoscopy which showed a reddened area in which they biopsied and came back normal and a tortuous colon. I am very scared and i don t think the doctor believes I am having this pain. He has now scheduled me for a hida scan. I feel like I am always bloated without even eating. Every time I eat I get very nauseated.
Mon, 25 Nov 2013
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

From the brief information provided by you, I am of the opinion that you are suffering from :-

* Non-ulcer dyspepsia, along with a bacterial (H.pylori) infection of the stomach + intestine.

* In addition, there is also an element of features suggestive of Irritable Bowel Syndrome (IBS) (tortuous colon + constant anxiety).

The recommended, step-by-step, course of action :-

# Take a regular course of a combination of anti-depressant + anti-anxiety drugs, which will drastically cut down the symptoms of IBS.

# 2-3 weeks' course of probiotics, such as, lactobacilli and digestive enzymes.

# A 10-14 days' course of a combination of anti-H.pylori therapy + a pro-kinetic drug, such as domperidone or metoclopramide: followed by (w.e.f. Day 15), a 3-4 months of anti-acid drug such as esomeprazole or rabeprazole. You should be cured completely by the time course finishes.

# A deworming course (Albendazole 400mg single dose).

# In addition, take high fiber diet; lot of water orally; Psyllium husk 10gm daily at bedtime.

I am confident that your PROBLEMS WILL BE RELIEVED COMPLETELY.


Consult your doctor and apprise him of my opinion. I am certain that he agrees with me, order required tests (if any), and- based on the reports- will prescribe suitable treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries.



Fond regards and have a nice day

Dr. Rakesh Karanwal
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Pain Under The Rib Cage, Nausea. Had EGD And Colonoscopy Done. Tortuous Colon. What Is The Treatment?

Hi there, Thanks for your query. From the brief information provided by you, I am of the opinion that you are suffering from :- * Non-ulcer dyspepsia, along with a bacterial (H.pylori) infection of the stomach + intestine. * In addition, there is also an element of features suggestive of Irritable Bowel Syndrome (IBS) (tortuous colon + constant anxiety). The recommended, step-by-step, course of action :- # Take a regular course of a combination of anti-depressant + anti-anxiety drugs, which will drastically cut down the symptoms of IBS. # 2-3 weeks course of probiotics, such as, lactobacilli and digestive enzymes. # A 10-14 days course of a combination of anti-H.pylori therapy + a pro-kinetic drug, such as domperidone or metoclopramide: followed by (w.e.f. Day 15), a 3-4 months of anti-acid drug such as esomeprazole or rabeprazole. You should be cured completely by the time course finishes. # A deworming course (Albendazole 400mg single dose). # In addition, take high fiber diet; lot of water orally; Psyllium husk 10gm daily at bedtime. I am confident that your PROBLEMS WILL BE RELIEVED COMPLETELY. Consult your doctor and apprise him of my opinion. I am certain that he agrees with me, order required tests (if any), and- based on the reports- will prescribe suitable treatment as advised. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice day Dr. Rakesh Karanwal