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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Lower Back And Stomach Pain

I got my period early, I m having lower back pains, sharp pains in my stomach, I m very sleepy & have heartburn that comes and goes, I m urinating much more than usual & my nipples are sore & itchy. I took a pregnancy test but it came back negative. What could this be?
Mon, 13 Feb 2017
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Gastroenterologist,  's  Response
Hi.
Thanks for posting query at HCM.

for increased urination, further evaluation required:
urinalysis and fasting blood glucose test

for gerd management; see below:
You maybe familiar with the common mechanism of gastroesophageal reflux disease (GERD) ; however i will briefly explain:

Food enters in to stomach from esophagus via lower esophageal sphincter (LES) . If LES fails to close/contract effectively food content from stomach may reflux into the esphagus leading to GERD.

Certain food may lead to relaxation of LES and/or increase gastric acid production. :
1. chocolate 2. caffeine. 3 Alcohol. 4. fatty meal. 5. citrus fruit and tomato

history of GERD , advise is:
nexium/esomepraole 40mg once daily before breakfast for 6 to 8 weeks and also
1. avoid chocolates; carbonated drinks,
2. avoid tomato juice, decrease salt intake
3. minimum alcohol intake and try quit smoking ( if your a smoker)
4. eat your dinner at least 2 to 3 hours before going to bed
5. raise your head by placing two pillows under your head before sleeping

Hope to answer your concern
Further questions are most welcome

In future, you may post a direct question to me via HCM portal.

http://doctor.healthcaremagic.com/Funnelpage=askDoctorDirectly&docId=71638

Regards
Dr Tayyab Malik
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Suggest Treatment For Severe Lower Back And Stomach Pain

Hi. Thanks for posting query at HCM. for increased urination, further evaluation required: urinalysis and fasting blood glucose test for gerd management; see below: You maybe familiar with the common mechanism of gastroesophageal reflux disease (GERD) ; however i will briefly explain: Food enters in to stomach from esophagus via lower esophageal sphincter (LES) . If LES fails to close/contract effectively food content from stomach may reflux into the esphagus leading to GERD. Certain food may lead to relaxation of LES and/or increase gastric acid production. : 1. chocolate 2. caffeine. 3 Alcohol. 4. fatty meal. 5. citrus fruit and tomato history of GERD , advise is: nexium/esomepraole 40mg once daily before breakfast for 6 to 8 weeks and also 1. avoid chocolates; carbonated drinks, 2. avoid tomato juice, decrease salt intake 3. minimum alcohol intake and try quit smoking ( if your a smoker) 4. eat your dinner at least 2 to 3 hours before going to bed 5. raise your head by placing two pillows under your head before sleeping Hope to answer your concern Further questions are most welcome In future, you may post a direct question to me via HCM portal. http://doctor.healthcaremagic.com/Funnelpage=askDoctorDirectly&docId=71638 Regards Dr Tayyab Malik