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Antacids and omeprezole to treat GERD - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   hello, I am hcv positive for more than 10 years. coming from a poor country I had no money to do any biopsies or treatments. now I am facing stomach pain that comes and goes but it is quite severe, what should I do?
Doctor :   Hi Dr
User :   hi
Doctor :   let me read ur query
Doctor :   ok, so can u explain the symptoms of abdominal pain ?
Doctor :   do u have any symptoms like jaundice, abdominal distension, loss of weight, nausea, vomiting, etc ?
User :   upper quadrant, my stomach blows I cannt bread
Doctor :   WAS any investigations like ultrasound, liver function tests etc done ?
User :   no jaundice, no loss of weight, joint pains
User :   yes a pet scan last year but everything was fine though I havent told the doctor about hcv
User :   transeminase are always slightly elevated
Doctor :   the treatment of hepatitis C, depends on the liver biopsy findings, serology findings of hepatitis C and HCV-RNA titres
User :   nothing, I was never treated, I am afraid to tell it to anybody
Doctor :   You need to get investigated , or else if the condition progresses to cirrhosis, etc, then it will be irreversible
Doctor :   also early treatment is more effective
Doctor :   you should see a doctor , and get investigations done at the earliest
User :   how can I be sure that this stomach pain is related to my liver, is joint pain and cheats stabbing that I started feeling recently related to it, also non-cyclical breast pain?
Doctor :   may i know your age , gender ?
User :   I realy need this opinion because as I said I have no money for all this if it is realy needed I will have to sell everything?
User :   female, 28
Doctor :   any pain in the right upper side of the abdomen, just under the ribcage, is associated with lover issues
Doctor :   any pain, that is in the epigastric region could be due to Gastric reflux or peptic ulcer disease
Doctor :   GERD pain can be treated with antacids and omeprazole
Doctor :   but not the hepatic pain
User :   yes I saw a great gastroenterologist who said I don't have ulcers, chron, IBS...OR ANYTHING and when this pain starts ussually when it is this cold outside no pain pill helps
User :   do you think I should apply to one of those hcv trials, and get those tests at them
Doctor :   yes that would be helpful
Doctor :   have u tried using antacids like mylanta, tums etc ?
User :   oh sure, I tried everything, when my stomach is bloated it is not like gas
User :   could that be water/
User :   is it usual to come and go like that
Doctor :   yes, in case it is ascites, there can be water filling up the stomach
User :   so is it common to go after few hours and leaves this heart like pain?
Doctor :   can u rephrase your question ?
User :   if it is ascites can that go after few hours and come back after few days?
Doctor :   no
User :   oh
Doctor :   it takes a few days for that to happen
Doctor :   but if it is gas, then it takes a few hours
Doctor :   may i know where you reside ?
User :   yes pain starts and lasts for days than it culminates with that feeling, the other day I thought I will choke
User :   nyc
Doctor :   ok
User :   international student from bosnia,
User :   poor health insurance
Doctor :   do u get bloating ?
Doctor :   i understand your situation
User :   yes
Doctor :   you can try, activated charcoal tablets for bloating
Doctor :   this will relieve your gas, and bloating
User :   well dr that is at the bottom of my concerns. this stabbing below ribs is killing me
Doctor :   you can take advil for the pain, it is harmless
Doctor :   have u taken any pain killers before ?
User :   it's not helping
User :   sure...all of them
Doctor :   In that case you may need medications like vicodin
Doctor :   you can go to the ER, where u can get a prescription for them
User :   come on I'm not taking those
Doctor :   if u cannot pay, they will not force you
Doctor :   no, its not that you take them regularly
Doctor :   u can take them for severe pain
Doctor :   and mix and match with tylenol or advil for moderate pain
User :   is there anything specifically for liver that my mother from bosnia can send me
User :   she can buy them without perscription
Doctor :   in case you can get spasmoproxvon capsules there, they can help you
User :   is that generic name
Doctor :   yes
Doctor :   it is
User :   okay
User :   I think I will try to get in one of those trials anyway so they could perform biopsy hopefully
Doctor :   yes that would be good for you
User :   do you think this breast pain could be related to poor funcion of liver and hormones
Doctor :   no,
Doctor :   it could be a musculoskeletal pain
Doctor :   or pain due to some thing within the breast
Doctor :   do u have any masses within the breast ?
User :   no
Doctor :   in that case, it is musculoskeltal in nature
User :   and this heart pain?
Doctor :   that could be due to heart burn
Doctor :   or GERD
Doctor :   TAKE some antacids and omeprezole that will help
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