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Severe acidity after taking food - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hi, I have a chronic stomach problem...dont know whether it is IBS or colon problem...I do know that I have GERD...
Doctor :   Hi
User :   Hi
Doctor :   I am Dr. XXX
Doctor :   What is the problem?
User :   Severe acidity after 20-30 mts of taking food...even veg food...problem has increased over last 2 or 3 months...feel like puking sometimes
Doctor :   What medicines are you taking?
Doctor :   Are you with me?
User :   ranitine or pantoprazole sometimes sometimes...not on regular basis...also there's a persistent colon mucous discharges though...not always...long back I treated myself with metronidazole and oflaxacin
Doctor :   the pantoprazole therapy is for prolonged time
Doctor :   It will not work if you take it as a choice basis
Doctor :   What is your age and gender
User :   just last week i had severe stomach bloating...doc gave me ornidazole+ofloxacin...twice daily for 3 I think infection has been taken care of?
User :   How long this therapy? My age : 32 gender : male...
Doctor :   We cannot say it now, as you may need an Endoscopy
Doctor :   by a Gastroenterologist
Doctor :   There are different reasons for the problems
Doctor :   which can be confirmed after investigation
Doctor :   GERD, Dyspepsia, Peptic Ulcer disease
Doctor :   So it is better to see a Gastroenterologist first
User :   No one to guide prescribe only PPI's or H2 blockers...need to know what cud be the possible reasons...long back I had a test...calcium was double than what it sud be in my system
Doctor :   He may put you on right treatment
Doctor :   Ok, If doctors prescribe PPI or H2 blockers it is a course for sometime
Doctor :   and not taking by your choice
Doctor :   It may be for 4 to 6 weeks
Doctor :   I have few more tips for you
User :   To b true no good Gastroenterologists here...dont give much time...GERD, Dyspepsia, Peptic Ulcer disease...whats the first line treatment for this? combination of PPI and H2 blockers?
User :   pls help...
Doctor :   Avoid coffee, mint,
Doctor :   All dairy products
Doctor :   Walking for 10 minutes after a meal shall help
User :   I have done that...i've liquor tea...dont take coffee...sometimes light food most of the time...i was taking apple vinegar also to balance overall pH level of my blood...
Doctor :   You say that you had done that, It should not be one time program
Doctor :   It should be perennial
Doctor :   The symtoms would not subside with 2 months or 6 months of exercise and lifestyle modifications
Doctor :   Black coffee can be offender
User :   Black coffee not always...once in a month...wat else do u need to know? We'll eliminate and conclude...
Doctor :   What is your weight?
Doctor :   and height
User :   68kgs...5 ft 8 inches...exercise twice weekly...not heavy...
Doctor :   Ok the weight is ideal
Doctor :   The doctor usually put on the lifestyle modifications with a trial course of PPI for few months
Doctor :   and if the symptoms do not subside the next step is Endoscopy
Doctor :   Checking for H pylori infection is also needed
Doctor :   Since you have already taken antibiotics
Doctor :   it should have been treated
Doctor :   Did you follow?
User :   yes i think because i took metronidazole 200 mg+oflaxacin 400 mg for 10 days some time back for suspected h pylori...stool is mucous discharges at present...but irritation in colon persists not very sever though...
User :   Sir r u there?
Doctor :   ys
Doctor :   I am here
User :   Can it be IBS?
Doctor :   Look IBS is a diagnosis of exclusion
Doctor :   Every thing should be ruled out
Doctor :   before this is made
Doctor :   It cannot be IBS
User :   I had a long psychiatric treatment for depression...
Doctor :   unless otherwise unexplained by other diagnsosi
Doctor :   ok
User :   any side effects?
Doctor :   Are you still undergoing?
Doctor :   Is your symptom under control?
User :   no...i was taking paroxetine and sodium valproate mainly...i'm perfectly ok now...used to have clonazepam also...
Doctor :   Are you still taking them
User :   clonazepam very rarely...others stopped 1 yr back.
Doctor :   I do not think this problem is a sideeffect of those medicines
Doctor :   that were stopped a year back
User :   ok...
User :   My work is very stressful though and when I get angry or stressed I have this acidity problem...
Doctor :   Yeah that can be related
User :   Will anti-histamines work?
Doctor :   Yes
Doctor :   Do not be skeptical about Doctors
Doctor :   If you do not believe them, believe me you will not be able find a solution for your problem
User :   I have reasons for doctors here...:-)
User :   My father passed away due to the insensitivity of a renowned doctor...not that he wud have lived for ever but at least he cud have passd way in peace...
Doctor :   That is again personal
Doctor :   Ok let us come back to your problem
Doctor :   IBS cannot be diagnosed unless other are ruled out
Doctor :   The next step I suggest for you is
Doctor :   Seeing a gastroenterologist
Doctor :   for a retrial of PPI or H2 blockers or triple therapy
Doctor :   or else if he decides to go for Endoscopy
User :   Whats triple therapy?
Doctor :   Combination of Antacids and antibiotics
Doctor :   at low dose for extended period of time
User :   What sud be the dose?
User :   and time?
Doctor :   did you get lipid profile and thyroid profile done?
User :   yes...normal
Doctor :   Hypercalcemia and Hyperacidity have a relation
User :   I had this test very long back...calcium was double in my body...doc didnt treat for it...
User :   wat sud be the Combination of Antacids and antibiotics? and wat dose?
Doctor :   They are prescription based and it is improper to prescribe you without knowing the real reason of the problem
Doctor :   Prescription based drugs come with a packet of side effects
Doctor :   Since you have already used on them, I do not want to take a chance of you taking them without proper follow up and observation
User :   Can u suggest someone?
Doctor :   Which city are you in?
User :   XXX
Doctor :   XXX
User :   Any address?
User :   can I refer ur name?
Doctor :   XXX
Doctor :XXX
Doctor :   he is XXX
Doctor :   Professor of Gastroenterology & Head,
Department of Gastroenterology,
User :   Ok...right in front of my office...
User :   can I refer ur name?
Doctor :   We have good reviews about him on our portal
Doctor :   hence I referred you
User :   Ok...will visit him tmrw...thanks for ur help Sir...
Doctor :   Thanks for consulting
Doctor :   Bye for now
User :   Goodnight...
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Diseases and Conditions
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