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Symptoms and treatment for stomach ulcers - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Peptic Ulcer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I suppose any diferential diagnosis is virtually impossible without a full abdo & Hx but here goes. I take a PPI for PMH of oesophagitis diagnosed on scope 15 years ago. i've been stable with virtually none of the usual ADR's with Lansoprazole oro Disp tab 30mg daily. past 2 months I'm experiencing left sided chest pain which I'm almost certain is not cardiac in origin & noted on waking in the morning, I have an irratic bowel pattern with changing stool colour and consistency, bloatedness & gaseous with discomfort, mild nausea at times, a tenderness just below left rib cage after food. I also find my face flushes and I feel like I'm burning up some times too? What's going on here, could I have early signs of ulcer?
Doctor :   hello
Doctor :   give me a min, let me go thru your query
User :   Thank you
Doctor :   may i know your age and gender please ?
User :   i am a 49 year old male
User :   I have a BMI of approx 28 and take a relatively low fat diet
Doctor :   do you have anyother medical condition ??
User :   I take an SSRI daily but have nothing else of significance really. The scope showed large hiatus hernia 15 years ago
Doctor :   high blood pressure or diabetes ?
Doctor :   ok
User :   No
Doctor :   now the protocol does require that any CHEST PAIN and in your case yes its highly unlikely that its of a cardic origin ,...BUT still the first step would be a ECG.
Doctor :   and yes you do have typical symptoms that suggest that a ulcer is a high possibility
User :   Ok I will sort that with my physician, I am a specialist nurse and do have some training which can be a disadvantage! i was thinking gall bladder or gastric infection?
Doctor :   you are already on high antacids and the pain should subside
Doctor :   an infection wont last 2 month
User :   yes, sure, I'll see doctor for ECG & full abdo, maybe get further scope?
Doctor :   that would be advisable
User :   Thank you for assistance doctor
Doctor :   your most welcome
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