What does this endoscopy result indicate? - Online Doctor Chats
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Please proceed with your query
I had taken Claribid 500, RABIUM-DSR, Novamox-500 and sucrafil o for one week. but there was no improvement
looks like you have symptoms of reflux
ok, so you are being treated for H pylori?
it takes several weeks for the treatment to work
The doctor suggested to continue RABIUM-DSR and sucrafil get for one month, asked me to comeback after one month
I am taking these two medicines for almost for two weeks, but still no improvement
I feel lot of pinning sensation in my stomach
appetite is very bad, dont feel hugry.
ok. That is the effect of the Claribid. Antibiotics will interfere with appetite
Stick to the treatments. They will help in time. Your endoscopy shows the reason why you are suffering. It just takes time
i have stopped claribid 2 weeks ago
ohh, ok, well then you need to go back to your doctor and increase the doses of the rabium
Do i need to go for H pylori tests?
While you are at it. Try and sleep such that your head and back are raised on a pillow or two. That will minimize the reflux
The antibiotics that you were on are FOR H. Pylori. I would expect that your doctor tested for it first. Right?
there were no tests conducted for H pylori..
hmmm, thats odd
well, now the problem is, is that you have been treated and the tests may come back as negative
so i don't think it is worth testing now
What shall i do now?
instead you need to do whatever you can to help with the lower esophageal sphincter to tighten up and prevent reflux
Any suggestion doctor now? Shall i continue with current medication? or need to change?
the only other thing i can think of that may help in this situation is a medication called Lioresal, it will help acid move down through the stomach rather than regurgitate
so ask you gastro over the phone if that will help. The other medications you can take are prokinetic medications like Neopride. But they are very rarely used
Finally, there are surgical options which will tighten up the Sphincter
is it Sphincter is very loose?
yes it is
the sphincter is loose, that is why you are having trouble
what are the problems/complications if Sphincter is loose? how serious is it?
so lioresol, neopride or surgery are the options
acid will regurgitate into the esophagus and cause the symptoms you are having
is it serious?
it's pretty common
but it can get serious if untreated
I always feel lot of burning sensation near chest. is this due to same problem?
The burning is also known as "heart burn"
That is also due to the spincter issue
so as i said, your chest burning sensation is textbook case of esophageal reflux
I think you should try the medications first though
Lioresal and neopride
Surgery is definitive, but it is always uncomfortable to go through all that
Can I discuss with my gastro about Lioresal and neopride ?
The risks of surgery are that of infection, but not much more than that
what is surgery called as ?
Sure, please discuss! I need them to prescribe the meds anyway as i cannot from here
thats the surgery
are Lioresal and neopride helps in tightening LES?
yes they do
Most of the time the meds will work, not to worry
Anything I can help you with?
Thanks Doctor. Thanks for your valuable suggestions
Always happy to help
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