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About Five Years Ago A Doctor Quickly Diagnosed And Treated
Question: About five years ago a doctor quickly diagnosed and treated a condition I had, and I have had no further problems until the same condition has gradually reoccurred about two weeks ago. It's currently not as bad as it was when I saw the doctor in 2014, but it was gradually intensifying each day. My symptoms are abdominal pressure (primary), bloating and gurgling stomach. Chest pain and pressure only when walking. Occasional headaches. After the doctor conducted several tests, he subscribed the following medications: Ranitidine (Zantac) 300 mg oral tab (2 times per day); Sucralfate (Carafate) 1 gram oral tab (4 times per day); Chlordiaze Poxide-Clidinium (Librax) 5-2.5 mg; and you ask me to drink Propel Electrolyte Water several times a day. Since this condition has recurred after 5 years, and since it was successfully treated it before, I begin drinking Propel Electrolyte Water and I started taking over the counter Zantac (150 mg) twice a day for the past week. This has relieved the problem somewhat, but not completely.
About five years ago a doctor quickly diagnosed and treated a condition I had, and I have had no further problems until the same condition has gradually reoccurred about two weeks ago. It's currently not as bad as it was when I saw the doctor in 2014, but it was gradually intensifying each day. My symptoms are abdominal pressure (primary), bloating and gurgling stomach. Chest pain and pressure only when walking. Occasional headaches. After the doctor conducted several tests, he subscribed the following medications: Ranitidine (Zantac) 300 mg oral tab (2 times per day); Sucralfate (Carafate) 1 gram oral tab (4 times per day); Chlordiaze Poxide-Clidinium (Librax) 5-2.5 mg; and you ask me to drink Propel Electrolyte Water several times a day. Since this condition has recurred after 5 years, and since it was successfully treated it before, I begin drinking Propel Electrolyte Water and I started taking over the counter Zantac (150 mg) twice a day for the past week. This has relieved the problem somewhat, but not completely.
Brief Answer:
Go for a test called endoscopy to rule out ulcers in stomach and duodenum.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query.
I have gone very carefully through your query.
Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe causing inflammation resulting in chest pain.
On the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.
This excessive gas exerts pressure on intestines causing pain and inflammation. Bloating etc is also a result of this.
Continue taking the medications you are in.
For bloating and gas you could add Over the counter Activated charcoal tablets 2 tablets twice daily. It absorbs the excessive gas formed. However sucralfate usually is given in patients only after confirming if they have ulcers on stomach or duodenum. If you feel relieved on taking sucralfate a better idea would be to go for endoscopy (A test to find out presence of ulcers in stomach by inserting a tube with camera inside esophagus).
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.Librium is given to relax your nerves.
Hopefully that should help.
Suggestion -Go for Endoscopy test.
Let me know if I could help further.
Go for a test called endoscopy to rule out ulcers in stomach and duodenum.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query.
I have gone very carefully through your query.
Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe causing inflammation resulting in chest pain.
On the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.
This excessive gas exerts pressure on intestines causing pain and inflammation. Bloating etc is also a result of this.
Continue taking the medications you are in.
For bloating and gas you could add Over the counter Activated charcoal tablets 2 tablets twice daily. It absorbs the excessive gas formed. However sucralfate usually is given in patients only after confirming if they have ulcers on stomach or duodenum. If you feel relieved on taking sucralfate a better idea would be to go for endoscopy (A test to find out presence of ulcers in stomach by inserting a tube with camera inside esophagus).
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.Librium is given to relax your nerves.
Hopefully that should help.
Suggestion -Go for Endoscopy test.
Let me know if I could help further.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Go for a test called endoscopy to rule out ulcers in stomach and duodenum.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query.
I have gone very carefully through your query.
Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe causing inflammation resulting in chest pain.
On the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.
This excessive gas exerts pressure on intestines causing pain and inflammation. Bloating etc is also a result of this.
Continue taking the medications you are in.
For bloating and gas you could add Over the counter Activated charcoal tablets 2 tablets twice daily. It absorbs the excessive gas formed. However sucralfate usually is given in patients only after confirming if they have ulcers on stomach or duodenum. If you feel relieved on taking sucralfate a better idea would be to go for endoscopy (A test to find out presence of ulcers in stomach by inserting a tube with camera inside esophagus).
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.Librium is given to relax your nerves.
Hopefully that should help.
Suggestion -Go for Endoscopy test.
Let me know if I could help further.
Go for a test called endoscopy to rule out ulcers in stomach and duodenum.
Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query.
I have gone very carefully through your query.
Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe causing inflammation resulting in chest pain.
On the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.
This excessive gas exerts pressure on intestines causing pain and inflammation. Bloating etc is also a result of this.
Continue taking the medications you are in.
For bloating and gas you could add Over the counter Activated charcoal tablets 2 tablets twice daily. It absorbs the excessive gas formed. However sucralfate usually is given in patients only after confirming if they have ulcers on stomach or duodenum. If you feel relieved on taking sucralfate a better idea would be to go for endoscopy (A test to find out presence of ulcers in stomach by inserting a tube with camera inside esophagus).
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.Librium is given to relax your nerves.
Hopefully that should help.
Suggestion -Go for Endoscopy test.
Let me know if I could help further.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
A brief recap --
Five years ago I was treated for abdominal pressure, bloating, gurgling stomach, chest pressure, occasional headaches, and shortness of breath. After several tests (including a helicobacter pylori bacteria test, in which the results were not available until a week later) the doctor subscribed the following medications: Ranitidine (Zantac) 300 mg oral tab (2 times per day); Sucralfate (Carafate) 1 gram oral tab (4 times per day); Chlordiaze Poxide-Clidinium (Librax) 5-2.5 mg; and he ask me to drink Propel Electrolyte Water several times a day. This quickly resolved the problem (afterwards, the test results for helicobacter pylori bacteria came back as negative).
The same condition recurred after 5 years. I started drinking Propel Electrolyte Water and taking over the counter Zantac (150 mg) twice a day. The symptoms of shortness of breath comes and goes, but it gradually intensifies.
New information --
On Sunday afternoon, around 3:00 PM, I was entering a Walmart store and I became extremely out of breath and tired (with pressure on my upper stomach/lower chest) to the point where I had to stop and rest on a store counter before continuing to walk to the back of the store.
At approximately 7:30 PM on Sunday, July 21, I checked into the Urgent Care Center. After taking a blood test they immediately transported me by ambulance to the emergency room (ER), because my test revealed a high level of the enzyme troponin (my value was 1.74 ng/mL; the standard range is <=0.03 ng/mL) which indicated a possible heart attack. When I arrived at the ER, the doctors there conducted additional blood test and admitted me into the hospital. In the hospital they gave me 4 baby aspirin, another blood thinning medication and continued to take additional blood samples every few hours. The subsequent blood test did not show the same high levels of troponin (three additional test all showed a level of <0.02 ng/mL) so they assumed that a mistake could have been made during the first test. Nevertheless, they kept me in the hospital over night and conducted a nuclear stress test on Monday morning. The results of that test were good (showing nothing was wrong with my heart). Next, they took more blood for a helicobacter pylori bacteria test, and took some stool samples. I was released from the hospital at 7:39 PM on Monday night.
I was told to take one baby aspirin each day, and continue taking Claritin and using Flonase daily for seasonal allergies, and I was given the medication Omeprazole (Prilosec) 20 mg once a day for my stomach issues. In addition to the above, I also take a multivitamin (1 tab per day), turmeric (2 tabs per day), plant based iron (1 tab per day), fish oil (3000 mg per day), 2 oz of Aloe Vera Water (2 times per day), and I drink Propel Electrolyte Water and Coconut Water daily.
Please note that I did not see a cardiologist nor a gastroenterologist while I was in the hospital.
As of this morning the problem continues with bloating and gurgling stomach and shortness of breath.
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? I'm not sure if I should continue with the prescription of Omeprazole (Prilosec) 20 mg once a day, or do I need to start a course of antibiotics to treat H-Pylori, or do I need to take or do something else?
With the exception of the H-Pylori test and the following blood test: HGB 11.2 g/dL (Std Range 14.0-18.0 g/dL); HCT, Auto 33.4% (Std. Range 42.0-52.0%); BUN 20 mg/dL (Std Range <= 18 mg/dL); Glomerular Filtration Rate 72 mL/min/BSA -- a second test showed a value of 77 mL/min/BSA (Std Range age 60-69 = 85) I'll be age 70 in October); APPT 45 Sec (Std Range 25-37 Sec); RBC, Auto 4.13 Mill/mcL (Std 4.70 - 6.10 Mill/mcL), all other blood test were within the normal range.
Any idea as what's going on with me?
Five years ago I was treated for abdominal pressure, bloating, gurgling stomach, chest pressure, occasional headaches, and shortness of breath. After several tests (including a helicobacter pylori bacteria test, in which the results were not available until a week later) the doctor subscribed the following medications: Ranitidine (Zantac) 300 mg oral tab (2 times per day); Sucralfate (Carafate) 1 gram oral tab (4 times per day); Chlordiaze Poxide-Clidinium (Librax) 5-2.5 mg; and he ask me to drink Propel Electrolyte Water several times a day. This quickly resolved the problem (afterwards, the test results for helicobacter pylori bacteria came back as negative).
The same condition recurred after 5 years. I started drinking Propel Electrolyte Water and taking over the counter Zantac (150 mg) twice a day. The symptoms of shortness of breath comes and goes, but it gradually intensifies.
New information --
On Sunday afternoon, around 3:00 PM, I was entering a Walmart store and I became extremely out of breath and tired (with pressure on my upper stomach/lower chest) to the point where I had to stop and rest on a store counter before continuing to walk to the back of the store.
At approximately 7:30 PM on Sunday, July 21, I checked into the Urgent Care Center. After taking a blood test they immediately transported me by ambulance to the emergency room (ER), because my test revealed a high level of the enzyme troponin (my value was 1.74 ng/mL; the standard range is <=0.03 ng/mL) which indicated a possible heart attack. When I arrived at the ER, the doctors there conducted additional blood test and admitted me into the hospital. In the hospital they gave me 4 baby aspirin, another blood thinning medication and continued to take additional blood samples every few hours. The subsequent blood test did not show the same high levels of troponin (three additional test all showed a level of <0.02 ng/mL) so they assumed that a mistake could have been made during the first test. Nevertheless, they kept me in the hospital over night and conducted a nuclear stress test on Monday morning. The results of that test were good (showing nothing was wrong with my heart). Next, they took more blood for a helicobacter pylori bacteria test, and took some stool samples. I was released from the hospital at 7:39 PM on Monday night.
I was told to take one baby aspirin each day, and continue taking Claritin and using Flonase daily for seasonal allergies, and I was given the medication Omeprazole (Prilosec) 20 mg once a day for my stomach issues. In addition to the above, I also take a multivitamin (1 tab per day), turmeric (2 tabs per day), plant based iron (1 tab per day), fish oil (3000 mg per day), 2 oz of Aloe Vera Water (2 times per day), and I drink Propel Electrolyte Water and Coconut Water daily.
Please note that I did not see a cardiologist nor a gastroenterologist while I was in the hospital.
As of this morning the problem continues with bloating and gurgling stomach and shortness of breath.
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? I'm not sure if I should continue with the prescription of Omeprazole (Prilosec) 20 mg once a day, or do I need to start a course of antibiotics to treat H-Pylori, or do I need to take or do something else?
With the exception of the H-Pylori test and the following blood test: HGB 11.2 g/dL (Std Range 14.0-18.0 g/dL); HCT, Auto 33.4% (Std. Range 42.0-52.0%); BUN 20 mg/dL (Std Range <= 18 mg/dL); Glomerular Filtration Rate 72 mL/min/BSA -- a second test showed a value of 77 mL/min/BSA (Std Range age 60-69 = 85) I'll be age 70 in October); APPT 45 Sec (Std Range 25-37 Sec); RBC, Auto 4.13 Mill/mcL (Std 4.70 - 6.10 Mill/mcL), all other blood test were within the normal range.
Any idea as what's going on with me?
A brief recap --
Five years ago I was treated for abdominal pressure, bloating, gurgling stomach, chest pressure, occasional headaches, and shortness of breath. After several tests (including a helicobacter pylori bacteria test, in which the results were not available until a week later) the doctor subscribed the following medications: Ranitidine (Zantac) 300 mg oral tab (2 times per day); Sucralfate (Carafate) 1 gram oral tab (4 times per day); Chlordiaze Poxide-Clidinium (Librax) 5-2.5 mg; and he ask me to drink Propel Electrolyte Water several times a day. This quickly resolved the problem (afterwards, the test results for helicobacter pylori bacteria came back as negative).
The same condition recurred after 5 years. I started drinking Propel Electrolyte Water and taking over the counter Zantac (150 mg) twice a day. The symptoms of shortness of breath comes and goes, but it gradually intensifies.
New information --
On Sunday afternoon, around 3:00 PM, I was entering a Walmart store and I became extremely out of breath and tired (with pressure on my upper stomach/lower chest) to the point where I had to stop and rest on a store counter before continuing to walk to the back of the store.
At approximately 7:30 PM on Sunday, July 21, I checked into the Urgent Care Center. After taking a blood test they immediately transported me by ambulance to the emergency room (ER), because my test revealed a high level of the enzyme troponin (my value was 1.74 ng/mL; the standard range is <=0.03 ng/mL) which indicated a possible heart attack. When I arrived at the ER, the doctors there conducted additional blood test and admitted me into the hospital. In the hospital they gave me 4 baby aspirin, another blood thinning medication and continued to take additional blood samples every few hours. The subsequent blood test did not show the same high levels of troponin (three additional test all showed a level of <0.02 ng/mL) so they assumed that a mistake could have been made during the first test. Nevertheless, they kept me in the hospital over night and conducted a nuclear stress test on Monday morning. The results of that test were good (showing nothing was wrong with my heart). Next, they took more blood for a helicobacter pylori bacteria test, and took some stool samples. I was released from the hospital at 7:39 PM on Monday night.
I was told to take one baby aspirin each day, and continue taking Claritin and using Flonase daily for seasonal allergies, and I was given the medication Omeprazole (Prilosec) 20 mg once a day for my stomach issues. In addition to the above, I also take a multivitamin (1 tab per day), turmeric (2 tabs per day), plant based iron (1 tab per day), fish oil (3000 mg per day), 2 oz of Aloe Vera Water (2 times per day), and I drink Propel Electrolyte Water and Coconut Water daily.
Please note that I did not see a cardiologist nor a gastroenterologist while I was in the hospital.
As of this morning the problem continues with bloating and gurgling stomach and shortness of breath.
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? I'm not sure if I should continue with the prescription of Omeprazole (Prilosec) 20 mg once a day, or do I need to start a course of antibiotics to treat H-Pylori, or do I need to take or do something else?
With the exception of the H-Pylori test and the following blood test: HGB 11.2 g/dL (Std Range 14.0-18.0 g/dL); HCT, Auto 33.4% (Std. Range 42.0-52.0%); BUN 20 mg/dL (Std Range <= 18 mg/dL); Glomerular Filtration Rate 72 mL/min/BSA -- a second test showed a value of 77 mL/min/BSA (Std Range age 60-69 = 85) I'll be age 70 in October); APPT 45 Sec (Std Range 25-37 Sec); RBC, Auto 4.13 Mill/mcL (Std 4.70 - 6.10 Mill/mcL), all other blood test were within the normal range.
Any idea as what's going on with me?
Five years ago I was treated for abdominal pressure, bloating, gurgling stomach, chest pressure, occasional headaches, and shortness of breath. After several tests (including a helicobacter pylori bacteria test, in which the results were not available until a week later) the doctor subscribed the following medications: Ranitidine (Zantac) 300 mg oral tab (2 times per day); Sucralfate (Carafate) 1 gram oral tab (4 times per day); Chlordiaze Poxide-Clidinium (Librax) 5-2.5 mg; and he ask me to drink Propel Electrolyte Water several times a day. This quickly resolved the problem (afterwards, the test results for helicobacter pylori bacteria came back as negative).
The same condition recurred after 5 years. I started drinking Propel Electrolyte Water and taking over the counter Zantac (150 mg) twice a day. The symptoms of shortness of breath comes and goes, but it gradually intensifies.
New information --
On Sunday afternoon, around 3:00 PM, I was entering a Walmart store and I became extremely out of breath and tired (with pressure on my upper stomach/lower chest) to the point where I had to stop and rest on a store counter before continuing to walk to the back of the store.
At approximately 7:30 PM on Sunday, July 21, I checked into the Urgent Care Center. After taking a blood test they immediately transported me by ambulance to the emergency room (ER), because my test revealed a high level of the enzyme troponin (my value was 1.74 ng/mL; the standard range is <=0.03 ng/mL) which indicated a possible heart attack. When I arrived at the ER, the doctors there conducted additional blood test and admitted me into the hospital. In the hospital they gave me 4 baby aspirin, another blood thinning medication and continued to take additional blood samples every few hours. The subsequent blood test did not show the same high levels of troponin (three additional test all showed a level of <0.02 ng/mL) so they assumed that a mistake could have been made during the first test. Nevertheless, they kept me in the hospital over night and conducted a nuclear stress test on Monday morning. The results of that test were good (showing nothing was wrong with my heart). Next, they took more blood for a helicobacter pylori bacteria test, and took some stool samples. I was released from the hospital at 7:39 PM on Monday night.
I was told to take one baby aspirin each day, and continue taking Claritin and using Flonase daily for seasonal allergies, and I was given the medication Omeprazole (Prilosec) 20 mg once a day for my stomach issues. In addition to the above, I also take a multivitamin (1 tab per day), turmeric (2 tabs per day), plant based iron (1 tab per day), fish oil (3000 mg per day), 2 oz of Aloe Vera Water (2 times per day), and I drink Propel Electrolyte Water and Coconut Water daily.
Please note that I did not see a cardiologist nor a gastroenterologist while I was in the hospital.
As of this morning the problem continues with bloating and gurgling stomach and shortness of breath.
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? I'm not sure if I should continue with the prescription of Omeprazole (Prilosec) 20 mg once a day, or do I need to start a course of antibiotics to treat H-Pylori, or do I need to take or do something else?
With the exception of the H-Pylori test and the following blood test: HGB 11.2 g/dL (Std Range 14.0-18.0 g/dL); HCT, Auto 33.4% (Std. Range 42.0-52.0%); BUN 20 mg/dL (Std Range <= 18 mg/dL); Glomerular Filtration Rate 72 mL/min/BSA -- a second test showed a value of 77 mL/min/BSA (Std Range age 60-69 = 85) I'll be age 70 in October); APPT 45 Sec (Std Range 25-37 Sec); RBC, Auto 4.13 Mill/mcL (Std 4.70 - 6.10 Mill/mcL), all other blood test were within the normal range.
Any idea as what's going on with me?
Brief Answer:
follow up.
Detailed Answer:
Hello again,
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? -Testing H.Pylori through stools is a non sensitive test so you can't rely on this test value alone.
Again i would say that your symptoms were either due to cardiac cause(now ruled out) or due to gastritis.
You were relieved earlier on taking sucralfate(only indication is gastric ulcers).
Gastritis and acid peptic disorder exactly mimic cardiac symptoms.
I would again suggest you to go for a proper endoscopy to rule out gastric ulcers and H.pylori infection.That is the gold standard test for acid peptic problems.
Once endoscopy is done follow up with reports.
Till then follow my initial advice.
You can take omeprazole and activated charcoal tablets.
Follow up with endoscopy report done by a proper Gastroenterologist.
You can go through the research for further details,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
Hope i was helpful,
Do rate the answer,
If you have any suggestions to make answer better do write them,
Follow up with reports,
Thanks
follow up.
Detailed Answer:
Hello again,
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? -Testing H.Pylori through stools is a non sensitive test so you can't rely on this test value alone.
Again i would say that your symptoms were either due to cardiac cause(now ruled out) or due to gastritis.
You were relieved earlier on taking sucralfate(only indication is gastric ulcers).
Gastritis and acid peptic disorder exactly mimic cardiac symptoms.
I would again suggest you to go for a proper endoscopy to rule out gastric ulcers and H.pylori infection.That is the gold standard test for acid peptic problems.
Once endoscopy is done follow up with reports.
Till then follow my initial advice.
You can take omeprazole and activated charcoal tablets.
Follow up with endoscopy report done by a proper Gastroenterologist.
You can go through the research for further details,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
Hope i was helpful,
Do rate the answer,
If you have any suggestions to make answer better do write them,
Follow up with reports,
Thanks
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
follow up.
Detailed Answer:
Hello again,
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? -Testing H.Pylori through stools is a non sensitive test so you can't rely on this test value alone.
Again i would say that your symptoms were either due to cardiac cause(now ruled out) or due to gastritis.
You were relieved earlier on taking sucralfate(only indication is gastric ulcers).
Gastritis and acid peptic disorder exactly mimic cardiac symptoms.
I would again suggest you to go for a proper endoscopy to rule out gastric ulcers and H.pylori infection.That is the gold standard test for acid peptic problems.
Once endoscopy is done follow up with reports.
Till then follow my initial advice.
You can take omeprazole and activated charcoal tablets.
Follow up with endoscopy report done by a proper Gastroenterologist.
You can go through the research for further details,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
Hope i was helpful,
Do rate the answer,
If you have any suggestions to make answer better do write them,
Follow up with reports,
Thanks
follow up.
Detailed Answer:
Hello again,
Today, I received the results of the H-Pylori test. My value is 20.7 units; the standard range is < =20.0 units. I'm not sure if that means I am negative or positive for H-Pylori? -Testing H.Pylori through stools is a non sensitive test so you can't rely on this test value alone.
Again i would say that your symptoms were either due to cardiac cause(now ruled out) or due to gastritis.
You were relieved earlier on taking sucralfate(only indication is gastric ulcers).
Gastritis and acid peptic disorder exactly mimic cardiac symptoms.
I would again suggest you to go for a proper endoscopy to rule out gastric ulcers and H.pylori infection.That is the gold standard test for acid peptic problems.
Once endoscopy is done follow up with reports.
Till then follow my initial advice.
You can take omeprazole and activated charcoal tablets.
Follow up with endoscopy report done by a proper Gastroenterologist.
You can go through the research for further details,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
Hope i was helpful,
Do rate the answer,
If you have any suggestions to make answer better do write them,
Follow up with reports,
Thanks
Above answer was peer-reviewed by :
Dr. Yogesh D
Sorry, my mistake. The 20.7 is from the blood test for H-pylori. I'm told by my doctors that the stool test is accurate for the bacterium, the blood test is only accurate for antibodies. They said they need to see the results of the stool test which is still pending. My general practitioner is so far reluctant to refer me to a gastroenterologist.
Also, they are discouraging me from doing the endoscopy. They say it's invasive and may cause other problems.
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder?
I think your assessment of my condition is far superior to that of my doctors.
I believe the results of the stool test will be available on Monday, and I'll keep after my doctor for a reference to a gastroenterologist.
I must also mention that because of my sciatica, I have taken ibuprofen for many years to address the pain. But, recently I have discovered that a daily stretch routine can replace my use of ibuprofen, so I stopped using that pain killer completely (except rare occasions) about three months ago. I also drink wine daily (about two glasses of red wine) with dinner. But, I have stopped drinking all wine and coffee since my stomach problems started.
Also, they are discouraging me from doing the endoscopy. They say it's invasive and may cause other problems.
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder?
I think your assessment of my condition is far superior to that of my doctors.
I believe the results of the stool test will be available on Monday, and I'll keep after my doctor for a reference to a gastroenterologist.
I must also mention that because of my sciatica, I have taken ibuprofen for many years to address the pain. But, recently I have discovered that a daily stretch routine can replace my use of ibuprofen, so I stopped using that pain killer completely (except rare occasions) about three months ago. I also drink wine daily (about two glasses of red wine) with dinner. But, I have stopped drinking all wine and coffee since my stomach problems started.
Sorry, my mistake. The 20.7 is from the blood test for H-pylori. I'm told by my doctors that the stool test is accurate for the bacterium, the blood test is only accurate for antibodies. They said they need to see the results of the stool test which is still pending. My general practitioner is so far reluctant to refer me to a gastroenterologist.
Also, they are discouraging me from doing the endoscopy. They say it's invasive and may cause other problems.
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder?
I think your assessment of my condition is far superior to that of my doctors.
I believe the results of the stool test will be available on Monday, and I'll keep after my doctor for a reference to a gastroenterologist.
I must also mention that because of my sciatica, I have taken ibuprofen for many years to address the pain. But, recently I have discovered that a daily stretch routine can replace my use of ibuprofen, so I stopped using that pain killer completely (except rare occasions) about three months ago. I also drink wine daily (about two glasses of red wine) with dinner. But, I have stopped drinking all wine and coffee since my stomach problems started.
Also, they are discouraging me from doing the endoscopy. They say it's invasive and may cause other problems.
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder?
I think your assessment of my condition is far superior to that of my doctors.
I believe the results of the stool test will be available on Monday, and I'll keep after my doctor for a reference to a gastroenterologist.
I must also mention that because of my sciatica, I have taken ibuprofen for many years to address the pain. But, recently I have discovered that a daily stretch routine can replace my use of ibuprofen, so I stopped using that pain killer completely (except rare occasions) about three months ago. I also drink wine daily (about two glasses of red wine) with dinner. But, I have stopped drinking all wine and coffee since my stomach problems started.
Brief Answer:
follow up.
Detailed Answer:
Hello again my dear patient,
Lets start with your initial query-
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder- They are going to insert a fully sterilized tube with a high resolution camera at the top and would see inch by inch of your gut clearly,A small sample of tissue would also be taken and would be sent for culture to look for H.Pylori(As that's the place where it lives).
Yes it is invasive but only mildly(any foreign particle inserted in your body is an invasion to natural enviroment of your body,To be on a lighter note even having a pizza is invasive because every thing contains millions of bacteria and by having it you are exposing your body(close enviroment). Believe me its a very normal and an a routine examination done in most countries(sure shot gold standard test).Though i can understand that its difficult to convince doctors in XXXXXXX and Canada as they are over skeptical but you can talk to your GP once that instead of going for gold standard test why he is suggesting tests which are less sensitive and specific(Believe me its not that invasive that you are thinking).
Secondly pain killers are contraindicated(strictly) in acid peptic disorders.They would intensify your problems multiple time.Even if you have to use use Paracetamol and tramadol(safe for you).
Thirdly,
No wine smoking fast food or aerated beverages(strictly).
Rest you can take a print out of all my answers and could discuss it with your G.P;Hopefully he/she would recommend you Endoscopy if convinced;If not then you have the right to ask him that what level of invasiveness does endoscopy results in.
Revert back to me with his answer.
https://www.ncbi.nlm.nih.gov/pubmed/0000
My dear patient this is a research study of NCBI Go through it.
https://www.ncbi.nlm.nih.gov/(what is NCBI).
Kindly discuss with your G.P with print out of these articles.In short NCBI is what every doctor follows all over the world you can read by yourself about safety of endoscopy.
Hope i was helpful,
Do follow up with reports,
Do rate the answer,
Please feel free to suggest how to make answers better in case you have any suggestions,
Thanks,
Dr Kumar R
follow up.
Detailed Answer:
Hello again my dear patient,
Lets start with your initial query-
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder- They are going to insert a fully sterilized tube with a high resolution camera at the top and would see inch by inch of your gut clearly,A small sample of tissue would also be taken and would be sent for culture to look for H.Pylori(As that's the place where it lives).
Yes it is invasive but only mildly(any foreign particle inserted in your body is an invasion to natural enviroment of your body,To be on a lighter note even having a pizza is invasive because every thing contains millions of bacteria and by having it you are exposing your body(close enviroment). Believe me its a very normal and an a routine examination done in most countries(sure shot gold standard test).Though i can understand that its difficult to convince doctors in XXXXXXX and Canada as they are over skeptical but you can talk to your GP once that instead of going for gold standard test why he is suggesting tests which are less sensitive and specific(Believe me its not that invasive that you are thinking).
Secondly pain killers are contraindicated(strictly) in acid peptic disorders.They would intensify your problems multiple time.Even if you have to use use Paracetamol and tramadol(safe for you).
Thirdly,
No wine smoking fast food or aerated beverages(strictly).
Rest you can take a print out of all my answers and could discuss it with your G.P;Hopefully he/she would recommend you Endoscopy if convinced;If not then you have the right to ask him that what level of invasiveness does endoscopy results in.
Revert back to me with his answer.
https://www.ncbi.nlm.nih.gov/pubmed/0000
My dear patient this is a research study of NCBI Go through it.
https://www.ncbi.nlm.nih.gov/(what is NCBI).
Kindly discuss with your G.P with print out of these articles.In short NCBI is what every doctor follows all over the world you can read by yourself about safety of endoscopy.
Hope i was helpful,
Do follow up with reports,
Do rate the answer,
Please feel free to suggest how to make answers better in case you have any suggestions,
Thanks,
Dr Kumar R
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
follow up.
Detailed Answer:
Hello again my dear patient,
Lets start with your initial query-
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder- They are going to insert a fully sterilized tube with a high resolution camera at the top and would see inch by inch of your gut clearly,A small sample of tissue would also be taken and would be sent for culture to look for H.Pylori(As that's the place where it lives).
Yes it is invasive but only mildly(any foreign particle inserted in your body is an invasion to natural enviroment of your body,To be on a lighter note even having a pizza is invasive because every thing contains millions of bacteria and by having it you are exposing your body(close enviroment). Believe me its a very normal and an a routine examination done in most countries(sure shot gold standard test).Though i can understand that its difficult to convince doctors in XXXXXXX and Canada as they are over skeptical but you can talk to your GP once that instead of going for gold standard test why he is suggesting tests which are less sensitive and specific(Believe me its not that invasive that you are thinking).
Secondly pain killers are contraindicated(strictly) in acid peptic disorders.They would intensify your problems multiple time.Even if you have to use use Paracetamol and tramadol(safe for you).
Thirdly,
No wine smoking fast food or aerated beverages(strictly).
Rest you can take a print out of all my answers and could discuss it with your G.P;Hopefully he/she would recommend you Endoscopy if convinced;If not then you have the right to ask him that what level of invasiveness does endoscopy results in.
Revert back to me with his answer.
https://www.ncbi.nlm.nih.gov/pubmed/0000
My dear patient this is a research study of NCBI Go through it.
https://www.ncbi.nlm.nih.gov/(what is NCBI).
Kindly discuss with your G.P with print out of these articles.In short NCBI is what every doctor follows all over the world you can read by yourself about safety of endoscopy.
Hope i was helpful,
Do follow up with reports,
Do rate the answer,
Please feel free to suggest how to make answers better in case you have any suggestions,
Thanks,
Dr Kumar R
follow up.
Detailed Answer:
Hello again my dear patient,
Lets start with your initial query-
Is the upper GI less invasive and can it be used to diagnose H-Pylori or gastritis or acid peptic disorder- They are going to insert a fully sterilized tube with a high resolution camera at the top and would see inch by inch of your gut clearly,A small sample of tissue would also be taken and would be sent for culture to look for H.Pylori(As that's the place where it lives).
Yes it is invasive but only mildly(any foreign particle inserted in your body is an invasion to natural enviroment of your body,To be on a lighter note even having a pizza is invasive because every thing contains millions of bacteria and by having it you are exposing your body(close enviroment). Believe me its a very normal and an a routine examination done in most countries(sure shot gold standard test).Though i can understand that its difficult to convince doctors in XXXXXXX and Canada as they are over skeptical but you can talk to your GP once that instead of going for gold standard test why he is suggesting tests which are less sensitive and specific(Believe me its not that invasive that you are thinking).
Secondly pain killers are contraindicated(strictly) in acid peptic disorders.They would intensify your problems multiple time.Even if you have to use use Paracetamol and tramadol(safe for you).
Thirdly,
No wine smoking fast food or aerated beverages(strictly).
Rest you can take a print out of all my answers and could discuss it with your G.P;Hopefully he/she would recommend you Endoscopy if convinced;If not then you have the right to ask him that what level of invasiveness does endoscopy results in.
Revert back to me with his answer.
https://www.ncbi.nlm.nih.gov/pubmed/0000
My dear patient this is a research study of NCBI Go through it.
https://www.ncbi.nlm.nih.gov/(what is NCBI).
Kindly discuss with your G.P with print out of these articles.In short NCBI is what every doctor follows all over the world you can read by yourself about safety of endoscopy.
Hope i was helpful,
Do follow up with reports,
Do rate the answer,
Please feel free to suggest how to make answers better in case you have any suggestions,
Thanks,
Dr Kumar R
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Kampana
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