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Dr. Andrew Rynne

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Have had gastritis. On metrogyl cefadur and cyclopam for intestinal ulcer colitis. Any suggestion?

Answered by
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Dr. Charles S Narasi

Gastroenterologist

Practicing since :1962

Answered : 693 Questions

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Posted on Mon, 24 Dec 2012 in Digestion and Bowels
Question: I am 29 years i suffered from gastritis 15 days before i was put on stelbid1 twice a day with pan d once in morning after stoping stelbid again stomach pain occurs now dr says its intestinal ulcer colitis and prescribed me metrogyl cefadur and cyclopam tablet and adviced only to eat yoghurt buttemilk and double boil khichdi have i to avoid chappati whats the cure for it. Plz reply
doctor
Answered by Dr. Charles S Narasi 26 minutes later
Hello, XXXXXXX,
We might need a little more information from you.
Gastritis is inflammation of the lining of the stomach
and can be related to excess acid and this could also
be caused by anti-inflammatory drugs (Pain likkers)
that belong to a class of NSAIDS (Non-steroidal
antiinflammatory), aspirin etc.
Stelbid is a combination of antianxiety drug along
with a antispsmodic drug. Pan D is for control of acid.
Now you tell us that your doctor thinks you have
ulcerative colitis. This condition affects the colon or
the large bowel and most common symtom would be
bloody diarrhea, may be abdominal pains, joint pains,
even fever or chills depending on how severe the disease
is. If you have a strong family history of colitis either in
your parents or siblings or uncles etc. we have to think
about this , if you have the symtoms I mentioned.
Cyclopam is a combination of antispasm medication
and paracetamol which is for pain control.
Metrogyl and Cefadur are anibiotics to treat infection.
The diagnosis of ulcerative colitis can only made after
ruling out parasitic, bacterial infections and doing a
an endoscopic examination of the colon and taking biopsies
to confirm the diagnosis.
The other condition that is closely associated is Crohn's
disease which can affect any part of the digestive tract
from mouth down to rectum. Again, you need to have
x-ray studies of the intestines and endoscopy with biopsy.
If your doctor is blidly treating you without proper testing,
I don't think you can assume that diagnosis.
I hope you can discuss these with your doctor.
I wish you the very best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Charles S Narasi 9 minutes later
My sonography has been done of whole abdomen it is absolutely normal. I have pain in upper abdomen sometime or down abdomeninal pain 2 sonographies show only acidity and gastritis i have problem gas doesnt pass out and i get belching i have shown 2 drs they say its intestinal swelling and swelling on colon i ambon light diet can i eat chappati and want to discontinue stalbid1 as it makes me very depress and i feel heaviness in my stomach my age is 29 only want toget rid of this stomach pain plz help
doctor
Answered by Dr. Charles S Narasi 13 minutes later
Helllo, XXXXXXX,
I am glad that you had sonogram. This will
rule out gallastones and major problem with
your liver. I still don't see why you were told you had
ulcerative colitis without x-ray of the intestine or
a direct examination of the stomach or colon.
You seem to have acidity problem and you should
stay with the PPI (Proton Pump Inhibitor) such as
Omeprazole, Pantoprazole,Rabeprazole or Lansoprazole
depending on which gives you the best relief.
The best time to take the medication is about an hour
before you eat twice a day.Diet is important.
Avoid excess caffeine which is present in both coffee
and tea. Excess milk can make the acidity worse since
milk contains calcium. Avoid excess spicy foods also till
your stoamch gets better. If after taking the medication
faithfully for 4-6 weeks, if you still have symtoms ,you
need to see a gastroenterologist or a surgeon who can
perform an endoscopic examination of the stomach to see
what is going on. They can check you for H.Pylori bacteria
and if you have this , you need to be treated for this.
I hope you can talk to your doctor again about this.
I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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