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Hi Dr XXXXXXX I have moderate gastritis .It keeps happening

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Posted on Sun, 31 Mar 2019
Question: Hi Dr XXXXXXX I have moderate gastritis.It keeps happening every couple of years. I am watching my diet etc. Can you suggest a supplement to strengthen my stomach lining?
doctor
Answered by Dr. Ramesh Kumar (9 hours later)
Brief Answer:
No such supplements are there proper medicine with diet is the key sir.

Detailed Answer:
Hello and thank you for query my dear patient,
Supplement a heathy life style etc would help but only after we control the problem initially,

Initially I would suggest you not to worry too much.Anxiety increases the problem initially for 4 weeks natural anxiety relievers like lactium can be taken.
If you were my patient I would have added low dose of antibiotics anxiety pills clonazepam for a minimum of 2 weeks.
Take a effective proton pump inhibitor like Esomeprazole(Nexium) 40 mg twice daily(could be raised to 80 mg twice daily if not relieved) along with a prokinetic drug Levosulpiride for 21 days. This will provide you symptomatic relief from symptoms and would relief you from gastritis immediately.
Antacid like Mucaine gel (containing alumini and magnesium hydroxide) can be taken twice daily before heavy meals for first 21 days along with it.
If still not relieved add Acotiamide 100 mg thrice daily for 1 month.
Take any probiotic like VSL#3 for few days to ease digestion.

Apart from this, some dietary restrictions are to be followed-

- Avoid alcohol or smoking.
- No aerated beverages.
- Take light non spicy easily digestible food for few days.
- No Fast food like pizza or burger should be taken.
- Drink a cup of cold milk daily.
- Avoid fatty foods.

You would feel much better in 21 days.
Follow the same prescription it's safe and very effective.

Hope i was helpful.
Thank you.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (53 minutes later)
Thank you Dr XXXXXXX for your reply.

Anxiety is not an issue.

I am presently taking 4 Zantac 150 mg daily. It has helped some. Should I switch to Nexium?

Once a week, I have 3 beers. Is there something I should take before this drinking?

1 Diet soda a day is ok ?

Thanks.

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Follow up: Dr. Ramesh Kumar (1 hour later)
Also what do you think of Dexilant? What dosage? I had taken it 5 years back.

Thanks.
doctor
Answered by Dr. Ramesh Kumar (9 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hello again,
1)Zantac is a H2 blocker inferior to the new proton pump inhibitors like Esomeprazole which even suppresses the baseline production of acid.
Yes you should switch over to Nexium it not only controls the excessive production of acid but also controls baseline acid production in gut.
1 Hour before drinking take 2 tablets of Nexium 40 mg with antacid syrup like mucaine gel to coat your stomach lining.
As of now diet soda is not advisable however as you will be on medication you can have it.
The recommended dose of Dexilant is 60 milligrams (mg) once a day for up to eight weeks, and 30 mg once a day to maintain the healing thereafter. But I would suggest you to take Nexium.

Thanks and regards!

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (10 hours later)
Thanks for your response. My doctor is giving me prescription for only 1 nexium 40 mg daily.

1) Can I take 300 mg of Zantac in the morning plus 40 mg of Nexium 2 hrs before dinner?

2)Does Nexium work right away from day one or it takes couple of days?

3)Once healed, can I take 300 mg( or more Zantac ? ) before drinking only on days when I drink alcohol ?

Thank you for your organized response.
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Follow up.

Detailed Answer:
Hello again dear...

1) Ranitidine is a H2 blocker while PPI like Nexium blocks production of baseline acid plus excessive acid. So it's a superior and better option to take Nexium only.
Nexium half-life is 12 hours so it's ideal dose is twice daily. It stops working after 12 hours.
So it should be 80 mg in the morning followed by 40mg in the evening for the first 21 days followed by 40 mg twice after that.

2) You would start feeling a difference within 72 hours.

3) Yes once you are stabilized we would shift you from Nexium to Zantac but the answer depends on how your body responds to it.

You can take 2tablets of Nexium one hour before drinking.
Follow-ups are welcome.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ramesh Kumar (7 hours later)
Thank you very much for your prompt response.

I have been taking Zantac total 600 mg daily for last 5 days. Last 48 hours I have not felt any burning sensation or unease in my stomach.

Should I just continue with 600 mg Zantac or change to some combination of Zantac and Nexium. Can you advise a combination with only one pill of Nexium?

Thanks.
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hello again,
Zantac 600 mg a day is not a recommended dose of zantac.Its ideal dose is 300 mg daily.
As per your demand I would recommend you,
Nexium 40mg on tablet in morning empty stomach
Ranitidine 300mg in night 9 p.m

If not relieved then inform me.
Hope I was helpful,
Thank you and get well soon,
Do rate the answer.
Regards!
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2467 Questions

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Hi Dr XXXXXXX I have moderate gastritis .It keeps happening

Brief Answer: No such supplements are there proper medicine with diet is the key sir. Detailed Answer: Hello and thank you for query my dear patient, Supplement a heathy life style etc would help but only after we control the problem initially, Initially I would suggest you not to worry too much.Anxiety increases the problem initially for 4 weeks natural anxiety relievers like lactium can be taken. If you were my patient I would have added low dose of antibiotics anxiety pills clonazepam for a minimum of 2 weeks. Take a effective proton pump inhibitor like Esomeprazole(Nexium) 40 mg twice daily(could be raised to 80 mg twice daily if not relieved) along with a prokinetic drug Levosulpiride for 21 days. This will provide you symptomatic relief from symptoms and would relief you from gastritis immediately. Antacid like Mucaine gel (containing alumini and magnesium hydroxide) can be taken twice daily before heavy meals for first 21 days along with it. If still not relieved add Acotiamide 100 mg thrice daily for 1 month. Take any probiotic like VSL#3 for few days to ease digestion. Apart from this, some dietary restrictions are to be followed- - Avoid alcohol or smoking. - No aerated beverages. - Take light non spicy easily digestible food for few days. - No Fast food like pizza or burger should be taken. - Drink a cup of cold milk daily. - Avoid fatty foods. You would feel much better in 21 days. Follow the same prescription it's safe and very effective. Hope i was helpful. Thank you.