Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
How Can Gastric Trouble, Sleeplessness, Chest Pain And Restlessness Be Treated?
Question: Age 74 male BP & DIABETIC. been suffering from gastric troubles for a long time. Below are the list of medicines he is using currently:
For Diabetes:
1) GILMEPIRIDE, VOGLIBOSE & METFORMIN HYDRO CHLORIDE
2) SITAGLIPTIN PHOSPHATE & METFORMIN HYDRO CHLORIDE
For Heart troble(for the past 2yrs)
1) ATORVASTATIN
2) ISONORM
3) CLOPITAB
For BP( for a long time)
1) NEBISTAR-5
2) OLMEZEN
For Gastric trouble(FOR A LONG TIME)
1)NEXPRO L-400
THE MAIN PROBLEM IS EVEN WITH ALL THESES MEDICINES PATIENT IS SUFFERING FROM STAGNATION OF GAS IN THE STOMACH WHICH HAS BEEN CAUSING ENORMOUS DISPLEASURE TO HIM. SOMETIMES HE COMPLAINS OF CHEST PAIN . WENT FOR ALL THE TESTS THAT ARE GAS RELATED EXCEPT COLONOSCOPY. DOC. IS SAYING DUE TO ALL THESE MEDICINES IT'S NATURAL TO GET THESE SYMPTOMS. NO DIGESTION & MOTION PROBLEMS. THE SYMPTOMS START IN THE MORING & CONTINUE TILL TO THE BED. NO PROBS WITH SLEEPLESSNESS. ONLY RESTLESSNESS CHEST PAIN & FEELING HIS STOMACH LIKE A BIG STONE DUE TO STAGNATION OF THE GAS.. HE SOMETIMES IS GETTING INTO DEPRESSION DUE TO THIS. NO BAD HABITS LIKE SMOKING & DRINKING. TAKES DIET ON TIME . WALKS A LOT. BUT THIS PROBLEM OF STAGNATION OF GAS TROBLING HIM SO BADLY. GUIDE US CORRECTLY REGARDING THIS PLZ.
For Diabetes:
1) GILMEPIRIDE, VOGLIBOSE & METFORMIN HYDRO CHLORIDE
2) SITAGLIPTIN PHOSPHATE & METFORMIN HYDRO CHLORIDE
For Heart troble(for the past 2yrs)
1) ATORVASTATIN
2) ISONORM
3) CLOPITAB
For BP( for a long time)
1) NEBISTAR-5
2) OLMEZEN
For Gastric trouble(FOR A LONG TIME)
1)NEXPRO L-400
THE MAIN PROBLEM IS EVEN WITH ALL THESES MEDICINES PATIENT IS SUFFERING FROM STAGNATION OF GAS IN THE STOMACH WHICH HAS BEEN CAUSING ENORMOUS DISPLEASURE TO HIM. SOMETIMES HE COMPLAINS OF CHEST PAIN . WENT FOR ALL THE TESTS THAT ARE GAS RELATED EXCEPT COLONOSCOPY. DOC. IS SAYING DUE TO ALL THESE MEDICINES IT'S NATURAL TO GET THESE SYMPTOMS. NO DIGESTION & MOTION PROBLEMS. THE SYMPTOMS START IN THE MORING & CONTINUE TILL TO THE BED. NO PROBS WITH SLEEPLESSNESS. ONLY RESTLESSNESS CHEST PAIN & FEELING HIS STOMACH LIKE A BIG STONE DUE TO STAGNATION OF THE GAS.. HE SOMETIMES IS GETTING INTO DEPRESSION DUE TO THIS. NO BAD HABITS LIKE SMOKING & DRINKING. TAKES DIET ON TIME . WALKS A LOT. BUT THIS PROBLEM OF STAGNATION OF GAS TROBLING HIM SO BADLY. GUIDE US CORRECTLY REGARDING THIS PLZ.
Brief Answer:
Yes it may be side effect
Detailed Answer:
Hi,
Actually, more the medicines, more are chances of side effects. That is why one should take minimal medicines for any condition.
Regarding the bloating:
- You must check that this problem started after starting which medicine?
- Among the medicines, esomeprazole (in nexpro-L), Olmezen, Isonorm, Atorvastatin, Voglibose can cause bloating and/or abdominal pain. I am suspecting voglibose as the main culprit as it acts locally in intestines to inhibit absorption of sugars. I think it can be omitted after consulting doctor. Second medicine that can be omitted is atorvastatin if lipid profile in under control.
Some ayurvedic preparations are helpful in expelling gases. These can be taken for short term relief. I know a few brands like Gasex, Gasso, etc. Better to take them under guidance of ayurvedic practitioner.
Massage of tummy and exercise is also helpful.
Hope it helps. Let me know if I can assist you further.
Dr Vaishalee
Yes it may be side effect
Detailed Answer:
Hi,
Actually, more the medicines, more are chances of side effects. That is why one should take minimal medicines for any condition.
Regarding the bloating:
- You must check that this problem started after starting which medicine?
- Among the medicines, esomeprazole (in nexpro-L), Olmezen, Isonorm, Atorvastatin, Voglibose can cause bloating and/or abdominal pain. I am suspecting voglibose as the main culprit as it acts locally in intestines to inhibit absorption of sugars. I think it can be omitted after consulting doctor. Second medicine that can be omitted is atorvastatin if lipid profile in under control.
Some ayurvedic preparations are helpful in expelling gases. These can be taken for short term relief. I know a few brands like Gasex, Gasso, etc. Better to take them under guidance of ayurvedic practitioner.
Massage of tummy and exercise is also helpful.
Hope it helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
that's fine madam..but we want alternative medicine for Voglibose if jt is the culprit because it's compulsory to use it. also i am attaching the reports plz check them. tests were performed in Feb. this year. if you want us go for fresh tests we will do. as of now he is suffering from bloating, as usual, with no other complications. & plz suggest if any other ayurvedic syrups are there instead of capsules. he is using anti depressants also because of this bloating issue which has been affecting him. 2 times Doc. suggested to go for colonoscopy but resisted himself saying it's not a big thing to worry about. Shall we go for colonoscopy also?? patient is getting so irritated due to bloaing issues & it's been on for a long time. plz find the attached reports madam.
Brief Answer:
Voglibose can be omited
Detailed Answer:
Hi again
I have seen the attached reports. Both voglibose and statin can be safely omitted safely as his lipid profile and blood sugar are well controlled.
He can simply take combination of glimepride and metformin e,g Diapride-M. Voglibose only function is to lower sugar absorption from gut. If his sugar intake is further reduced, there will be no need for Voglibose. Voglibose and acarbose are two sister medicines and both will cause bloating. No alternative.
He does have erosive gastritis. Both medicines and acidity are the culprits. He is already on acid-suppressing medicine.
Ultrasound abdomen is normal except for some prostate enlargement. Prostate enlargement will cause some obstruction in urination.
Though colonoscopy is done routinely after age of 60 yrs, still its every person's personal choice. Not really indicated for him.
Gasex syrup is also available by Himalaya.
It is unfortunate that we are putting patient on anti-depressants, rather than cutting down the medicines .
Dr Vaishalee
Voglibose can be omited
Detailed Answer:
Hi again
I have seen the attached reports. Both voglibose and statin can be safely omitted safely as his lipid profile and blood sugar are well controlled.
He can simply take combination of glimepride and metformin e,g Diapride-M. Voglibose only function is to lower sugar absorption from gut. If his sugar intake is further reduced, there will be no need for Voglibose. Voglibose and acarbose are two sister medicines and both will cause bloating. No alternative.
He does have erosive gastritis. Both medicines and acidity are the culprits. He is already on acid-suppressing medicine.
Ultrasound abdomen is normal except for some prostate enlargement. Prostate enlargement will cause some obstruction in urination.
Though colonoscopy is done routinely after age of 60 yrs, still its every person's personal choice. Not really indicated for him.
Gasex syrup is also available by Himalaya.
It is unfortunate that we are putting patient on anti-depressants, rather than cutting down the medicines .
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
