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    How to control gastric problem?

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Posted on Thu, 3 Aug 2017 in Digestion and Bowels
Question: i have been on kinpride 3mg sr and pantocid 40 for 1 month had relief for 15/20 days but after that same gastric problem
checked amypase /lypase/liver function test/ct scan of upper abdomen
all found to be ok
doctor
Answered by Dr. Uday Nath Sahoo 3 hours later
Brief Answer:
Need lifestyle modification

Detailed Answer:
Hi,

Thanks for your question on HealthcareMagic & I do understand your concern

"As" per your clinical history is concerned do take medications as usual and modify your life style which may prevent it -:

1)Try to reduce your weight by 5% because excess weight puts pressure on abdomen.

2)Try to avoid tight fitting clothes

3)Make a list of all trigger points which leads to gastric irritations.The most common foods which you need to avoid is fatty,fried foods,tomato sauce,alcohol,chocolate,mint,garlic,onion,and caffeine etc

4)Try to avoid over eating and eat small meals and if possible take time in eating

5)Do not lie down after a meal wait for at least 3 hours before going to bed at night.

6)Do not smoke at all and avoid alcohol

7)Raise your head of sleeping bed to at least 6 inch

hope that helps

Please let me know if you have further questions before visiting your primary care Doctor.

Thanks and wish you a good health .
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Uday Nath Sahoo 1 hour later
I used to be a chain smoker and have been having nicogum 2 for the last three years is it possible that due to continuous chewing of gum I am getting these gastric attacks.

how long should i take kinpride 3 mg sr and pantocid i have already been having it for the past 45 days
doctor
Answered by Dr. Uday Nath Sahoo 1 hour later
Brief Answer:
side effect of gum

Detailed Answer:
Hi,

Thanks for your follow up reply

“As” per your reply is concerned it is the effect of NICOGUM-2 only which you are taking for 3 years and this should not be used for more than 12 weeks and it should be used like this for light smokers-:
Take 1 piece of 2 mg gum every 2 hours for weeks 1–6 then use 1 piece of 2 mg every 4 hours for weeks 7–9 then use 1 piece of 2 mg gum every 8 hours for weeks 10–12. And you should not eat or drink before or while chewing the gum.so do it like this.

So do take preventive steps and you may not require antacid and PPI at all.

Hope that helps
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Uday Nath Sahoo 17 hours later
you have not replied as to how long should i continue with pantacid 40 and kinpride 3 mg sr
doctor
Answered by Dr. Uday Nath Sahoo 2 hours later
Brief Answer:
Antacid

Detailed Answer:
Hi,

Thanks for your reply

“As” per your question if you take preventive as suggested and stopping Gum then you may not need [pantacid and kinpride]. So if you feel better now then you can stop it as there is no time limit for such medications.

Thanks
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Uday Nath Sahoo

General & Family Physician

Practicing since :1969

Answered : 2462 Questions

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