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Suggest remedies for erosive gastritis and constipation

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Posted on Wed, 18 May 2016
Question: Diagnosed with erosive gastritis being treated with pantoprazole, taken med for 2 days. Have constipation, how can I Safely move my bowels ??

what tests can help diagnose whether I have bacteria issue with gut. also endoscopically diagnosed with erosive gastritis. persccribed pantoprazole taken for 2 days.
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Answered by Dr. Klerida Shehu (53 minutes later)
Brief Answer:
Please follow...

Detailed Answer:
Hi and thank you for asking on HCM.
You are reporting to have been diagnosed with erosive gastritis by upper endoscopy.
It is a good choice to start the treatment with PPI's like pantoprasole at your case.
I would like to know if you have done serological test or biopsy for H.Pylori infection.

If you haven't done it yet I would recommend to do breath test for H.pylori infection as the major cause of gastritis.
With regards to constipation, firstly I would like to recommend changing lifestyle as below:
- use plenty of water
- use vegetables and fresh fruits
- use olive oil three teaspoons per day
- increase physical activity
- avoid spicy and chilly foods
If the constipation persist after a couple of days than you can start to use duphalac ( stool softener).
If you have more than 3 months with constipation than I would recommend to do colonoscopy to better evaluate large bowel.

Hope it was helpful to you!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Klerida Shehu (16 minutes later)
Yes dr. took 2 biopsies of stomach tissue will have results in a week reg. H.pylori. Very thin stomach lining blood and numerous ulcers typical of Erosive Gastritis.
Been doing all of above except Olive Oil, taking Carlson's Omega 3 Fish Oil.
1. Should I take Olive oil as well?
2. Is Calcium Citrate a problem for my stomach condition?
3. As I understand the Pantoprazole blocks stomach acid, therefore mineral absorption, should I take some type of Mineral Supplement? What would be safe for my stomach?
doctor
Answered by Dr. Klerida Shehu (8 minutes later)
Brief Answer:
please follow...

Detailed Answer:
Hi back,
With regards to calcium citrate I would suggest to avoid it since it can cause constipation and upset stomach.
You can take olive oil even if you are using omega 3 fish oil. They have no interactions with each other.
You are asking if you need supplements since you are using pantoprasole.
No, in clinical practice I don't recommended to use supplements since there is no known mineral deficits during this treatment.
So there is no need to use other supplements.

Hope it was helpful to you.
DR.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest remedies for erosive gastritis and constipation

Brief Answer: Please follow... Detailed Answer: Hi and thank you for asking on HCM. You are reporting to have been diagnosed with erosive gastritis by upper endoscopy. It is a good choice to start the treatment with PPI's like pantoprasole at your case. I would like to know if you have done serological test or biopsy for H.Pylori infection. If you haven't done it yet I would recommend to do breath test for H.pylori infection as the major cause of gastritis. With regards to constipation, firstly I would like to recommend changing lifestyle as below: - use plenty of water - use vegetables and fresh fruits - use olive oil three teaspoons per day - increase physical activity - avoid spicy and chilly foods If the constipation persist after a couple of days than you can start to use duphalac ( stool softener). If you have more than 3 months with constipation than I would recommend to do colonoscopy to better evaluate large bowel. Hope it was helpful to you! Dr.Klerida