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Suggest Treatment For IBS And Non-erosive GERD

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Posted on Sat, 7 Mar 2015
Question: I have been having digestive problems for about 10 months now. I was diagnosed with IBS and NERD (non-erosive GERD) based on my symptoms. Intermittent loose stools and burning in solar plexis. The burning feeling is relieved by burping but I still get this pain on the right side and around my side a little bit. It is worse if I eat spicy food, or tomatoes, and possibly coffee. The pain is usually mild, but often appears for days or weeks. Sometimes yellowish stools, usually normal color, but very unformed.



I have had a full colonoscopy- all clear and good.



endoscopy- the doctor said my esophagus looked "perfect"



abdominal CT with contrast (also perfect)



blood test- all good, including liver and thyroid.



stool test for blood, c dif, parasite. all good.



But because of the persistent nature of my diagnosed functional issues, I worry a little about pancreas or gallbladder issues. My doctor (gastro specialist) assures me that this is impossible given my tests. But I never received a HIDA scan or ultrasound.



The pain is a burning pain. sometimes radiates around to my side- almost underarm.



The doctor gave me PPIs, but they gave me diarreah as well. I have some older PPIs ... about 6 months old, should I take them even though they gave me diarrea?

doctor
Answered by Dr. Dr Samir Patil (1 hour later)
Brief Answer:
Shift to a different PPI

Detailed Answer:
Hello,
I have gone through the details you have provided. Your pain does not seem to of pancreatic or gall bladder origin.
Which PPI was prescribed previously.?

You can take the PPI which was prescribed previously .
In case you develop Diarrhoea again the stop it and. I would advice to shift to a different PPI.
Hope this helps
Do get Back in case you have further queries
Regards
Dr Samir Patil
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dr Samir Patil (2 days later)
Hello Doc,

thanks for your reply.

Actually, I don't have the PPI's nearby, but she prescribed 2 different ones. The first gave me loose stools. So she then prescribed another. The 2nd one also gave me loose stools. So she said I'd just have to modify my diet. But I still get loose stools fairly often even if i don't take PPIs. But they were worse when I was on PPI. And they got better as soon as I stopped.

Can I expect to cure these problems any time soon?
doctor
Answered by Dr. Dr Samir Patil (4 hours later)
Brief Answer:
Ranitidine or famotidine would help

Detailed Answer:
Hello,
H2RA drugs like ranitidine or Famotidine can help.
These are not PPI's and you might not have diarrhoea with these drugs
You can take them for a few weeks and the take them on a as required basis.
Please consult your doctor for a prescription.
Hope this helps
Regards
Dr Samir Patil
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
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Dr. Dr Samir Patil

Gastroenterologist

Practicing since :1997

Answered : 551 Questions

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Suggest Treatment For IBS And Non-erosive GERD

Brief Answer: Shift to a different PPI Detailed Answer: Hello, I have gone through the details you have provided. Your pain does not seem to of pancreatic or gall bladder origin. Which PPI was prescribed previously.? You can take the PPI which was prescribed previously . In case you develop Diarrhoea again the stop it and. I would advice to shift to a different PPI. Hope this helps Do get Back in case you have further queries Regards Dr Samir Patil