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Suggest Treatment For Acute Gastritis, Acid Reflux And Sharp Pain In Esophagus

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Posted on Thu, 25 Jun 2015
Question: Hello. I had what I think was an acute gastritis attack a few weeks ago (after having had coffee on an empty stmoach). Although I have often had the occasional symptom of acid reflux, I never vomit from it. This time, I did, which I think caused esophagitis. My gastroenterologist had me on zegerid 40mg for 2 weeks, and when that didn't work I was switched to dexilant 60mg. It has been nearly a week with that and although my digestion and acid reflux seem under control (I have had nothing but the softest, blandest foods) I still feel constant sharp pain in my esophagus, especially when I walk or move. I would like to know if this is normal, or if there are other remedies to try. I have tried having aloe vera juice too for a few days, but that seems only to help marginally. Should I be trying another ppi or getting testing? Thank you.
doctor
Answered by Dr. Muhammad Ahmad (16 minutes later)
Brief Answer:
Yes there are few remedies and medical options.

Detailed Answer:
Hi,

Welcome to Health Care Magic, Thanks for writing to us,

I am Dr.Muhammad Ahmad, I have read your question, I understand your concern and will try to help you in the best possible way.

I am sorry to know about your problem , yes there are certain remedies which can be tried along with your meds I will also give you some other medical options which you can discuss with your doctor, it is normal to have sharp pains off an on after a full blown gastritis attack may take a month or so even to get better.


There are certain measures you can take which will help you control your symptoms.

1) Avoid bitter sour food.
2) Avoid fizzy, sour, caffeinated drinks, , don't take tea or coffee at all.
3) Avoid smoking and alcohol if you use them.
4) Increase fibre content in your food strictly avoid junk, use whole wheat products , you can even use fibre supplements (organic ones)
5) Eat red and white meat less for some days.
6) Reduce weight if you have more weight than you should.
7) Don't fall asleep or lie down immediately after dinner. have a 15-20 mins walk.


Then we come to meds,

1) You can use antacids over the counter for quick relieve like syrup Gaviscon.
2) I would prescribe my patient with Omeprazole or any other PPI they really help. You are already taking Dexilant so thats good enough.
3) Then my patients responded really well to prokinetics like motillium.
4) I would also ask my patients to take zantac in night if they took omerpazole in morning to add the effect.


...I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.



Regards,

Dr.Muhammad Ahmad.(Licensed Family Physician)

M.B.B.S.

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (1 hour later)
Thank you very much for your answer. I just have one follow up question. If I continue to take dexilant in the morning and have pepcid (or another h2 blocker) at night, how long is it safe to decrease stomach acid for that long? I understand that it needs to be reduced to let the esophagus heal, but I also know that it is important for food digestion. If I take a ppi and h2 blocker for a few weeks, will that affect my digestion and stomach, or is it more important to cure the esophagus now? I'd prefer to do it without so many pills, but if it is necessary I will. Have you ever had patients have apple cider vinegar while experiencing gerd?
Thank you again. After your answer I will close the question and write a review. Thanks!
doctor
Answered by Dr. Muhammad Ahmad (38 minutes later)
Brief Answer:
Yes this combination helped many patients.

Detailed Answer:
Hi,

thanks for wriitng back, you question is indeed very important and intellegent , shows your concern and awareness about your health issues.
I would love to answer this and explain to you a few things regarding your follow up question.

Function of stomach:

Well there are many fucntions but in your case there are important:
1) Digestion.
2) Maintaining acid base balance of body.
3) Killing germs in food.

Yes it is important to have acidic environment in stomach to aid digestion and killing the germs entering the body but it is indeed MORE important (as you suggested as well) to save stomch and esophagus from getting damages by stomach acids.

So as far as use of H2 blocker is concerned I would definitely suggest this streatagy to my patients , you dont have to use this combination for long you can use it for ten days, in those ten days don't eat much proteins(digested by stomach) each carbs more, after ten days experiment cutting the dose of h2 blocker in half, the if it suits you, take half tablet on alternate days and then you can leave it altogether. This is the stretagy I would have suggested to a similer patient of mine.

As far as apple cedar vinergar is concerned, my patients came up with mixed feedback, it is an acid after all and many didn't really feel good taking in aditional acid. Many said they found it uselful , but they weren't sure if that was the vinegar or the meds they took which did the trick.

So for stomach issues I haven't been suggesting it for quite some time but yes for weight loss that some what works okay.

I hope your problems get better real soon im pleased you have been taking simple food all these days and I would suggest you to continue this lifestyle change. It will help.

Keep protein low for now.

Wish you the best of health :)

Regards.

Dr.Muhammad Ahmad
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Muhammad Ahmad

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

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Suggest Treatment For Acute Gastritis, Acid Reflux And Sharp Pain In Esophagus

Brief Answer: Yes there are few remedies and medical options. Detailed Answer: Hi, Welcome to Health Care Magic, Thanks for writing to us, I am Dr.Muhammad Ahmad, I have read your question, I understand your concern and will try to help you in the best possible way. I am sorry to know about your problem , yes there are certain remedies which can be tried along with your meds I will also give you some other medical options which you can discuss with your doctor, it is normal to have sharp pains off an on after a full blown gastritis attack may take a month or so even to get better. There are certain measures you can take which will help you control your symptoms. 1) Avoid bitter sour food. 2) Avoid fizzy, sour, caffeinated drinks, , don't take tea or coffee at all. 3) Avoid smoking and alcohol if you use them. 4) Increase fibre content in your food strictly avoid junk, use whole wheat products , you can even use fibre supplements (organic ones) 5) Eat red and white meat less for some days. 6) Reduce weight if you have more weight than you should. 7) Don't fall asleep or lie down immediately after dinner. have a 15-20 mins walk. Then we come to meds, 1) You can use antacids over the counter for quick relieve like syrup Gaviscon. 2) I would prescribe my patient with Omeprazole or any other PPI they really help. You are already taking Dexilant so thats good enough. 3) Then my patients responded really well to prokinetics like motillium. 4) I would also ask my patients to take zantac in night if they took omerpazole in morning to add the effect. ...I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health. Regards, Dr.Muhammad Ahmad.(Licensed Family Physician) M.B.B.S. Resident M.D.