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Suggest treatment for dyspepsia

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Posted on Mon, 11 May 2015
Question: My mother who is 56years old has been having a severe heat sensation in her stomachs for the past three months. The symptom occurs mostly in the night and she has to constantly drunk a lot of water to ease it a little bit. She went to the hospital and the doctor has rule out stomach ulcer. I do need a help as to what could have be the possible cause such heat.
Benzo
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Answered by Dr. Muhammad Sareer Khalil (23 minutes later)
Brief Answer:
Likely to be GERD / dyspepsia

Detailed Answer:
Hello and Welcome

I appreciate your concern

Initially an EKG would be required to rule out any cardiac cause even if the likely diagnosis is GERD/Dyspepsia. The 'heat' is most likely due to GERD or dyspepsia. Empiric therapy should be started before invasive investigations are done. A useful regimen which I use in my clinic is Esomeprazole 40 mg bd, itopride 50 mg tds, sucralfate tds, Bismuth subsalicylate.
H. pylori infection, needs to be addressed especially if there is recurrence of these episodes. Stool antigen and urease breath testing can be advised in this regard. If despite a two week treatment the symptoms persist then endoscopy and 24 hour PH monitoring can be advised stepwise.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2914 Questions

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Suggest treatment for dyspepsia

Brief Answer: Likely to be GERD / dyspepsia Detailed Answer: Hello and Welcome I appreciate your concern Initially an EKG would be required to rule out any cardiac cause even if the likely diagnosis is GERD/Dyspepsia. The 'heat' is most likely due to GERD or dyspepsia. Empiric therapy should be started before invasive investigations are done. A useful regimen which I use in my clinic is Esomeprazole 40 mg bd, itopride 50 mg tds, sucralfate tds, Bismuth subsalicylate. H. pylori infection, needs to be addressed especially if there is recurrence of these episodes. Stool antigen and urease breath testing can be advised in this regard. If despite a two week treatment the symptoms persist then endoscopy and 24 hour PH monitoring can be advised stepwise. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. Dr. M.S. Khalil