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Dr. Andrew Rynne

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Taking medicine for diabetes and blood pressure. Started rabeprazol 20 for GERD. Any advice?

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Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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Posted on Mon, 21 Jan 2013 in GERD
Question: I am 56 yrs old taking CVMET (Metformin-Voglibos) for sugar control,fasting sugar is 105, TELPRES for Blood pressure it's also normal,but indigestion and gas trouble is there,did andoscopy also,with normal results,Doc diognised me with GERD.gave rabeprazol 20 twice.what ever I eat after that I feel like going to toilet.for that I am taking LIBRAX,with that I feel ok can I continue it for long time or u suggest some new meds?
doctor
Answered by Dr. Mayank Bhargava 54 minutes later
Hi XXXXXXX
Welcome to XXXXXXX forum.

Using washroom after eating is basically due ti increased gastro-colic reflex.
Medicines which are effective in suppressing this reflex is used for getting relief.
Librax contains chlordiazepoxide and clidinium bromide.
Chlordiazepoxide is an anti-anxiety medication and is thought to be due to its calming ability for patients that have IBS symptoms that are worsened by anxiety. Clidinium bromide works by decreasing gastrointestinal motility.

Prolonged use of Chlordiazepoxide may cause development of tolerance and with use of increased dose.
Stopping the drug suddenly can worsen the condition and cause withdrawal symptoms.
Mebeverine is also used for the same purpose.

These defined symptoms may be due to side effects of metformin and voglibose.
Metformin is associated with multiple abdominal side effects.
You should use extended release form of metformin.
Voglibose may cause diarrhea by preventing absorption of glucose and you should take it with food.
You should withhold voglibose for few days and just observe the results.

As such there is no correlation between GERD & Telmisartan and increased gastro-colic reflex.
Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Mayank Bhargava 2 hours later
Thanks for guidence.for last week i am feeling throbbing in both temples.my bloodpressure is normal.on both sides at evening time it happens.pl guide me
doctor
Answered by Dr. Mayank Bhargava 8 hours later
Hi,
There may be possibility of migraine and you should consult with XXXXXXX medicine specialist/ neurologist.
Throbbing pain is specif for migraine.
You should also go for CT/ MRI scan brain to rule out any intracranial lesion.
Best regards,
Dr. Mayank Bhargava
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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