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Been suffering from stomach ache and epigastric discomfort. Why constipation? GERD? Take Pan-L?

I have been suffering from stomach ache &discomfort in epigastric area with mid back pain ,burping ,sometimes moves down and occasional constipation.Took HP kit with some benefit but symptoms continue with less pain.Doctors say GERD ..never did endoscopy ..First took ranitidine when I had relief for 3 days,then a different doctor gave me Nexium(indian brand) with 1 week relief,then pan L,HP kit with some relief.Currently taking pan-L and digiplex.Have they prescribed the right medicine or should I get a second opinion as I m going through this for almost 2 months.
Asked On : Mon, 17 Sep 2012
Answers:  1 Views:  83
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Emergency Medicine Specialist 's  Response
Dear Heera, hello.

The symptoms described by you i.e. discomfort epigastric area with stomach ache and burping are usually present due to increased acidity. H.Pylori is one of the cause,for which you have taken medication.

Other cause include:-

1. Remaining empty stomach for long

2. Eating spicy food

3. Oil rich food

4. Smoking

5. Alcohol

You can judge yourself and take precautions accordingly. Endoscopy will help to know the damage done if any to your mucosa.

Taking Ranitidine along with Domperidone is beneficial.

Antacids in liquid form,like Digene gel, are more beneficial as they form a protective coating on the damaged mucosa and give quicker and prolonged relief.

Hope this will be beneficial to you.Thanks.
Answered: Mon, 17 Sep 2012
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