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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty Breathing, Gas. Have Duodenitis. Had Gastroscopy. On Omeprasole. Help?

Hello, I had gastroscopy and it turn out i have duodentitis, and no H.pylori, doc perscriebed me omeprasole 20mg and then 40 mg, i took it but they only worsened my symptoms as I also feel like my food is not digested at all, and i burp all the time on empty stomach and after eating (30 min and more)those gas -air is hard to burp from stomach and it even make me almoust suffocating, then i have difficulties breathing, then i drink water or take antiacid but i not have acid going up but air, and my belly is full with gases, I took probiotics but they not help, curcuma not help, diet not help- i burp after everything even veggies, meat, eggs, tea, water, juices, this air also make heart pain. What can I do? , i am 31 years old. I did usg year ago and it was ok, blood test is ok with only low magnesium and potasium.
Fri, 3 May 2013
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Internal Medicine Specialist 's  Response
Hi

Your symptoms are due to Duodenitis which is commonly due to H.pylori, but not in your case, neither due to low magnesium and potasium. Yours may be due to acid reflux. You are taking omeprazole 20mg and then 40 mg without any relief. You can try changing to other Proton-pump inhibitors (PPIs) Pantoprazole, Rabeprazole, Ilaprazole . It may be taken in the morning and evening empty stomach with cold water. Prokinetic drugs like Metoclopramide, Domperidone taken in 3-4 divided dose before taking food will help to reduce fullnees and burping. Chlordiapoxide alone or in combination with Clinidium bromide is also helpful taken 2-3 times bfore food. Ingestion of Nonsteroidal antiinflammatory analgesic, spicy oily foods, smoking and chewing tobacco and its preparations, consumption of alcohol and junk foods to be avoided.

Regards

Ranjit
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Difficulty Breathing, Gas. Have Duodenitis. Had Gastroscopy. On Omeprasole. Help?

Hi Your symptoms are due to Duodenitis which is commonly due to H.pylori, but not in your case, neither due to low magnesium and potasium. Yours may be due to acid reflux. You are taking omeprazole 20mg and then 40 mg without any relief. You can try changing to other Proton-pump inhibitors (PPIs) Pantoprazole, Rabeprazole, Ilaprazole . It may be taken in the morning and evening empty stomach with cold water. Prokinetic drugs like Metoclopramide, Domperidone taken in 3-4 divided dose before taking food will help to reduce fullnees and burping. Chlordiapoxide alone or in combination with Clinidium bromide is also helpful taken 2-3 times bfore food. Ingestion of Nonsteroidal antiinflammatory analgesic, spicy oily foods, smoking and chewing tobacco and its preparations, consumption of alcohol and junk foods to be avoided. Regards Ranjit