Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
Gastric Problem. Diagnosed With ITP Plus Osteoarthritis And IBS Plus Diverticular. Taking Azathioprine, Lansaprozole. Advise?
i hav e been diagnosed with ITP plus Osteoarthritis and IBS plus diverticular. I am taking prescribed Azathioprine for the ITP - at last count my platlets were 63 (up from 6.)I also take Lansaprozole to protect my stomach. Have aslo just recently persuaded my haematology consultant to let me resume taking multi vit. supplement and glucosamine (1000mgs)I suspected that the lansoprasole was making my arthritic pain uch more severe with every joint and muscle painful. I therefore stopped taking it - one week ago- and the joint/muscle pains have improved dramatically. However I have had a resurgence iof gastric problems. I aslo suspect a wh4eat/gluten intoleance. Can you offer any advice? thank you
Hi We need to address many issues for you. One is gastritis, second is decreased immunity due to medications, third is dealing with ongoing conditions. Osteoarthritis needs pain-killers or NSAIDs that can cause gastritis. Steroids, alcohol and stress can also cause acidity. Thus I will suggest that you take antacid medicines appropriately and avoid medicines and food that can cause gastritis. The antacid medicines can include antacids, H2 blockers, Proton pump inhibitors, prostaglandin analogues, etc. Check with your physician about which medicine will suit you. Take high fiber food. Take hygienic diet and clean drinking water to avoid unnecessary stomach infections.
Dr Vaishalee
I find this answer helpful
1 user finds this helpful
1 Doctor agrees with this answer
You found this answer helpful
Note: For further follow up on digestive issues share your reports here and Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Gastric Problem. Diagnosed With ITP Plus Osteoarthritis And IBS Plus Diverticular. Taking Azathioprine, Lansaprozole. Advise?
Hi We need to address many issues for you. One is gastritis, second is decreased immunity due to medications, third is dealing with ongoing conditions. Osteoarthritis needs pain-killers or NSAIDs that can cause gastritis. Steroids, alcohol and stress can also cause acidity. Thus I will suggest that you take antacid medicines appropriately and avoid medicines and food that can cause gastritis. The antacid medicines can include antacids, H2 blockers, Proton pump inhibitors, prostaglandin analogues, etc. Check with your physician about which medicine will suit you. Take high fiber food. Take hygienic diet and clean drinking water to avoid unnecessary stomach infections. Dr Vaishalee