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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Stomach And Back Pain With Fatigue And Infection Be Treated?

Hi, I called my doctor regarding my question but he s not in this afternoon. I have been having burning pain usually in my upper stomach ? above waistline, and also in my belly. I have been extremely tired. Blood test reveal that I have a high degree of infection (348?) for a women. The doctor gave me a perscription for Omeprazole which I filled recently. The tiredness (extreme part) has left but the burning in increasing in duration. I was having the problem in the evening, so I took the Omeprazole before dinner. The last few days I m experiencing the problem around or after lunch time. Today even before I had lunch. I m afraid to eat anything and I m hungry and getting more miserable. We have a lot of stress lately due to a daughter s wedding in two weeks and her difficult nature. Also I was stress out about work and a back injury. Thank you for any help or suggestions, regarding pain and diet.
Mon, 16 May 2016
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Internal Medicine Specialist 's  Response
Thank you for using HCM.
I understand your situation and complaints about your stomach burning pain, infection, stress and tiredness, which indeed are strongly related to each-other. Stomach acid secretion is highly influenced by stress, while the co-existing helicobacter pylori infection makes it impossible for the inflamation (gastritis) to heal under Omeprazole treatment only. In your case I would recommend Pantoprazole 40 mg once a day (30-min before breakfast) for 2-months, and a combination of these two antibiotics against possible helicobacter pylori infection in your stomach: Amoxycillin 500 mg (3 times/day after meal) with Clarithromycin 500 mg (twice/day after meal) for 2-weeks. If your symptoms persist, you should undergo fibrogastroscopy for further evaluation of your gastric and esofageal mucosa and gastric-fluid examination for infection. I would suggest you not to get yourself used to taking anxiolytics to reduce your stress symptoms, cause it looks like a reasonable anxiety related to your daughter's wedding, which means that you will be much better after it.

Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
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How Can Stomach And Back Pain With Fatigue And Infection Be Treated?

Thank you for using HCM. I understand your situation and complaints about your stomach burning pain, infection, stress and tiredness, which indeed are strongly related to each-other. Stomach acid secretion is highly influenced by stress, while the co-existing helicobacter pylori infection makes it impossible for the inflamation (gastritis) to heal under Omeprazole treatment only. In your case I would recommend Pantoprazole 40 mg once a day (30-min before breakfast) for 2-months, and a combination of these two antibiotics against possible helicobacter pylori infection in your stomach: Amoxycillin 500 mg (3 times/day after meal) with Clarithromycin 500 mg (twice/day after meal) for 2-weeks. If your symptoms persist, you should undergo fibrogastroscopy for further evaluation of your gastric and esofageal mucosa and gastric-fluid examination for infection. I would suggest you not to get yourself used to taking anxiolytics to reduce your stress symptoms, cause it looks like a reasonable anxiety related to your daughter s wedding, which means that you will be much better after it. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda