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Severe bout of gastritis and PCOS. Has mood swings. On yasmin. Why constipation?

Hi Dr. Charles My girlfriend is suffering from a sever bout of gastritis and PCOS both at the same time and she complains that she is hurting all the time. With that she is having mood swings and some problems also crop up. She is already taking yasmin for the PCOS and has stopped medication for gastritis since it constipates her. Is there any healthy/good food that I can get her? Is there anything I can do to make her feel better doctor? Many thanks
Asked On : Sun, 30 Dec 2012
Answers:  2 Views:  122
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Emergency Medicine Specialist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I appreciate your concern regarding your girlfriend's health problems. Now, the most common cause of gastritis is excessive acid production in the stomach which can be associated with ulceration of the stomach or duodenal mucosal lining.

Certain medication can also aggravate hyperacidity and cause gastritis. Yasmin is a hormonal tablet and is known to aggravate gastritis. I'm not sure what medication, which she has take for the gastritis, has caused her constipation. However, irrespective of medication, it is very important to follow dietary modifications when a person has recurrent gastritis.
You can suggest her the following tips:

1) Avoid foods that cause gastric irritation like spicy foods, coffee, tea, carbonated drinks, etc. Smoking and alcohol are also gastric irritants.

2) Eat at regular intervals and avoid delaying meals.

3) Increase the fibre content in your diet - take more of vegetables and fruits. This will avoid the constipation problem.

4) Avoid eating outside; especially avoid all kinds of junk food and fast foods.

5) Try to have a healthy lifestyle with regular exercise and proper sleep habits. Physical exercise is not only important for good digestion, but will also be helpful for her PCOS.

6) Drinking cold milk frequently can help with relieving the acidity and the pain

7) Try to avoid stress and try relaxation methods like deep breathing, meditation, etc.

If her gastritis is very severe and troubling , the she can try a course of medication. Like I said, I'm not sure which medication for gastritis has caused her constipation, but there are different options available . Please discuss these options with her doctor.

Wish you all the best.

Dr. Sheeba Stephen
Answered: Mon, 31 Dec 2012
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General & Family Physician Dr. Parthipan K's  Response
Hi RangaM welcome to HCM,
Mood swings may be due to PCOS perse or due to side effect of Yasmin that she is taking for PCOS. Gastritis or constipation due to Yasmin is very unlikely and it must be separate problem that she is suffering..
You can go for an endoscopy to confirm the diagnosis of Gastritis which may be due to many conditions like Stress, H.Pylori infection leading to increased acid production, ingestion of spicy food, medications, etc. which needs to be evaluated. Constipation may be due to gastritis itself.
Meanwhile you should take bland diet containing less spices and oil, food rich in fibre like green leafy vegetables to get rid of constipation.
You can continue your medication for PCOS if there are no other side effects.
With regards,
Answered: Mon, 31 Dec 2012
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