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Severe gastritis, acidity, difficulty evacuating bowels, chronic pain. Treatment options?

Hello i m a female 23yrs old.. I have severe gastritis , acidity problem because of which i am unable to evacuate my bowel .. I get chronic pain for not proper evacuation.. I have tried all the possible medications .. I even go for walk regularly , but all in vein .. Kindly suggest me what has to be done regarding this ... I am really fed up of this issue....
Asked On : Mon, 24 Dec 2012
Answers:  2 Views:  93
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General & Family Physician 's  Response
Hi pallavipan,
The history you have described may be related to Chronic Gastritis or Irritable Bowel Syndrome(IBS) or may not be interrelated also. Here you haven't mentioned anything regarding the duration of your problem or about the medicines you are taking, so its difficult to pin point your problem. If you have acidity problem and chronic stomach pain then gastric endoscopy needs to be done and the condition diagnosed.
If it was gastritis then presence of H.Pylori infection needs to be evaluated and if confirmed you need to take medication to reduce acid secretion as well as H.Pylori infection regularly.. For constipation(not passing stools) you can have laxatives but the cause has to be found out.
With regards,
Answered: Mon, 24 Dec 2012
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General & Family Physician Dr. Nsah Bernard's  Response
Dec 2012
Hello Pallavipan,

Thank you for posting your query.

I will like to first of all know about what medications you have taken and how you too it. There are many treatment options for severe gastritis. Also proper diagnosis needs to be done to rule out any other possible causes of epigastric or retrosternal pain. A fibroscopy or GI series will be properly indicated here. A test for Helicober pylori will also be necessary.
About your treatment options will depend if we are certain that you are suffering from chronic gastritis. A protein pump inhibitor such as omeprazole, esomeprazole, or other variants (depending on what is available in your country) should be taken for atleast 15 days or 1 month if one 20 mg tablet daily . This should be combined with a suitable antacids ( e.g aluminium hydroxide/magnesium hydroxide generic, maalox, phosphalugel, topaal etc). Also sodium bicarbonate salt could be useful in neutralizing the acidity.
Take food properly and avoiding starvation is the first measure to be taken and neutralizing acidity will be achieved. If H. pylori test is positive with reasonable titres, then eradication with associated antibiotics such as amoxicillin + clindamycin or amoxicillin + metronidazole and other combinations.
A visit to your doctor at this point will be useful so that he can determine the cause of the pain and establish a proper treatment.

Hope this helps
Answered: Mon, 24 Dec 2012
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