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Severe upper abdominal issues, GI and rheumatology treatment done. What could be the issue?

I have been experiencing upper abdominal issues for almost 7 months. I have been to a GI doctor and been diagnosed with GERD and erosive esophagitis and they are treating with proton pump inhibitors and I have been using them for over 3 months and I continue to have nausea, vomitting, abdominal pain and bloating along with terrible belching . I went to a rheumatologist and I have increased levels of creative protein but no one seems to be able to figure this out. Do you have any idea what might be going on?
Asked On : Fri, 21 Dec 2012
Answers:  1 Views:  56
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Gastroenterologist 's  Response
Hello, livcamncod33,
I am assuming that your diagnosis of GERD and erosive esophagitis was made
after endoscopy and biopsy. I hope you were also tested for H.Pylori.
Ask the GI doctor, if these were done. You have been on PPIs for over three
months. I am not sure if you are on a single dose or twice daily dosage.
The best time to take the PPI is about an hour to hour and a half before your
main meals.
I am sure you have been told to avoid excess caffeine, alcohol, tomato based
products, excess dairy . Milk contains calcium and it can stimulate acid biuldup.
You mention about increased levels of C-Reactive protein. All that means is
that you have some degree of inflammation, regardless of the location.
If you are following the above guide lines , and still having same symptoms,
you should make another appointment with the GI doctor for re-evaluation.
Some times , changing to a different PPI might work.
I wish you well.
Answered: Wed, 2 Jan 2013
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