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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Gastritis. Taking Pantoprazole,ondansetron. Endoscopy Report Shows Distal Eosophagitis And Gastritis. Suggest Treatment?

Dear Sir,
I am Swastik, 27 years old , male, I am suffering from Gastritis and GERD for the last 15 years. I have consulted to gastroenterologists many times and they have done endoscopy 3 times on me and prescribed medicines.At present I am taking pantoprazole 40 mg ,ondansetron 4 mg b.i.d daily.In the endoscopy report it was found that I have Distal eosophagitis and gastritis.But,now also the symptoms are persisting.I feel epigastric burning pain in the morning and frequent bouts of vomiting also happens.Basically in the morning I feel nausea and then after eating anything I vomit.This is continuing for the last so many years.Please suggest some line of treatment. Thanking you in antecepation.
Sat, 11 May 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility.
Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound , excessive flatulence.
Dyspepsia could be due to peptic ulcer disease, bile reflux, and functional in nature.
Peptic ulcer disease could be due to Helicobacter pylori bacteria abd could manifest in form of nodular gastritis, follicular gastritis, erosive antritis, gastric and duodenal ulcer disease and in severe cases, may cause adenocarcinoma of stomach.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria.
Meanwhile, he should also take proton pump inhibitors along with prokinetics.
Ondensetron is not a prokinetic.
Take care,
Dr. Mayank Bhargava
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Suffering From Gastritis. Taking Pantoprazole,ondansetron. Endoscopy Report Shows Distal Eosophagitis And Gastritis. Suggest Treatment?

Hi, Thanks for posting your query. With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility. Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound , excessive flatulence. Dyspepsia could be due to peptic ulcer disease, bile reflux, and functional in nature. Peptic ulcer disease could be due to Helicobacter pylori bacteria abd could manifest in form of nodular gastritis, follicular gastritis, erosive antritis, gastric and duodenal ulcer disease and in severe cases, may cause adenocarcinoma of stomach. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, he should also take proton pump inhibitors along with prokinetics. Ondensetron is not a prokinetic. Take care, Dr. Mayank Bhargava