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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stomachache With Heart Burn And Flatulence

Helo Sir,

I am Md. Muzammel Haque. I am from Dhaka, Bangladesh. I am 35 years old. I married and have 2 children. My height is 5 feet 5 inches and weight 63 kg. I am doing job in a NGO. For nature of my job I have to eat and drink outside all the time. I take tea more then 2 cups a day (also green tea as well). My father died 2003. I am the elder son in my family. I have my mother, 2 brothers and 1 sister in my family. I have gastric problems since 15 years. 1st few years I took antacid tablets frequently (3 or 5 times a day that gave me temporally relieve). After that my condition becomes critical.

Then I took advice a doctor he gave me some ranitidine Esomeprazole group tablets. I took those couple of months (that time I did endoscopy nothing found serious). But then my condition becomes worst.

I am now feeling discomfort and severe pain in stomach every time especially at bed time.
Usually, the pain is accompanied by frequent release of gas as well as some painful sensation in the chest area.

Recent for 5 or six months I feel long heartburn, severe chest and stomach pain which also reaches my back (pain doesn’t go away when I took medicine), extremely gas formation in stomach, malaise and flatulence, frequent release of gas (specially when my stomach is empty), suffering from Colic, indigestion and constipation (my stools very hard and have very bad smell), inflammation in chest, frequent cough, gastroesophageal reflux, keep losing weight. Some time when I drink water feeling sensation of wanting to vomit and desire to vomit a few minutes after eating.

Then I again went to doctor last month. I did ultrasono nothing found serious but a mild prostrate enlargement. He gave me tetracycline for 7 days, rebipragol sodium INN 20mg and peppermint oil 250 mg daily 2 times for 2 months.

I took those medicines for 1 month but not feeling good at all.
Now my condition getting more then worst.

Now I am feeling extremely exhausted and weak all the time.
Please give me some advice and effective medicine for me.

Thanking you


Muzammel
Thu, 26 Apr 2018
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General Surgeon 's  Response
Hello,

As per my clinical experience, this does not sound simple gastric upset, the root cause evaluation is missing at some stage which has to be figured out as there is substantial weakness.

I would recommend consulting in person with a physician and discuss about the need of basic lab tests, CT scan and upper GI endoscopy to reach at the root level and manage in accordance to that only.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel
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Suggest Treatment For Stomachache With Heart Burn And Flatulence

Hello, As per my clinical experience, this does not sound simple gastric upset, the root cause evaluation is missing at some stage which has to be figured out as there is substantial weakness. I would recommend consulting in person with a physician and discuss about the need of basic lab tests, CT scan and upper GI endoscopy to reach at the root level and manage in accordance to that only. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel