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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Vomiting, Acidity, Nausea. Endoscopy Shows Excess Bile. Taking Amiprozole, Zofran. Recommendations?

My son has been suffering from severe vomiting, gas and nausea to the point he has not been able to work since January. He has had an endiscopy revealing excess bile and some more redness than they would like to see so drs. increased amiprozole and zofran. Next is a breathing test I don t even know what they are looking for with that one. I am reading that gall bladder symptoms sound amazingly like his condition and he does have pain coming up thru shoulder and into his back. Can you help with your advices?
Thu, 10 Oct 2013
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

I appreciate your concern regarding your son. It appears that it may be reflux disease leading to oesophagitis, or it may also be due to gallbladder disease also. However first possibility is reflux disease still I will advise him to get an ultrasound abdomen to rule out any gallbladder disease. so I will advise him to take tablet rabeprazole instead of omeprazole twice a day along with a prokinetic agent like itopride. May continue with tablet zofran. Also:


1.Avoid fatty meals
2. Don’t lie down soon after meals for at least half hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If you are overweight or obese do weight reduction with dieting and exercise

One other possibility is motility disorder of oesophagus which can be confirmed by getting manometry examination only.


I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
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Vomiting, Acidity, Nausea. Endoscopy Shows Excess Bile. Taking Amiprozole, Zofran. Recommendations?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). I appreciate your concern regarding your son. It appears that it may be reflux disease leading to oesophagitis, or it may also be due to gallbladder disease also. However first possibility is reflux disease still I will advise him to get an ultrasound abdomen to rule out any gallbladder disease. so I will advise him to take tablet rabeprazole instead of omeprazole twice a day along with a prokinetic agent like itopride. May continue with tablet zofran. Also: 1.Avoid fatty meals 2. Don’t lie down soon after meals for at least half hour 3.Take small and frequent meals, instead of full meals at a time 4. wear loose clothes 5. If you are overweight or obese do weight reduction with dieting and exercise One other possibility is motility disorder of oesophagus which can be confirmed by getting manometry examination only. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.