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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain Below Ribcage Post Orofer And Shelcal Withdrawal?

Hi, I had my delivery on march 2nd. I been taking orofer xt and shelcal 500 since my 3rd Month of pregnancy. I am asked to continue orofer for 3 months post partum and shelcal until I stop breastfeeding. Now I experience pain below my rib cage and difficulty in breathing. When I stop taking these tablets, there is no pain. Once I restart, the pain also restarts. Is there any alternate medicine?
Wed, 1 Mar 2023
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General & Family Physician,  's  Response
Hi,

Both these medicines Orofer as well as Shelcal might cause some irritation of esophagus as well as gastric irritation, while taken by oral route. Due to this irritation of food pipe and stomach, there may be a feeling of pain below the rib cage and a feeling of difficulty of breathing.

This may be avoided by not taking these empty stomach and only to be taken just after meals. Also, spicy and chilly food, excessive tea, coffee etc. use of alcohol and smoking is to be avoided for the relief from irritation of esophagus and stomach and thus, helping in minimizing the symptoms of esophageal and gastric irritation by Orofer and Shelcal.

In very difficult cases, a short term use of ant acids might be required, however taking care that use of antacids may reduce the absorption of these drugs and hence there is a need to space the use of these drugs & ant acids at least with a difference of 4-6 hours.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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What Causes Pain Below Ribcage Post Orofer And Shelcal Withdrawal?

Hi, Both these medicines Orofer as well as Shelcal might cause some irritation of esophagus as well as gastric irritation, while taken by oral route. Due to this irritation of food pipe and stomach, there may be a feeling of pain below the rib cage and a feeling of difficulty of breathing. This may be avoided by not taking these empty stomach and only to be taken just after meals. Also, spicy and chilly food, excessive tea, coffee etc. use of alcohol and smoking is to be avoided for the relief from irritation of esophagus and stomach and thus, helping in minimizing the symptoms of esophageal and gastric irritation by Orofer and Shelcal. In very difficult cases, a short term use of ant acids might be required, however taking care that use of antacids may reduce the absorption of these drugs and hence there is a need to space the use of these drugs & ant acids at least with a difference of 4-6 hours. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician