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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What could be the cause for severe stomach pain in a GERD patient despite taking Ranitidine?

About six hours ago, I sat down at the bus stop and felt an odd pulsing pain in my upper left abdomen, just under my bottom rib. Over these last few hours the pain has decreased but it feels...odd. Occasional twinges of pain are still present, especially if I take a deep breath, but it's mostly just a pressure that is now spanning from my left side almost over to the center of my stomach. I have GERD and currently take ranitidine, and though I missed my first dose this morning I did take my second shortly after I arrived home. I'm not sure if this could just be gas pain or something worse, and it has be a bit worried.
Wed, 31 Jul 2019
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General Surgeon 's  Response
Hello,

* There can be various possible issues as drug-resistant ulcer, atrophic gastritis, secondary to stress-related issues or else.

* In my clinic, I recommend following

- second-line therapy with proton pump inhibitor as omeprazole antacid syrup containing aluminum hydroxide with oxetacaine

- dietary measures to avoid spices, non-veg stuff

- regular exercises, walking

- control of blood sugar, cholesterol, weight

- avoid stress, anxiety

- sound regular sleep of 7 hours

* Consult later your gastro specialist as per the need.

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

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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