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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Stomach Discomfort?

hi, i am 38 years old male, have stomach discomfort for last 4 months, have done both scopes (gastro & colono), have been diagonosed with chronic gastrisis, intestinal metaplasia based on biopsies due o H pyalori bacteria infection, have been treated with standard medication of two antibiotics & Nexiium 40 gms for 7 days. Now i am taking only one nexium tablet 40 gm, however discomfort has not gone competely ( abt 3 weeks after taking antibotics). Doctor is suggesting to do gastroscopy again after another 1 month to rule out stomach cancer. Pls let m eknow was medication correct & do i need another round of gastroscopy ?? Thanks

Mon, 13 Feb 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about 38 year old male having stomach discomfort for last 4 months, Upper GI Endoscopy showed Chronic gastritis, intestinal metaplasia, as per the biopsy said to be due to H. pylori hence taken course of 2 antibiotic and Nexium 40 which you stool are continuing but there is not a complete relief. Colonoscopy was also performed. Since there is no complete relief wants suggestions and whether to go for another Gastroscopy, ..
Since the diagnosis is obvious I would advise you the following:
Continue Nexium 40 once daily.
Add on Ranitidine 150 twice daily.
Antacid gel every three hours.
Avoid the foods and beverages that instigate or enhance the problems.
Control of the stress and anxiety is very important.
Soft bland home-made food in small frequent style.
This helps all my patients and should help you too.
About the review upper GI Endoscopy: get this done to take another sets of biopsy.
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What Is The Treatment For Stomach Discomfort?

Hi. Thanks for your query. Noted the history about 38 year old male having stomach discomfort for last 4 months, Upper GI Endoscopy showed Chronic gastritis, intestinal metaplasia, as per the biopsy said to be due to H. pylori hence taken course of 2 antibiotic and Nexium 40 which you stool are continuing but there is not a complete relief. Colonoscopy was also performed. Since there is no complete relief wants suggestions and whether to go for another Gastroscopy, .. Since the diagnosis is obvious I would advise you the following: Continue Nexium 40 once daily. Add on Ranitidine 150 twice daily. Antacid gel every three hours. Avoid the foods and beverages that instigate or enhance the problems. Control of the stress and anxiety is very important. Soft bland home-made food in small frequent style. This helps all my patients and should help you too. About the review upper GI Endoscopy: get this done to take another sets of biopsy.