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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for stomach pain and gas formation?

hi sir, I have face some intistional problem. first due to some stress I m suffering from ibs gas and incontinsan toilet and I m afraid and runaway doctor to doctor as I thought its some infection and once doctor give me levoday 250 for 15 days e time a day and by 3 rd day I became very firehial and lot of stomac pain but I though it is some infection so I continue antibiotic and I became very week. then I stopped but after that days my fear problem become real and I suffering lot of gas pain as I m not stress but it is now routine problem and when I took antibiotics its fine for few days but again it become worse after stopped antibiotics what I should do I do colonoscopy andoscopy and ctscan all reports are normal I also do hydrogen breath test it became positive but doctor said its not sibo its your fear problem what u suggest?
Wed, 4 May 2016
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Gastroenterologist 's  Response
Thank you for posting your query.

differential can be GERD and /or gastritis.
it was better to also attach your H.pylori report .

since you have a long history,
1. decrease SALT intake, to as minimum as you can and eat less spicy food.
2. eat more fruits especially those rich in vitamin C (citrus fruits)
3. do NOT eat stomach full(mouth full) in any meal and you may eat have 3 to 5 meals a day
4. try to avoid drinking water at the end of a meal.
5. NO beverages (cold drinks, commercial juices)
6. chew food well and mouth should be closed while chewing.
7. STOP taking any previous medicine (if being used) and take
nexium 40mg once daily before breakfast and;
simethicone ; one tablet after meals/ 2 to 3 times a day! (use these medication for one week)

if any further questions, feel free to ask.
Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .
wish you good health.
Dr Tayyab Malik
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