What is the cause of stomach pain, irregular bowel movements, and blood in stool?

Hello,

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

Your symptoms are because of reflux disorder. In this condition, acid contents of the stomach regurgitate back into the esophagus, causing heartburn and chest pain. I suggest the following: Consult a specialist doctor, and take these medicines with their consent. Firstly, switch to Nexium (Esomeprazole) tablets. Initially, take it in a dosage of 40 mg twice daily. However, if not relieved, doses can be increased to 80 mg twice a day.

Prokinetic drugs such as

1. Levosulpiride is a sulpiride isomer that exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI (proton pump inhibitors) has an excellent effect on patients suffering from acid reflux.

2. Domperidone is very effective in treating reflux not controlled by PPI especially when combined with Rabeprazole or Esomeprazole.

3. Acotiamide trials have shown that 30 mg doses taken thrice daily were highly effective in the treatment of dyspepsia. Acotiamide has a positive effect on both gastric emptying and gastric accommodation. Gastric accommodation and gastric emptying in the Acotiamide group were significantly enhanced in people taking it.

Just taking natural supplements will not help. Therefore, you have severe dyspepsia due to long-term antibiotic therapy. These medications suggested above should be discussed with your gastroenterologist and taken with their advice. Discuss with them to increase the doses from minimal to optimal. Cough is caused by irritation to the mucosa. Therefore, it is likely your reflux is irritating mucosa causing a cough. As reflux will settle down, mucous production will automatically stop. Strict adherence to the diet suggested below is required along with medications:

1. Consume easily digestible low-fat food.

2. Eat a lot of raw salads with vegetables.

3. Avoid consuming alcohol or smoking.

4. Do not consume aerated beverages or soda.

5. Avoid meat or processed food.

6. Avoid cheese, dairy products, and milk.

7. Consume a lot of yogurts.

8. Avoid spicy or fast food like pizza or burgers.

9. Try a vegan diet at dinner and a normal diet at lunch.

10. Drink at least eight cups of water every day.

11. Avoid all fruits that are citrus.

12. Avoid orange or pineapple juice.

13. Eat one cup of fruit, like a banana, daily.

As your age becomes 60 years, I would recommend you to go for some baseline tests of cardiology, like a stress test and 2D (dimensional) echocardiography, to rule out the possibility of it being angina.

I hope this information will help you.

Thanks.