Acid Peptic Disease

Acid peptic disease is a term used to describe various conditions that result in excess acid production, such as gastritis, gastric ulcer, gastroesophageal reflux disease (GERD), and Zollinger Ellison Syndrome. Most of these conditions are treated with proton pump inhibitors and antibiotics.

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I am taking medication for rheumatoid arthritis, and I have severe stomach pain. Please help.

Query: Hello doctor, I am a 75-year-old male with rheumatoid arthritis. I have had bad stomach pain for six to seven months. The pain is intermittent during the day and wakes me at night. This is happening almost every day and night. I get bloated sometimes, and I have nausea and decreased appetite. I wei...  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to The symptoms you describe fit into the description of the acid peptic disease and peptic ulcers. The culprits for this are Aspirin and Methotrexate. So the first step to treating this will be switching from Aspirin and Methotrexate to a better alternative drug like C...  Read Full »

Please suggest a cure for problems related to GERD and gastritis with sleep disturbances.

Query: Hi doctor, I am 54 years with a weight of 62 kilograms and a height of five feet. I have these symptoms for the past five months. I have anorexia with loss of appetite. I have dyspepsia with difficulty in swallowing food and water. I have an acidic burn with an outcome of mucin. I have GERD. I have...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to I have gone through the attached report (attachment removed to protect patient identity). The important things are pangastritis, solitary rectal ulcer, and anemia. As you have persistent problems related to GERD and gastritis, then this can be resolved by taking dru...  Read Full »

My wife has pain in her belly button. What is the cause?

Query: Hi doctor, My wife is having pain on the¬†belly button. She feels this pain for the last five to seven days. The pain is sharp when she put her finger and touch the belly button. I need your opinion on the following. What could be the problem? What course of action has to be taken? Which speciality¬...  Read Full »

Dr. Rajesh Kumar Padhan

Answer: Hi, Welcome to Thank you for explaining the entire history. Most likely, it is a neurogenic pain as it is sharp on touch. You¬†have to consult a gastroenterologist to look for acid peptic disease. It is better to consult a gastroenterologist soon personally as it needs a¬†physical exami...  Read Full »

I have high blood pressure with headaches. What to do?

Query: Hi doctor, I am 19 years old (female) and for two weeks, my systolic blood pressure has been over 135 and diastolic approximately 89 with 90 bpm at rest. My blood pressure is usually around 110/75 mmHg with 70-80 bpm at rest. I get sharp headaches that come and go, but some do not go for extended pe...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to Do not worry about your blood pressure and it can be reactionary increase due to all your other problems. You are having acid peptic disease and anemia.¬†Iron supplements tend¬†to increase acid peptic disease.¬†So, be off Iron supplements for a few days and begin it slowl...  Read Full »

How to treat loss of appetite with stomach pain, vomiting, and black stools?

Query: Hello doctor, I have a loss of appetite, and I did not eat properly. I took only bananas for three days. Then, I had vomiting and stomach pains. I started eating, but my stomach has been continuously growling, and still in a lot of pain. I passed stools the other day, and it was black. It was a kin...  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to I have read your query in detail and understand your concern. It seems you are suffering from acid peptic disease/ acid reflux disease. If you have any hunger pains and fullness of the stomach or gaseous distension of the abdomen after taking meals, you should go...  Read Full »

My abdominal pain got worse after taking medicines. Why?

Query: Hi doctor, In the past ten days, I have a problem of sudden lower abdominal pain after eating and urgency to go to the bathroom. The stools are semi-solid and not loose motions. The abdominal pain gets¬†resolved once I had a bowel movement. During these periods, I go to the bathroom five to six time...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to We are here to help you. You seem to be suffering from acid peptic disease along with lower gastrointestinal tract infection.¬†You have taken the right treatment. In such case, I prefer to give my patients a good combination like Normaxin RT (combination of Ranitidine, Di...  Read Full »

Can you stop taking Raciper Plus suddenly?

Query: Hi doctor, I have been taking Raciper plus for a year now. How can I stop?  Read Full »

Dr. Sandeep V Nair

Answer: Hi, Welcome to Raciper Plus is a proton pump inhibitor (Esomeprazole) and sustained release Domperidone combination. It is usually prescribed for acid peptic disease or GERD (gastroesophageal reflux disease). First of all, you can stop if your symptoms are under control. Since you h...  Read Full »

Why causes discomfort after having pulses and spicy foods?

Query: Hi doctor, My husband cannot eat spicy vegetables or pulses, and he feels very uncomfortable after eating.  Read Full »

Dr. Nagaraj Patil

Answer: Hello, Welcome to The history provided looks like you have an acid peptic disease, which is nothing but a sore in the stomach. However, I need more information and clarity on the below questions related to the symptoms. Since when are you experiencing this? Is it only with food, or do...  Read Full »

How to treat digestion problem and stomach fullness?

Query: Hello doctor, Patient is a 53-year-old female. She is finding difficulty in digesting foods. After taking a little food, she feels completely full. Her stomach is tightened after taking the food, and it becomes normal only after some rest. She is currently on Rabeprazole 20 mg two times a day. It...  Read Full »

Dr. Penchilaprasad Kandikattu

Answer: Hello, Welcome to It may be due to acid peptic disease, gastritis, irritable bowel syndrome, fatty liver disease, or infections. Until examination is done, it is difficult to say what it is. Get it done ultrasound abdomen and upper GI (gastrointestinal) endoscopy. Avoid spicy food an...  Read Full »

What could be the reason for recurrent stomach pain in older patients?

Query: Hello doctor, My mom is 60 years old. She is having regular stomach pain. We did an ultrasound and colonoscopy, but nothing found. The stomach pain regularly occurs in every other day. Please advise.  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to It seems that your mother is suffering from an acid peptic disease. I need to know about the pain in more detail. When does it occur, location, any relationship with food, etc.? How is her sleep? Please give me details.  Read Full »

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