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I have a burning sensation in the epigastric region. Is it Zollinger disease?

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Patient's Query

Hello doctor,

I am suffering from a burning sensation in the epigastric region since two months. It is gradually increasing. I took a PPI for 10 days. Then four days after stopping PPI, I tested for serum gastrin level and it was 110. Do I have Zollinger disease?
Answered by Dr. Noushif. M

Education:

MBBS

Professional Bio:

Dr. Noushif M. is a skilled General Surgeon specializing in surgical and medical Gastroenterology. He has expertise in managing gastrointestinal disorders, performing advanced laparoscopic surgeries, and treating conditions such as hernias, gallstones, and digestive tract diseases. With a focus on minimally invasive techniques and evidence-based care, Dr. Noushif is committed to delivering precise, patient-centered treatment for optimal recovery and long-term digestive health.

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Hello,

Welcome to icliniq.com.

  • Serum gastrin level should be checked and interpreted with caution as it needs overnight fasting, early morning testing and abstinence from acid-suppression medications, etc. It can go as high as up to 300 or 400 pg/mL with normal being up to 100 pg/mL in people who had a PPI (proton pump inhibitor) recently.
  • In Zollinger syndrome, it will be usually more than 1000 pg/mL. From the limited clinical information you have provided, it is clear that you do not have Zollinger syndrome.
  • Hence, do not get worried. I hope your symptoms are better with a PPI. You can modify your diet and use a PPI as and when needed like for three to five days, if you have more symptoms. I hope your query has been cleared.

For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist

Answered by Dr. Noushif. M
Medically reviewed by iCliniq medical review team
Published At October 23, 2017
Reviewed At December 7, 2023

Education:

MBBS

Professional Bio:

Dr. Noushif M. is a skilled General Surgeon specializing in surgical and medical Gastroenterology. He has expertise in managing gastrointestinal disorders, performing advanced laparoscopic surgeries, and treating conditions such as hernias, gallstones, and digestive tract diseases. With a focus on minimally invasive techniques and evidence-based care, Dr. Noushif is committed to delivering precise, patient-centered treatment for optimal recovery and long-term digestive health.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Noushif. M
Dr. Noushif. M

Surgical Gastroenterology

Education:

MBBS

Professional Bio:

Dr. Noushif M. is a skilled General Surgeon specializing in surgical and medical Gastroenterology. He has expertise in managing gastrointestinal disorders, performing advanced laparoscopic surgeries, and treating conditions such as hernias, gallstones, and digestive tract diseases. With a focus on minimally invasive techniques and evidence-based care, Dr. Noushif is committed to delivering precise, patient-centered treatment for optimal recovery and long-term digestive health.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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