Rabeprazole did not work for my antral gastritis. Please tell me some other treatment.

Question

Hello doctor,

In my endoscopy, I have antral gastritis for four months (severe indigestion, constipation, loss of appetite). I take 20 mg Rabeprazole daily but symptoms do not go away. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Now, let us move to your treatment.

See as the name suggests, acid reflux should be treated in two phases. Control production of acid for which you are on Delixant and Ranitidine. To prevent the acid formed inside the stomach to reflux back into the esophagus. This part of treatment is not covered by your doctor. I would suggest you add Levosulpiride. It is a prokinetic drug and is very effective in controlling reflux of acid back into the esophagus. A better way is to take it with Rabeprazole. Trials have shown that it is very effective when combined with Rabeprazole. So, you can switch over to Rabeprazole from Delixant.

Sucralfate is used to treat and prevent ulcers. Sucralfate works by forming a coating over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach one hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers. General precautions are to follow a bland diet (low acid levels, low in fat, not spicy). Eat frequent, small meals, lose weight. Avoid the use of alcohol, tobacco, and caffeine. Do not eat food less than two hours before bedtime. Raise the head of the bed before sleeping. Avoid clearing of the throat.