HomeAnswersSurgical Gastroenterologyburning sensationI have severe burning in my stomach after eating, and it persists despite taking medications. Please help.

Why is there a persistent stomach burning that persists despite taking medications?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Arvind Guru

Medically reviewed by

iCliniq medical review team

Published At July 26, 2023
Reviewed AtDecember 19, 2023

Patient's Query

Hello doctor,

I have severe burning in my stomach after eating and while changing my position. I used to smoke. It feels like something is flowing through my stomach. I had a problem emptying my stomach, and it was severe in the morning. I took Normaxin, Velgut, and Rabonik Plus for three weeks, as the doctor prescribed. Initially, it was effective, but after completing the course, the problem still persists. Please help.

Answered by Dr. Arvind Guru

Hi,

Welcome to icliniq.com.

I understand your concern.

I would like to know a bit more about your problem. For appropriate advice, please follow up with me with the following information:

1) When did your problem start? How did it progress, increase, or decrease?

2) Do you have any vomiting or nausea?

3) Have you gained weight or lost weight recently?

4) Do you have any other body problems?

5) Describe your difficulty in passing stools. Is it tight? Do you need to strain, or is it painful? Is there any blood or feeling of incomplete evacuation? How frequent are all these in a month or week? When did all this start, from childhood onwards or recently?

6) Do you have any other diseases or allergies? Are you on any medications? Have you had any previous surgery?

7) Is anyone in your family that has some disease, especially diabetes, hypertension, or cancer?

8) Please send a detailed history of your dietary and lifestyle description.

9) What did your old doctor advise you? You mentioned some courses of medications. For how long was the course? What tablets do you take, and how many times a day?

10) Was an endoscopy done? What was the report?

After reviewing the limited information you provided and the file attached (stool test and blood investigations), a few things come to my mind:

  • I think you need to undergo an endoscopy for your burning pain. So consult a local doctor for that if an endoscopy has not been already done. If yes, then upload the report.
  • Continue your tablets Rabonik Plus (Levosulpiride 75 mg and Rabeprazole 40 mg) once per day, on an empty stomach, one hour before breakfast, for another month.
  • Take three to four liters of water, measured by a bottle or measuring cup every day. Have frequent, around six per day, instead of three small meals.
  • Decrease the size of each serving of food. Use smaller plates and bowls to enjoy food.
  • Add more vegetables and salads (without dressing) to each meal. Avoid constipation with a platter of salad, sprouts, or Psyllium husk (Isabgol) one to two teaspoons three times per day.
  • Eat at a slower pace, especially when you have a hunger prang.
  • Avoid sugar in your daily grind of coffee or tea.
  • Do not take liquids immediately with meals. Give a gap of around one hour.
  • Hope you have quit smoking completely.

I hope that helps in addressing your concerns.

Talk to your doctor regarding the above information.

In case you need more information regarding anything, a second opinion after visiting your doctor, or help regarding what to do, kindly answer the above questions and follow up with a query, or consultation or join my hotline.

Regards.

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

Dr. Arvind Guru
Dr. Arvind Guru

General Surgery

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