I have stomach pain due to acute gastritis. Is there any hidden cause for my issue?

Hi,

Welcome to icliniq.com.

Thanks for the query. I can understand your concern. According to your statement, you have been suffering from stomach pain for the past two months. Your gastroscopy result has shown acute gastritis. Inflammation of the lining of the stomach is known as gastritis. It may be acute or chronic. In the case of acute gastritis, it will take two to ten days. Improper treatment, failure of therapy, or constant triggering factors like alcohol consumption, cigarette smoking, chronic vomiting, stress, presence of helicobacter pylori, certain medications like NSAIDs (a nonsteroidal anti-inflammatory drug), etc., can convert acute gastritis into chronic gastritis. Chronic gastritis needs a few weeks to years for healing.

You can undergo some investigations like fasting serum gastrin level, secretin-stimulated blood test, salivary amylase, salivary lipase, CT (computed tomography) scan or MRI (magnetic resonance imaging) the abdomen, etc. It is used to detect the underlying cause for your present sufferings and then treat them accordingly. In the meantime, you can take Domperidone, syrup Gaviscon, Visceralgine, etc., and Lactulose in case of constipation along with your currently using medication. Your gastroscopy has shown acute gastritis with something I have not understood, which causes me not to know the language of your investigation results. So can you tell me what that is? In case of any other query, ask me.

Hi,

Welcome back to icliniq.com.

Thanks for joining us again. Chronic gastritis may heal within some weeks to some months. If untreated, then it can last for a few years. Your abdominal pain has been persisting for the last one month despite taking proton pump inhibitors; your proton pump inhibitors may cause it are not sufficient alone to neutralize the gastric acids. So some additional medications have to be taken. Again, there may continuously present some triggering factors that can aggravate your gastric acidity and abdominal pain. Other than chronic gastritis, there may be any associated underlying pathology responsible for your sudden weight loss like intestinal tuberculosis, inflammatory bowel disease, gastrinoma, pancreatitis, etc. For those reasons to exclude any other underlying pathology, I have already mentioned undergoing some investigations. Again I have already suggested some medications that may give you relief from abdominal pain. In case of any other query, ask me.

Hi doctor,

Welcome back to icliniq.com.

Yes, I have gone through your investigation reports several times and found nothing significant. So, do not be worried about the blood test results. As you have a diaphragmatic hernia, I think it will be wise to consult with a cardiothoracic surgeon. Sometimes, a diaphragmatic hernia may present with dyspepsia, chest or abdominal pain, breathing difficulties, etc. Patients with a diaphragmatic hernia may not be aware of its presence until it shows some clinical signs and symptoms or accidentally detected during investigations. As it may develop abdominal pain, so you should consult with a cardiothoracic surgeon.

Hi doctor,

Welcome back to icliniq.com.

Thank you for your reply.

Yes, you can. I do not understand the physician who has prescribed you Esomeprazole for your gastritis by watching your investigation reports like gastroscopy, why he has not paid attention to your diaphragmatic hernia. He can at least refer you to a cardiothoracic specialist for seeking his valuable consultation in this regard as you have a diaphragmatic hernia. You can also take the medications that have already been mentioned. Yes, you can continue to run. Avoid some strenuous activities or exercises like heavy weight lifting, pushing, or pulling. Just lead your everyday life and perform your regular activities.

Similarly, continue to take your daily required amount of meals. Just avoid oily and spicy foods that may aggravate your present sufferings. It would help if you took as many meals as you usually take.

Hi,

Welcome back to icliniq.com.

If the stomach does not produce enough gastric acid, then the situation is known as achlorhydria. Achlorhydria can be diagnosed by measuring the serum gastrin level (range: 500 to 1000 pg/mL). High serum gastrin levels usually indicate achlorhydria.