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Q. My stomach is swollen, and it pains when I stand and sit. What is the cause?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Sep 30, 2020 and last reviewed on: Oct 06, 2020

Hi doctor,

I am a 35-year-old male with a weight of 90 kg and a height of 5.10 feet. I have an issue with swelling in the stomach for the past two days and have pain on the sides. I am not able to breathe smoothly. I also get pain while pressing it so that I cannot stand and sit properly. I currently take Nexpro Fast 40.

#

Hello,

Welcome to icliniq.com.

Well, it seems to be due to gastritis. Given your weight and use of Nexpro (Esomeprazole), a proton pump inhibitor tends to cause bacterial overgrowth in the small bowel and gaseous symptoms.

You can try,

Tablet Itopride SR 150 mg half an hour before meals. And try to reduce weight.

Secondarily,

  • How long have you been using this Nexpro?
  • Do you have chest burning or acid brash in the mouth?
  • Do you have this pain before as well? And if yes, for how long?
  • Do you feel relieved in this pain immediately after Nexpro?

This above information would help me establish whether it is ulcer disease in the stomach or gastroesophageal reflux disease GERD. And use the above medication for two weeks and follow-up. If you have any concerns now, you can ask me.

The management is a bit different between both. However, weight loss would help you in both these conditions.

Best regards.

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