I am 35, male. Why do I have stomach pain and swelling?

Question

Hi doctor,

I am a 35-year-old male with a weight of 198.4 lbs and a height of 5.10 feet. I have had 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 (Esomeprazole).

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

It seems to be due to gastritis. Proton pump inhibitors like Esomeprazole can sometimes cause bacterial overgrowth in the small bowel and gaseous symptoms.

You can try:

Itopride hydrochloride SR 150 mg (gastro prokinetic) half an hour before meals. Also, try to reduce weight.

Additionally, please answer:

How long have you been using Esomeprazole?
Do you have chest burning or acid brash in the mouth?
Have you had this pain before, and if yes, for how long?
Do you feel relief from pain immediately after taking Esomeprazole?

This information will help determine whether it is ulcer disease in the stomach or gastroesophageal reflux disease (GERD). Use the above medication for two weeks and follow up. Weight loss will help in both conditions.

Thank you.