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Can soreness in stomach cause gastritis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been having a soreness in my stomach like I have been punched when I wake up in the morning. I do not feel it when I touch, but I do feel it when I breathe in. When I get up and start walking around, it goes away fairly quickly. I was diagnosed with gastritis a year ago and have since gotten rid of my nausea and tenderness in my abdomen. All that I am experiencing now is the morning pain.

Answered by Dr. Ashaq Hussain Parrey

Hello,

Welcome to icliniq.com.

I went through your post.

  • You seem to have features of gastritis and you have not mentioned whether you were tested in the past for H.pylori infection which may cause recurrent gastritis.
  • I would suggest you start PPI (Pantoprazole) before breakfast and preferably endoscopy and H.pylori testing. 

Regards.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

Patient's Query

Thank you doctor,

I have been tested twice for H.pylori and tested negative. I had the endoscopy last year. This seems to be the last symptom of this gastritis possibly. I am on Protonix and was told to stop Prilosec, etc. Any other inkling?

Answered by Dr. Ashaq Hussain Parrey

Hello,

Welcome back to icliniq.com.

  • Now you mentioned you are negative for H.pylori and you are on Pantoprazole, but you are persisting with a few symptoms.
  • I think in addition to Protonix, you will have to add a prokinetic, preferably in the evening time, because the symptoms are noticed either at night or early in the morning. I suggest you take Levosulpride 25 mg at bedtime. That should help.
  • You will also need to get tested for vitamin-D deficiency because the muscles of the abdominal wall can also cause such symptoms which improve with activity. The most common cause of myalgias is vitamin-D deficiency and hypothyroidism. 

Regards.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

Patient's Query

Thank you doctor,

Do I need a prescription for Levosulpride? I have never heard of it.

Answered by Dr. Ashaq Hussain Parrey

Hello,

Welcome back to icliniq.com.

  • Levosulpiride is a prokinetic and should not need a prescription. It is an over the counter medicine in most countries.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

Answered byDr. Ashaq Hussain Parrey

Medically reviewed byiCliniq medical review team

Published At November 20, 2017
Reviewed AtJuly 19, 2024

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

Dr. Ashaq Hussain Parrey
Dr. Ashaq Hussain Parrey

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