I wake up with a soreness in my stomach like I have been punched. Is it gastritis?

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

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

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