Dr. Hafiz Muhammad Hassan Shoukat
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have had severe chronic gastritis for almost two years. Initially, I was diagnosed with H. pylori and treated with heavy-dose antibiotics triple therapy for 21 days of treatment and eradicated it. Afterward, I was on Eson 40 mg for a few months to stabilize the gut. For the last couple of weeks, I have been having severe upper abdominal burn and pain, and the center of my back is also paining. I was diagnosed with fatty liver and an enlarged pancreas a year before. Kindly let me know what I need to do now and what tests I need to take further to narrow down the issues.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
I would suggest,
1. To repeat H. Pylori antigen in stool to check for a recurrent infection. It is not uncommon to have reinfection with H Pylori. Now quadruple therapy is recommended instead of a triple regimen. We can use that if your test is positive.
2. If the test is negative, you need upper GI (gastrointestinal) endoscopy to look into the stomach, and a biopsy will be taken.
3. Cut down on coffee, tea, alcohol, and smoking.
4. Avoid pepper and oily foods.
Hope I have answered your question.
Let me know if I can assist you further.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
H. pylori test is negative. Already did this last week. What are the possible causes of this gastritis? Does it relate to any cancerous symptoms? Kindly help.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
As I previously stated, cancer is uncommon at your age; other diagnoses for your symptoms, including autoimmune gastritis, include persistent symptoms that do not improve with acid-reducing therapy.
If an H.pylori test is negative, you need upper GI (gastrointestinal) endoscopy and actually see inside the stomach.
In the meantime, you can increase the dose of acid-reducing therapy to Omeprazole 40 mg (proton pump inhibitor) and take one tablet twice daily for 14 days. However, please consult a GI specialist, discuss with them, and start taking the medications with their consent.
I hope this helps.
Thank you and take care.
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Internal Medicine
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