I am suffering from gastric problems. How to manage?

Question

Hello doctor,

Recently, I visited an urgent care clinic due to symptoms that seem to be getting worse, and I’m not fully confident the doctor is on the right track. I’m currently dealing with several concerning issues, including a sensation of liquid moving up my throat, painful gas and bloating under the ribs and in the stomach, and occasional mucus-like tissue in my bowel movements; today’s episode involved a long piece. I’ve also noticed unintended weight loss, and it feels like my body isn’t absorbing nutrients properly.

My blood pressure and glucose levels are normal, but I’ve had a high resting heart rate, which has been irregular for some time. The doctor mentioned a few possibilities, such as Cytomegalovirus, gallstones, liver problems, and bacterial infections, and also recommended a breath test. In the meantime, I’ve been prescribed Nexium (Esomeprazole), but it’s slow to relieve symptoms. I’m looking for additional guidance or suggestions while I wait for test results. Any insights would be greatly appreciated.

Thank you.

Answer 1

Hello,

Welcome back to icliniq.com.

I read your query and understand your concern.

Most likely, your symptoms are because of gastroesophageal reflux disorder (acid reflux) overlapping dyspepsia. These problems can cause burning in your chest, bloating, and discomfort. You are doing the right thing by asking for help. Please talk to your doctor before starting any new medicine. But here are some options you can ask about:

One helpful medicine is Nexium (Esomeprazole). It lowers the amount of acid in your stomach. The usual starting dose is 40 mg two times a day. If that does not help, the doctor may increase it to 80 mg two times a day. You can also ask about Levosulpiride (Dislep). It helps move food through your stomach more quickly. It works well when taken with Nexium.

In addition to medicine, changing your diet can help:

Eat soft, low-fat foods.
Add fresh vegetables and salads.
Avoid spicy or fried food.
Do not drink soda or alcohol.
Stop smoking.
Avoid milk, cheese, and processed foods.
Eat plain yogurt often.
Try a vegan dinner and a normal lunch.
Drink eight glasses of water daily.
Stay away from citrus fruits and juices.
Eat a banana every day.

If things do not get better in 5 days, ask your doctor about an upper GI endoscopy to check your stomach.

You are already taking good steps. Keep going, and ask for help when you need it.

I hope I have answered your question. Let me know if I can assist you further.

Regards.