Q. Persistent problems related to GERD and gastritis with sleep disturbances. Please help.

Answered by
Dr. Anshul Varshney
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 02, 2020 and last reviewed on: Sep 07, 2020

Symptoms:

THE FOLLOWING ARE OBSERVED SINCE LAST 4-5 months Age:54 years,Weight:62.3 Kg,Height:158 CM

1. Anorexia- loss of appetite 2. Dyspepsia-difficulty in swelling during taking food/water 3. Eruptation at any time mainly after taking food. 4. Acid Burn-Presence of Mucin outcome 5. Presence of GERD 6. Sleep Disturbance-in a interval around 2-3 hours after sleeping without any reasionable significance. 7. Weight Loose from 72 Kg to 62.3 Kg within 3-4 Months 8. Helicobacter pylori infection positive. 9.U.G.I Endoscopy Pan Gastritis

HISTORY

1.She has past history of piles (Bowel: Constipation). 2.She has past history of feeling of Lump in throat occasionally during taking food. 3.She had suffered a head injury in the last month and she is now complaining of weakness & dizziness.

Current Treatment Current Medication:(Please refer to the attached files for details) 1. Aristozyne (Digestive Enzyme)-for 60 days-3 times daily 2.WelLiv Syrup(Liver)-for 30 days-2 times 3.Acid El Dervit -ZC(Folic )-for 30 days-1 tab per day

Above: Above are already taken for 15 Days

1.Vegazod for 60 days- 1 tab daily 2.HAPPI TM-IT(Rabeprazole-20mg & Itopride-150 mg capsul)-for 60 days-1 tab daily Above are already taken for 30 days

#

I have studied all the reports you have sent to me.

Important things are :

1. Pangastritis 2. Solitary Rectal Ulcer. 3. Anemia.

Since she has persistent problems related to the GERD and Gastritis , this can aonly be resolved with drugs she is taking like pantoprazole. I recommend a combinatipn of Pantoprazole with Domperidom which will help in GERD. At this age , she has significant weight loss , that can not be neglected. I would like to know that she has anorexia , or she has fear of eating due to gastritis symptoms post meal?

You have not mentioned about her Blood Pressure , ECG , Chest Xray.

My most of the concern is about her weight loss , as at this age at could be malignancy.

Please do tell me her menstrual history , i also advice you for her breast examination (self or by a gynecologist/surgeon) to see for any lump. I also advice you to discuss add to her a drug called as Escitalopram (SSRI). Please review with the above. Thanks

OUR REPLY:

1. A combination of anti gastric (Omido) and antiemetic drug was taken for a month but no significance relief observed.
2. B.P-130/83, Pulse: 74
3. I would like to know that she has anorexia, or she has fear of eating due to gastritis symptoms post meal: Only due to anorexia. No fear observed.
4. ECG-Not Done
5. Chest Xray: Refer to the attached report (AP & LAT view).Rest sides are not taken.
6. Malignancy: There is no any breast lump. Please advice for necessary test for weight loss.
7. BIOPSY Report attached.
8. Menstrual History: Her menopause has been started before ten years.
9. Please tell the necessity of SSRI. We don’t observe any dispersion on her.

Current Observation:

1. Mucin out coming through nose is increasing (Mainly During taking food),
2. Eruptation: Increasing day by day mainly after taking food but it comes at any time.
3. Mucin out coming through mouth: Decreasing after medication and GERD also decreasing
4. Sleep Disturbance Continue.
Kindly suggest the other requisite department to consult if required.
#

Everything seems to be realted to "Acid peptic disease"

Solitary Rectal Ulcer has to be kept into consideration , at present , the report doesn't suggest any sign of malignant ulcer , but we should mark it , and follow it up after 6 months.

I don't find any reason to get her into more investigations , and consulting another specialist for this problem , since she has already been evaluated by specialists.

You should know that sleep disturbances and stress , increases acid peptic diseases and GERD.

So, i want her to sleep peacefully , i don't mind adding a drug to her for her sleep problems. If she takes good sleep , you will notice a lot of improvement in her symptoms.

Now your other question about SSRI. SSRI are used for treatment of depression , but they have other roles in other diseases too. i find SSRI or drugs like amitryptilline very effective in Acid peptic diseases. Infact i have seen , in one of your prescriptions , that she was prescribed Tab Tryptomer 10 mg , i don't know , she took it or not , or she got some benefit or not.

So, consider giving her SSRI , and some people get a good sleep with SSRI , so if she gets , it's a good thing , if she doesn't i suggest an addition of drug like etizolam.

I hope i am able to solve your query , still if you have any query , please ask me. Wish her a healthy life. Dr Anshul Varshney


Was this answer helpful?

 | 


Related Questions:
I have chest congestion, nose block and cough after a recent weather change. Please help.

.. the following medications: Alex cough syrup (a combination of Dextromethorphan, Guaifenesin, and Chlorpheniramine) 10 ml, after food, morning and night till the cough subside and your chest congestion is relieved. Tablet Levocetirizine for cold,...   Read full

I have GERD and feel a lump under Adam's apple. Is it serious?

.. feeling is most probably due to reflux laryngitis. It is a manifestation of GERD (gastro-esophageal reflux disease) higher up near the larynx (Adam's apple and voice box). Smoking aggravates the same or can be a trigger for it. The reflux symptoms...   Read full

Can GERD cause rumbling stomach and feeling of something stuck in throat?

.. sure whether the diagnosis of GERD (gastric esophageal reflux disease) is made by you or your physician. By looking at the symptoms it looks like there is increased gastric acid secretion which is giving you the sensation of bloating. Diagnosis of...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


What Is Epilepsy Or Seizure Disorder?
We all are familiar with the term epilepsy, and always associate it with fits or seizures. But, there is more to it. So,...  Read more»
Can viral fever lead to Parkinson's disease?
Hello doctor,I had a viral fever six years back. I had a very high temperature of 105, bad cough, also hallucinations. I...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.