Q. I have GERD. Can you suggest any treament?

Answered by
Dr. Babu Lal Meena
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 17, 2018

Hello Doctor,

  • I have been suffering from stomach ulcer for the past 2 years. Till now the ulcer was not severe, but since few days I have been having stomach pain everytime after having food.
  • Doctor diagnosed that, I have GERD.
  • But even then I faced GERD problems rarely. But for the past 3 weeks it has been very bad for me.
  • I have been facing some symptoms like pain after eating food, sometimes nausea but no vomiting, heartburn, indigestion, fatigue, sleepless nights and rarely breathing difficulty.
  • I am not able to concentrate on regular activities.
  • Doctor also said that I am suffering from post viral infection since I had fever 2 weeks before.
  • I take tablet Pantocid daily night before food.

Recent Blood Test Result:

  • WBC - 5300
  • Lympocytes - 46
  • Eosinophils - 02
  • Monocytes - 01
  • Basophils - 00
  • Haemoglobin - 11.6g/dL
  • Packed Cell Volume - 35.4
  • E.S.R - 22

Urine Test:

  • pH - 6.5
  • Pus cells/hpf - 1-2
  • RBCs/hpf - 2-4

Kindly provide some solution since I am completely depressed.

#

Hi,

Welcome to icliniq.com.

At the age of 24 year it is unlikely that you have ulcer in the stomach. It could be GERD (Gastroesophageal Reflux Disease) that is causing all these symptoms, but after long time it may cause ulcer.

If you are not responding to PPIs (Proton-Pump Inhibitors) then it could be H.Pylori infection that is causing the problem.

The investigations you have mentioned are not having much abnormalities except mild anaemia. The management of GERD symptoms include medicines as well as dietary modifications and exercise with position maneuvers.

Usually we do not do investigations, but if it is not responding to medicines then it is needed.

Advice:

  • Tablet Omeprazole 20mg twice a day half an hour before food intake.
  • Syrup Gelusil 5ml along with food (you can take every time), continue it till you have pain and heartburn.
  • Tablet Amoxicillin 1000mg twice a day for 15 days.
  • Tablet Clarithromycin 500mg twice a day for 15 days.
  • Avoid oily and spicy meal, coffee and tea.
  • Do exercise daily (walking or jogging).
  • Take small and frequent meals.
  • Avoid liqiuds, prefer solid and semisolid food especially before sleep.
  • Sleep in left lateral position with elevation of head end.

You have anaemia, so please take iron and folic acid (100mg iron combination) once daily.

These disorders have great relation to behaviour and mood changes, so please alleviate any tension.

Get Thyroid Function Test (TFT) and fasting glucose level done.

Do not quit your job instead work with more energy and enthusiasm.

I have provided the treatment plan with medicines and other measures for 15 days. Revert back to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


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 feel like something stuck in throat. How to get rid of this?

GERD (gastroesophageal reflux disease) does cause this something stuck in throat feeling, but more importantly you have stress ...   Read full

Taking Pantoprazole for GERD. Is any drug interactions between Pantoprazole and Voltaren?

.. through your query. There are no drug interactions between Pantoprozole and Diclofenac (Voltaren). In fact, anyone who takes painkillers like Diclofenac has to take Pantoprazole to prevent Diclofenac-induced gastritis. So, relax and take the regul...   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


COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  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.