Hello doctor,
I am a 48 year old male, who is in good health. I have a long history of indigestion, mostly experienced as a pressure in the throat. About ten years ago, I had a clear endoscopy, and I took Nexium for six months and cut way back on alcohol drinking, which seemed to do the trick. I had occasional relapses over the recent years, but only after consuming four or more alcoholic drinks at night, which happens once a year. It always clears up a couple of days later. Currently, I consume one to two drinks at a time, twice a month, which causes no problems. About two months ago, I had three drinks a night for three nights in one week, and then I had a few more the following weekend. This caused daily indigestion, which stuck around for more than a week. I self-prescribed a course of Omeprazole and probiotics, but I had to stop around day 10 due to stomach upset. I had gas, bloating, cramps, and gurgling sounds. Things have gotten better over the last 14 days, but sporadic stomach upset persists, mostly after a bowel movement. I do not have gas and bloating anymore, but I have mild cramping. My stool has also firmed up much more than normal in the last week or so, but I am not exactly constipated. I also feel something in the anus, which I assume is hemorrhoid. I do not have pain or itching, but it did bleed once, after a hard bowel movement, several weeks ago. It did not recur even after more than six weeks. Since things were getting better, I planned to ignore it until I had a bowel movement today and noticed what looked like a worm. I have attached a picture of the stool, sorry for the graphic nature. Please suggest treatment for indigestion and worm infestation.
Hello,
Welcome to icliniq.com.
I have seen the attached photo (attachment removed to protect patient identity). For dyspepsia and gastritis, I would suggest you take Nexium (Esomeprazole). Initially, take it 40 mg twice daily, however, if it is not relieved, doses can be increased to 80 mg twice a day. Ask your gastroenterologist to add a prokinetic drug like Levosulpiride, it is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent studies have shown that combining it with Rabeprazole has a good effect in patients suffering from GERD (gastroesophageal reflux disease). Domperidone is very effective in treating GERD when combined with Rabeprazole. Trials have shown that Acotiamide 30 mg, taken for three months, thrice daily, were highly effective in the treatment of functional dyspepsia. Baclofen is normally used for cerebral palsy patients and patients with other neuromuscular diseases. It has been successfully used in patients with reflux. It may decrease the frequency of relaxations of the lower esophageal sphincter and therefore decrease gastroesophageal reflux. Please discuss all these options with your gastroenterologist. I suggest you get the following tests done: Endoscopy to examine the inner part of the esophagus. Ambulatory acid test for monitoring the amount of acid within the esophagus. Apart from that, drastic lifestyle modification and dietary changes are required as follows:
For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
Thank you doctor,
Does the white object in the picture look like a worm? If no, then what is it?
Hello,
Welcome back to icliniq.com.
For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
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