What could be the cause of growling sounds in stomach?

Hello,

Welcome to icliniq.com.

I understand your concern.

Firstly I would suggest you switch over to Nexium (Esomeprazole). Initially take it 40mg twice daily, However, if not relieved, doses can be increased to 80mg twice a day. Though Esomeprazole is of the same class as Pantoprazole trials show it is superior to other PPIs (proton-pump inhibitors) in treating reflux disorder and severe acute dyspepsia. Protonix (Pantoprazole) one tablet per day is a bit low dose as per the intensity of your symptoms. I suggest you visit a doctor and on the day of the appointment ask your gastroenterologist to add prokinetic drugs like-

1. Levosulpiride- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI has an excellent effect on patients suffering from acid reflux.

2. Domperidone- Very effective in treating reflux not controlled by PPI especially when combined with Rabeprazole.

3. Acotiamide- Trials showed that 30mg doses taken thrice daily were highly effective in the treatment of dyspepsia. The positive effect of Acotiamide on both gastric emptying and gastric accommodation, Gastric accommodation, and gastric emptying in the Acotiamide group was significantly enhanced in people taking it.

Just taking natural supplements will not do as you are having severe dyspepsia due to long-term antibiotic therapy. These medications suggested above should be discussed with your gastroenterologist. Ask the doctor to increase the doses from minimal to optimal. Mucous is because of severe irritation of the gastric and esophageal lining by acid reflux. It is a natural protective phenomenon. To prevent mucosa from damaging body secretes large amounts of mucous to trap irritants and prevent their direct contact with the mucosa. As reflux will settle down, mucous production will automatically stop. Strict adherence to the diet suggested below is required along with medications-

1. Take a low fat easily digestible food.
2. Eat a lot of raw salads, especially vegetables.
3. No alcohol or smoking.
4. No aerated beverages or soda.
5. Avoid meat or processed food.
6. Avoid cheese, dairy, or milk products.
7. Take a lot of yogurt in food.
8. Avoid spicy or fast food.
9. If possible try a vegan diet for dinner and a normal diet for lunch.
10. Drink at least eight cups of water every day.
11. Avoid all citrus fruits or juices like orange or pineapple.
12. Eat one fruit like a banana daily.

You can go for an endoscopy if not relieved by the above-suggested treatments. I hope this will help you.

Thank you.