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Experiencing fullness and indigestion
Experiencing fullness indigeation for last 3-4 months. It gets worse with beer. Apettite geta reduced. At times when home cooked meal is eaten no alcholo everythibg seems okay. But resuming beer causes burning, heavinezs, discomfort reduced apettite and alight pain in middle of stomach.
Additionally i have chronic constipation aince years . I take zando nityam d for passing motion.
Also i am BP medicine - Sartel H.
Kindly suggest. Since I have very strong gag reflux i had to abort endoscopsy 2wice.
Answers (11)
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Your story fits gastritis with functional dyspepsia and reflux - alcohol, especially beer, is the single biggest trigger here, and the fact that you are fine on home-cooked food and flare only with beer says it clearly. Stop beer completely for 8 weeks; that alone will change how you feel. Add pantoprazole 40 mg before breakfast with a prokinetic like domperidone or itopride before meals for 4-6 weeks, small frequent meals, no dinner within 3 hours of bed. For the chronic constipation, Zandu Nityam daily long term is not ideal - shift to isabgol or lactulose with 3 litres water and more fibre. Also get H. pylori tested (stool antigen or breath test, both avoid the endoscopy your gag reflex cannot tolerate), plus CBC, LFT, thyroid, and confirm Sartel H is not adding to the acidity.
Next Steps
Cut out beer, start the acid and motility medicines, get H. pylori and basic bloods done, and consult me on Practo or at Synergy Multispeciality Hospital, Miraj with the reports - if there is vomiting blood, black stools or weight loss we will need the endoscopy under sedation.
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First Thing,Try To Stop Alcohol Consumption.Probably You Are Having Gastritis Due To Alcohol Consumption.Alcohol Also Affect Liver Badly.This Could Be The Reason For Your Loss Of Appetite.Eat Light Home Based Meal Frequently.Drink Water And Maintain Adequate Hydration .Don't Avoid Meal As It Could Lead To Nutrients Deficiency Which Could Be Fatal In long Term.
Next Steps
Do A Basic CBC And LFT .CBC Will Inderctly Tell Any Occult Bleeding Happening Or Not.LFT Will Tell Your Liver Status.
Take Pan 40 once daily Before Break fast for at least One Month
Take Syp Duphalac 15 ml at night with A Glass Of Water lf You Have Symptoms Of Constipation.
Health Tips
Everyone Has Gag Reflex.You Should Do Upper GI Endoscopy,It Will Tell Wheather You Have Any Stomach Pathology like Peptic Ucler or Else .
You Can Do That Under Deep Intravenous Sedation To Avoid Gag Reflex But It's Costlier .
Thank You .
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