Less body weight for lax les erosive pan

Question

Asked for Male, 63 Years

30/03/ 2025 lax les erosive pangastritis detected after upper GI endoscopy done then my bodyweight was 44kgs decreased from 53kgs and afterwards due to inability of eating food for acid reflux problem my body weight decreased to 34 kgs and after consultation with a renowned gastroenterologist all kinds of tests done and at present my body weight is fluctuating within 43.6- 44.5 and sometimes chest tightness and uneasiness over the both side ribcages feel after eating , previously i took ganaton50mg twice daily and nexpro 40 twice daily but now taking ganaton50 twice daily and nexpro20 once in the morning and cremafin cyrup once in fifteen days for sos and gavison syrup for sos and thyronom 50 so please advise me how to cure my symptoms with proper treatment

Answers (1)

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Ms. Promila Goyal Gastroenterologist 12 yrs exp Bathinda · Accepted Answer

Ms. Promila Goyal

Gastroenterologist 12 yrs exp Bathinda

*Since you have already undergone a detailed gastroenterology evaluation and your weight has improved from 34 kg to around 44 kg, it is reassuring. However, persistent chest tightness after meals and previous significant weight loss warrant further review.

Next Steps

Continue your prescribed medications (Ganaton, Nexpro, Thyronorm) exactly as advised by your treating gastroenterologist. * Follow up with your gastroenterologist to assess whether your current PPI dose is adequate and whether additional evaluation (e.g., repeat endoscopy if indicated, H. pylori status, or esophageal motility/pH study) is required. * Because chest tightness can have causes other than gastritis, consult a cardiologist for an ECG and 2D Echocardiography, especially if symptoms occur with exertion or are worsening.

Health Tips

* Eat 5–6 small, frequent meals instead of large meals. * Include high-protein, high-calorie foods (milk if tolerated, curd, eggs, paneer, dal, nut butter, protein supplements if advised). * Avoid spicy, oily, acidic foods, tea/coffee, alcohol, smoking, and late-night meals. * Do not lie down for 2–3 hours after eating; elevate the head end of your bed. * Stay well hydrated and monitor your weight weekly.

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