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Nausea with bloating.
From last 1 week I have a feeling of nausea more during the food time,after eating or drinking water there is sudden increase in my abdominal fat.
There is no vomiting only feeling of vomiting is there.
Have taken Bandy Plus 12 tablet,Ranidom tablet plus unienzyme for 3 days.
Due to this there is sudden decrease in my food intake.
Also have performed blood test for LFT -SGPT =30 SGOT= 24
Thanks
Answers (15)
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Your description â one week of nausea worse during and just after meals, a sudden feeling of the abdomen becoming full/distended after eating or even after drinking water, no actual vomiting, and reduced food intake â fits best with functional dyspepsia with delayed gastric emptying, often triggered by acid reflux/gastritis, an H. pylori infection, or a recent viral gastroenteritis. Your LFT with SGPT 38 and SGOT 34 is essentially normal, so a liver cause is unlikely, and that is reassuring. I would also keep gallbladder disease in mind since fatty meals typically trigger exactly this pattern. Do note that ranitidine has been withdrawn in India and most countries because of an impurity concern â please switch that to a modern PPI. Bandy Plus (albendazole + ivermectin) is not a treatment for this and there is no need to repeat it.
Next Steps
1) Stop ranitidine. A doctor will usually start a PPI such as pantoprazole 40 mg once daily 30 minutes before breakfast for 2-4 weeks, and may add a prokinetic (domperidone/levosulpiride) before meals for the bloating and nausea. 2) Get an H. pylori stool antigen or urea breath test â in a 28-year-old with 1 week of meal-related nausea and fullness this is the single most useful test, and it must be done before starting the PPI or after stopping it for 2 weeks. 3) Get an ultrasound of the abdomen (gallstones, fatty liver), CBC, serum amylase/lipase, thyroid profile and a fasting blood sugar. 4) Diet: small frequent meals, avoid fried/oily food, carbonated drinks, excess tea/coffee, alcohol and smoking; do not lie down for 2-3 hours after eating; raise the head end of the bed. As an IT professional, sitting for long hours right after lunch makes this worse â take a 10-minute walk after meals. 5) If symptoms persist beyond 4 weeks of proper treatment, an upper GI endoscopy is the next step. 6) You can consult me on Practo and share your reports for a detailed review and a proper prescription plan, or if you are near Miraj/Sangli, visit me at Synergy Multispeciality Hospital, Miraj, for an examination with ultrasound the same visit.
Health Tips
Word of caution: seek urgent care if you develop persistent vomiting with inability to keep fluids down, vomit that looks like coffee grounds or has blood, black tarry stools, severe or constant upper abdominal pain, fever with jaundice (yellow eyes/urine), unintentional weight loss or difficulty swallowing. Please avoid painkillers like ibuprofen/diclofenac and alcohol until this settles, and do not continue medicines like ranitidine bought over the counter.
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+182
BANDY PLUS 12 TAB .??????
OH MY MY
WHO ADVISE???
ONLY ONE TAB ADVISABLE
EMSET4 MD TO PUT UNDER TOUNG IT DISSOLVE WITH SALIVA SLOWLY ONCE FOR NAUSEA.
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Looks like delayed gastric emptying is happening.
Because of which u find ur stomach big after food eating.
Due to excessive acid secretion and GERD u are facing nausea .
Next Steps
feel free to consult me on practo for further evaluation and management
Health Tips
eat small quantities of food frequently rather than large meals
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Kindly do connect and consult
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Contact me through Practo for treatment and guidance.
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Multivitamin required
Kindly consult for further advice
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Continue
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.