I have had stomach upset for about one month. What to do?

Hi,

Welcome to icliniq.com.

The most common causes of stomach upset are gastritis, constipation, IBS (irritable bowel syndrome), infection, and accumulation of fluid in the abdominal cavity. Other uncommon causes are tumors of the GI (gastrointestinal) tract.

Out of these, gastritis should improve with PPIs (proton-pump inhibitors); constipation has episodic symptoms, and fluid accumulation (ascites) may have persistent symptoms if not treated.

To delineate the etiology, we should go for the detailed history and investigations. Can you please give me the following details:

1. Do you consume alcohol? Kindly elaborate on the duration, quantity, and type of beverages.
2. Do you smoke? Kindly elaborate.
3. Do you feel pain in the abdomen?
4. Is there any pain while swallowing food or liquids?
5. Any related symptoms to the intake of food?
6. Do you feel regurgitation of the food?
7. Do you have constipation? Also, tell about the stool frequency and consistency.
8. Do you feel episodic abdominal distension?
9. Is there any relieving factor?
10. Do you have any swelling in the feet?
11. Have you had any investigation done for this ailment?

I would suggest the following measures:

• • Ultrasound abdomen.

  • Stool H. Pylori antigen.

  • Blood Investigations:

  1. Complete blood count.

  2. Liver biochemical tests.

  3. Kidney function tests.

  4. Thyroid function tests.

  5. Lipid profile.

  6. Fasting blood glucose.

  7. HbA1c (glycated hemoglobin test).

The following conditions need to be ruled out:

• GERD.
• Gastritis.
• IBS.
• Ascites.

I would suggest the following measures for treatment:

Tablet Dexlansoprazole 60 mg once a day on an empty stomach. Psyllium husk: two scoops in 200 ml of water or milk in the morning. Avoid junk foods. Avoid carbonated drinks, alcohol, or smoking, if any. Drink plenty of water. Regarding follow-up.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Hi,

Welcome back to icliniq.

I understand your concern.

We checked your query and found that investigations are incomplete. We also read your reply regarding various leading questions, and after analysis, I found that there is no reflux disease. However, we need more reports, as advised to you in the last visit, to rule out other disorders. As of now, we are at the same status and unable to comment on your ailment causing these symptoms. Hence, I request you to follow the investigative measures. Kindly do the rest of the investigations and review with reports. Till then, continue the same medicine and follow the advice.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.