Gastrointestinal Disorders Online Doctors Consultation — page 7

**Patient Name**: Pankaj Kumar **Age**: 22 years **Date**: 12-04-2025 **Presenting Complaints**: Pankaj reports a chronic history (3 years) of gastrointestinal discomfort including **excessive gas**, **frequent burping**, **poor digestion**, **bloating**, **abdominal pain and burning sensation**, **constipation**, and **unintentional weight loss**, which is contributing to **weakness and fatigue**. He has a past history of **gastritis** and was previously diagnosed with **H. pylori infection**. --- **Clinical Impression**: The symptoms suggest chronic **gastritis**, possibly related to **persistent or untreated H. pylori infection**, compounded by functional dyspepsia and **slow gut motility**. Constipation and gas can worsen acid production and bloating, creating a vicious cycle. Weight loss and weakness are concerning signs, often linked to poor nutrient absorption. --- ### **Treatment Plan**: 1. **Medical Treatment** (if H. pylori not treated or partially treated): - **H. pylori eradication therapy (as per current guidelines)** — may include a **triple therapy**: - **Tab. Pantoprazole 40 mg** – twice daily, before meals - **Cap. Amoxicillin 1000 mg** – twice daily, after meals - **Tab. Clarithromycin 500 mg** – twice daily, after meals - *Duration: 14 days (only under doctor supervision)* If already treated, continue with maintenance: - **Tab. Pantoprazole 40 mg once daily** (empty stomach) for 4–6 weeks - **Tab. Digene / Sucralfate syrup** – 2 tsp before meals for gastric protection 2. **Digestive Support**: - **Cap. Unienzyme or Vizylac** – once daily after main meal to improve digestion - **Probiotic** (e.g. Sporlac-DS) – once daily for 2–3 weeks to restore gut flora 3. **Constipation Management**: - **Isabgol (Psyllium husk)** – 1 spoon with warm water at bedtime - Increase **fiber intake** (fruits like papaya, guava, soaked raisins; vegetables like spinach, bottle gourd) - Warm water early in the morning and regular bowel timing to improve clearance 4. **Dietary Modifications**: - Avoid: **Spicy, oily, fried food**, tea/coffee on empty stomach, and carbonated drinks - Eat: Small frequent meals; bland diet with soft cooked vegetables, curd, rice, dal, oats - Include: **Coconut water**, **buttermilk**, **banana**, and **light khichdi** to soothe the stomach - Do not skip breakfast; try to eat at fixed times 5. **Lifestyle Advice**: - Avoid lying down immediately after meals - Elevate head during sleep if there is burning - Brisk walk or light movement after meals to aid digestion - Practice **yoga asanas** like *Pawanmuktasana*, *Vajrasana after meals* --- ### **Follow-Up Plan**: - Reassess after 2–3 weeks for symptom relief - If symptoms persist, further tests like **Urea Breath Test**, **Endoscopy**, **Stool for occult blood**, and **USG abdomen** may be advised - Maintain hydration, nutrition, and regular follow-up **Note**: Weight loss and chronic acidity must be monitored closely. Continue treatment and avoid OTC strong laxatives unless prescribed. Recovery is gradual but possible with consistent care. Advice : Do stool antigen test for H pylori Dr Shayeque Reza MD 9800280276

Hello Kindly take tablet sompraz D in empty stomach during morning time. Syrup Avienzyme 10 ml before bedtime.

ok Don’t worry . I will help you out . Here you can’t share any report. We need to have an interaction.

Hello Mr. Mohan Rao. Your lab parameters indicate that you might be consuming higher than usual amount of alcohol , which could explain all the signs and symptoms of liver dysfunction. Correct me if I am wrong. Alcohol addiction is a real psychiatric disorder and needs proper treatment and management so as to prevent further psychiatric and medical complications. Management includes 1) Using anti-craving agents to help with reducing craving for alcohol 2) Psychotherapy- Motivation enhancement therapy and Relapse prevention therapy 3) Lifestyle modifications and diet modifications to address diabetes Kindly consult the nearest psychiatrist/ endocrinologist for further assessment and management. Regards, Dr. Charan Kumar, MD Psychiatry (NIMHANS).

Hello dear Please be aware See as per chief complaint it seems either some gastric problem or some secondary systemic problems like ulcer Differential diagnosis includes myocardial infarction or gers I suggest you to please get tests done for confirmation Then take medications Right now temporary relief is provided by medications but be est relief is after exact diagnosis Please get git,liver and renal function tests done for the confirmation Regards