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Search found 34 matches

by NoxArcana
Mon Jan 06, 2020 7:01 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Question about pain and gastritis
Replies: 19
Views: 2514

Re: Question about pain and gastritis

you can probably try Mosapride or Domperidone to improve motility problem. Domperidone didnt help, my doctor told me to stop because of the side effects, i dont know if there is Mosapride here, i'll ask my doctor about it. Last time he tried to increase the PPI dose, and if the symptoms persist he ...
by NoxArcana
Fri Jan 03, 2020 8:13 pm
Forum: Diseases and Symptoms 疾病与症状
Topic: Question about pain and gastritis
Replies: 19
Views: 2514

Re: Question about pain and gastritis

Hi after a normal work up the main strategy for this kind of symptom is to exclude anything serious or easily treatable and then expect symptoms to gradually improve, especially in a young person. I don’t encourage the diagnosis of stress as a cause of organic disease because it is pretty much a “d...
by NoxArcana
Mon Dec 16, 2019 10:03 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Best treatment after failures
Replies: 33
Views: 11016

Re: Best treatment after failures

at least you are free of HP now. any other abnormality reported in the histology? as for the symptoms, usually the pain comes from acid burning the stomach skin. Usually PPI can reduce the acid. Perhaps you can try some Sucralfate to form a layer a protection on the stomach skin surface. Agree, the...
by NoxArcana
Sun Dec 15, 2019 11:07 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Best treatment after failures
Replies: 33
Views: 11016

Re: Best treatment after failures

Also, i already tried to stop PPI, when i am on PPI i feel more reflux than epigastric pain, when i am off PPI i feel more epigastric pain and less reflux, does this make any sense?
by NoxArcana
Sun Dec 15, 2019 11:00 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Best treatment after failures
Replies: 33
Views: 11016

Re: Best treatment after failures

Majority of patients are actually mild to asymptomatic only about 10% develop peptic ulcer disease. I think most dyspepsia patients do return to normal. unfortunately you are one of those "rare" cases where symptoms persist. Other than esomeprazole, you can also try other PPI, eg. rabeprazole. Some...
by NoxArcana
Sun Dec 15, 2019 8:52 pm
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Best treatment after failures
Replies: 33
Views: 11016

Re: Best treatment after failures

Well, two more months has passed and no improvements yet, at the last appointment he told me to take 40mg esomeprazole twice a day and gaviscon before i go to bed and that this should resolve my symptoms, however, there were no improvements again. I want to ask you, Helico, if you have experience wi...
by NoxArcana
Wed Dec 04, 2019 7:11 pm
Forum: Diseases and Symptoms 疾病与症状
Topic: Question about pain and gastritis
Replies: 19
Views: 2514

Re: Question about pain and gastritis

are you taking omeprazole? have you tried other brand? eg. rabeprazole or pantoprazole or esomeprazole. some people are more sensitive to PPI choice that others. Perhaps you should give each of them a trial. 27 yo is still very young. so exactly what is the symptoms other than just pain? or can you...
by NoxArcana
Wed Dec 04, 2019 12:17 am
Forum: Diseases and Symptoms 疾病与症状
Topic: Question about pain and gastritis
Replies: 19
Views: 2514

Re: Question about pain and gastritis

it's limited to what endoscopy can see. And it's impossible to get histology of every part of your stomach. As long as the visual examination from endoscopy shows no abnormality, no H. pylori, histology is good, then the risk of cancer is low and that's what most of us care most. The persistent sym...
by NoxArcana
Tue Nov 26, 2019 3:49 am
Forum: Diagnosis and Testing 检测与实验
Topic: Upcoming H.Pylori treatment #7 - question on serum ferritin and sensitivity testing
Replies: 39
Views: 6465

Re: Upcoming H.Pylori treatment #7 - question on serum ferritin and sensitivity testing

For past year over 4 separate blood tests, my ferritin has gone down and is now low at 10. My iron saturation is borderline low at 15. Strangely enough, my serum iron level is within normal range. I am constantly fatigued and things hurt all over my body. My hemoglobin, hematrocrit, MCH levels have...
by NoxArcana
Mon Nov 11, 2019 8:55 am
Forum: Hot Topics and Common forum Issues 热门话题和常见问题
Topic: Questions about the treatment
Replies: 33
Views: 5741

Re: Questions about the treatment

Hi people, I just wanted to give hope to those of you that are fighting this horrible bug, first, let me be brief , I got H pylori about 4 years ago, got the intense nausea, stomach pain, intense heartburn, intense acid reflux, all of them... I did go to the doc right away and go tested for the bug...

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