Question 1

Im 23 and was diagnosed with GERD about 7 months ago. Ive been on esomeprazole, levosulpiride, and acotiamide, and my symptoms have gotten better. However, in the last month, Ive been having amenorrhea or oligomenorrhea and feeling a bit drowsy. Could this be because of the levosulpiride? Should I continue my treatment or stop it?

Accepted Answer

Levosulpiride can indeed cause hormonal imbalances leading to menstrual irregularities like amenorrhea or oligomenorrhea in some cases. Since you have developed these symptoms after starting Levosulpiride, it is possible that it could be the cause. I recommend discussing this with your doctor to explore alternative medications for your GERD that do not have this side effect.

Question 2

I was advised to take Cyclopam tablets for my stomach pain. Im 26 years old and have severe stomach ache. How many times a day can I take this tablet, and should it be taken before food, after food, or on an empty stomach?

take cyclopam twice daily after food

Last updated on 18 Dec 2024

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Accepted Answer

take cyclopam twice daily after food

Question 3

I've been having continuous stomach pain and even after taking CYCLOPAM, Im not getting any relief. I'm 68 years old, male, and I'm really concerned. What should I do right now?

Accepted Answer

I understand your concern. Persistent stomach pain despite taking Cyclopam could indicate a more serious underlying issue such as gastritis, ulcer, or other gastrointestinal problems. It's important to seek medical attention immediately, preferably with a visit to your healthcare provider or an emergency department, to properly diagnose and treat the cause of your discomfort.

Question 4

Ive been having constant diarrhea for the last two days. Im taking loperamide and ORS, but it still hasnt stopped. What should I do next?

Accepted Answer

Persistent diarrhea despite taking loperamide and ORS warrants further attention; consider consulting a gastroenterologist or a primary care physician to rule out underlying causes like bacterial or viral infections, food poisoning, or inflammatory bowel disease; they may prescribe additional medications, such as antibiotics or anti-inflammatory agents, and recommend stool tests, blood work, or other diagnostic procedures to determine the underlying cause and develop an effective treatment plan.

Question 5

Hi doctor, Ive had mild splenomegaly for the past 4 years and also suffer from IBS. Could my enlarged spleen be causing all these digestive issues? What should I do about it?

Accepted Answer

Mild splenomegaly (enlarged spleen) and IBS (Irritable Bowel Syndrome) can coexist, but it's unclear if the enlarged spleen is directly causing your digestive issues._Possible connections:_1. Splenic flexure syndrome: An enlarged spleen can put pressure on the splenic flexure (a part of the colon), leading to digestive issues like bloating, abdominal pain, and changes in bowel movements.2. Immune system imbalance: The spleen plays a role in immune function. An enlarged spleen might contribute to immune system imbalances, which could exacerbate IBS symptoms.3. Inflammation: Splenomegaly can be associated with chronic inflammation, which might worsen IBS symptoms._However, it's essential to note:_1. IBS is a complex condition: IBS has multiple factors contributing to its development, including gut motility, hypersensitivity, and psychological factors.2. Mild splenomegaly might not be the primary cause: Your IBS symptoms might be unrelated to the enlarged spleen, or the spleen might be only one of several contributing factors.

Question 6

My 2-year-old son had surgery on his head recently, and the doctor prescribed Advent 5ml twice a day, in the morning and at night. It's been about three weeks since his surgery, but today he's having severe diarrhea and headaches. I gave him oranges ...

Stop advent, diarrhoea is its side effect.