Question 1

I've been taking Rablet-D (Rabeprazole and Domperidone) for the past 20 years for severe burning and acidity after meals. However, I still have a bloating issue. Could it be related to a wheat allergy, or is there something else I should consider?

Accepted Answer

You've been taking Rablet-D (Rabeprazole + Domperidone) for 20 years to manage severe burning and acidity after food. Despite this, you still experience bloating, which you suspect might be due to a wheat allergy._Considerations_1. _Wheat allergy or intolerance_: It's possible that you have a wheat allergy or intolerance, which could be contributing to your bloating.2. _Long-term PPI use_: Taking Rabeprazole (a proton pump inhibitor) for an extended period can lead to:- Reduced stomach acid production- Potential impact on nutrient absorption (e.g., vitamin B12, iron)- Increased risk of osteoporosis and fractures3. _Domperidone concerns_: Domperidone, an anti-emetic and prokinetic agent, has been linked to:- Increased risk of cardiac arrhythmias and QT prolongation- Potential interactions with other medications

Question 2

Hi Doctor, can I take 40 mg of Pantoprazole before breakfast for a week to help with bloating? What exactly does this tablet do, and what are the possible side effects I should be aware of?

Accepted Answer

Pantoprazole is a proton pump inhibitor (PPI) that reduces stomach acid production._Purpose_1. _Gastroesophageal reflux disease (GERD)_: Treats symptoms like heartburn, regurgitation, and difficulty swallowing.2. _Peptic ulcer disease_: Heals and prevents ulcers in the stomach and intestines.3. _Zollinger-Ellison syndrome_: Treats excessive stomach acid production._Dosage and Duration_For bloating, your doctor may recommend 40 mg Pantoprazole before breakfast for a short duration, typically 1-2 weeks._Common Side Effects_1. _Headache_2. _Dizziness_3. _Diarrhea_4. _Nausea_5. _Abdominal pain__Less Common but Serious Side Effects_1. _Allergic reactions_2. _Severe diarrhea_3. _Bone fractures_4. _Vitamin B12 deficiency__Precautions_1. _Inform your doctor_ about any medications, allergies, or medical conditions.2. _Monitor magnesium levels_, as long-term use can lead to deficiency.3. _Avoid long-term use_ unless necessary, as it may increase the risk of osteoporosis and fractures.

Question 3

Hi doctor, Ive been having problems with digestion, acidity, gas, and constipation lately. My stools dont clear properly, and Ive noticed they come out in small amounts. What could be causing this, and how can I improve my digestion?

Accepted Answer

Take Gaviscon syrup 7ml twice a day and consume plenty of water and fibre rich food and bland diet wich will help you

Question 4

I recently got my routine check-up done, and my liver function test showed a high A/G ratio of 3.5. My albumin is in the normal range, but globulin is low at 1.7. Direct bilirubin is also slightly high at 0.33, though the rest of the tests are mostly...

Accepted Answer

An elevated Anion Gap (AG) ratio of 3.5, low globulin levels, and slightly high direct bilirubin levels can indicate several possible conditions. Since your albumin levels are normal, let's explore potential causes:Possible Causes1. Malnutrition or Malabsorption: Low globulin levels can be due to inadequate nutrition or malabsorption.2. Liver Disease: Elevated AG ratio and slightly high direct bilirubin levels may indicate liver dysfunction or disease.3. Nephrotic Syndrome: Although albumin levels are normal, low globulin levels can be seen in nephrotic syndrome.4. Chronic Infections or Inflammation: Low globulin levels can be associated with chronic infections or inflammation.Next Steps1. Consult a Hepatologist or Gastroenterologist: Discuss your test results with a specialist to determine the underlying cause.2. Additional Tests: Your doctor may recommend further tests, such as:- Liver ultrasound or imaging studies- Viral hepatitis screening- Autoantibody tests for autoimmune liver diseases- Urine tests to evaluate kidney function3. Dietary Changes: Ensure you're getting adequate nutrition, and consider consulting a dietitian for personalized guidance.Please consult a specialist to determine the underlying cause of your abnormal test results.

Question 5

Yesterday, I had severe acidity, followed by cramps and watery loose motions twice at night. Since this morning, Ive been dealing with loose motions and a constant headache. What could be causing this, and what should I do?

no need to worry follow your doctors advice

Last updated on 18 Dec 2024

Share

Accepted Answer

no need to worry follow your doctors advice

Question 6

I had a lap appendectomy in June 2021, and now I'm experiencing pain on the right side of my abdomen, back, and groin. A CT scan showed non-specific lymphadenopathy. I've attached the reportcan you help me understand what this means and what I should...

Accepted Answer

Post-Lap Appendectomy Pain and Lymphadenopathy_Considerations_1. _Post-surgical complications_: Although rare, post-surgical complications like adhesions or hernias can occur.2. _Lymphadenopathy_: Non-specific lymphadenopathy can be caused by various factors, including infection, inflammation, or malignancy._Recommended Next Steps_1. _Consult your surgeon_: Schedule a follow-up appointment with your surgeon to discuss your symptoms and CT scan results.2. _Infectious disease workup_: Your doctor may recommend tests to rule out underlying infections, such as blood tests or stool exams.3. _Imaging follow-up_: A follow-up CT scan or other imaging studies may be necessary to monitor the lymphadenopathy.4. _Pain management_: Your doctor can help manage your pain with medication or other interventions._Possible Additional Tests_1. _Blood tests_: To check for signs of infection, inflammation, or malignancy.2. _Stool exams_: To rule out gastrointestinal infections.3. _Endoscopy or colonoscopy_: To evaluate the gastrointestinal tract.4. _Biopsy_: To examine the lymph nodes or other tissues.

I've been taking Rablet-D (Rabeprazole and Domperidone) for the past 20 years for severe burning and acidity after meals. However, I still have a bloating issue. Could it be related to a wheat allergy, or is there something else I should consider?

I've been taking Rablet-D (Rabeprazole and Domperidone) for the past 20 years for severe burning and acidity after meals. However, I still have a bloating issue. Could it be related to a wheat allergy, or is there something else I should consider?

Related Questions

Hi Doctor, can I take 40 mg of Pantoprazole before breakfast for a week to help with bloating? What exactly does this tablet do, and what are the possible side effects I should be aware of?

Hi doctor, Ive been having problems with digestion, acidity, gas, and constipation lately. My stools dont clear properly, and Ive noticed they come out in small amounts. What could be causing this, and how can I improve my digestion?

I recently got my routine check-up done, and my liver function test showed a high A/G ratio of 3.5. My albumin is in the normal range, but globulin is low at 1.7. Direct bilirubin is also slightly high at 0.33, though the rest of the tests are mostly...

Yesterday, I had severe acidity, followed by cramps and watery loose motions twice at night. Since this morning, Ive been dealing with loose motions and a constant headache. What could be causing this, and what should I do?

I had a lap appendectomy in June 2021, and now I'm experiencing pain on the right side of my abdomen, back, and groin. A CT scan showed non-specific lymphadenopathy. I've attached the reportcan you help me understand what this means and what I should...

Gastroenterology GI Medicine

Get medicines delivered in 2 hrs