Medical Questions? Ask a Doctor Online!
welcome to the chat
1. Yes, you do NOT need the antibiotics as your H.pylori is negative. The clarithromycin and the zinc can cause abdominal pain
2. You should be taking prilosec or omeprazole or pantprazole
3. Other medication like carafate can coat the stomach better
so i should stop taking rabeprazole?
4. BLAND DIET. Rice, no spicy food, no tomatoes, caffeine, peppermint, alcohol, citric food
No, you can take the rabeprazole- that is like prilosec
But stop the antibiotics
i c , can that be causing pancretitis problem?
rabeprazole i meant
No, the rabeprazole actually helps with the esophagitis
ok thanks , how abut Moza 5?
In general mild to moderate pancreatitis is treated with pain medication and hydration
That is mosapride, correct?
so i should drink plenty of water?
Well, it was removed from the US pharmaceutical list years ago
Because of cardiac arrhythmias- it is black box medication
oh , i am at Myanmar (South east asia)
i c , scary.
So, I cannot really recommend it for you. (yes, I know you are in Myanmar)
I would stick with the rabeprazole
drink plenty of fluids.
ok , can i drink electrolyte ?
cause i can't eat well
hydration is key
let me find you a pancreatitis diet list. Hold on
I become very weak after medication (3rd intake)
If you stick with these foods, it will be best:
Can you see the pdf?
currently i am only eating Rice soup.
also when i woke up , i have smell of blood in my mouth
you need more nutrition than that or you will not heal well
can you see the recommended food
yes i see now , connection slow here
how to take rabeprazole ? dosage right now is 1 at morning 1 at night 20mg
that is the right dose
ok i have 4 more days left , so thats all i have to take right?
usually they have you take it for a month
it takes a little longer to heal
So stick with the diet and take the medication for a little longer and that would be the best way to recover
i c , for both pancreatitis and oesophagitis (grade B) , only rabeprazole is needed right?
carafate can also help, but from your list- only the rabeprazole is needed
ok carafate + rabeprazole ? what will be dose of carafate ?
1 gm twice daily
for 1 month as well
ok thanks. I got very weak due to 3000mg of antibiotics a day , today is worst.
that is a lot of antibiotics
so i need nutrition and liquids
anyway, get some rest, eat better and stick to the diet
another question , when i take food before sleep (before medication) i got cough ferquently , that is same problem from oesophagitis ?
don't eat at least 4 hours prior to going to sleep
yes, that is from reflux and esophagitis
after the medication finish , should i still stick to foods in that list?
Yes, for now- at least the next few months. I hope that I provided you with excellent service?
thanks a lot Dr. Natasha , u gave me best service!
great! keep me posted!
you should open up a clinic in our country , many of us will appreciate.
I would love to do that- when my kids grow up
Hope you feel better soon :-)
i just ate some salmon with rice soup and i sense pain radiating from upper abdomen to back. Should i restrict eating food for now?
Thanks alot Natasha , since yesterday i am getting so much better , no more pain (didn't take pain meds ).And no more bloatness or boring sensation.
I am Taking rice soup with boiled chicken 4 time a day (2 bowls seperated to 4 times) .
And Liquid (Coconut Juice , Horlicks) about 2-3 litres a day.
After each big meals i take Ezymplex for 2 time a day (it have Amalase , Lipase , Protease ).Only one problem remains , Diarrhea (Mild) about 1 -2 times aday for 2 days . Stool seem to have some fat in it. I read that i should not take Pills for Diarrhea during Acute Pancreatitis. So when should I expect that to be gone?
Also should this problem become chronic? Any signs to be noticed if it becomes chronic? Right now i gain back energy and can stay like normal person, just worried.
Thanks a lot Natasha, So i should not take pills for Diarrhea?
I am not having that much stool, just watery(Thick) one to two time a day, only little pain in stomach when it goes (not like pancreatic pain , just stomach pain while diarrhea) .
I do not smoke , or drink , even once in my life. And this is first time in my life Pancreatic pain happened. Endoscopy do not show stones too so i hope I will fully recover.
Thanks a lot!