Greetings Steve,
Do you have nausea, vomiting, bloating, loss of appetite?
Any significant past medical or surgical illness?
Dr. Arun
in the morning i have loss of appetite and feel sick ,used to feel a bit like this when i had deppression ,also when i sneeze i feel better some s due to acid ,
i hope this helps
Hello Steve Downing,
The following should be looked for your symptoms;
1) Irritable bowel syndrome
2) Gall bladder stone
3) Diverticulitis
4) Peptic ulcer disease
5) Gastroesophageal reflux disease
An upper gastrointestinal endoscopy, ultrasound and a barium meal with the follow through study would either clinch the diagnosis or give guideline for the further work up. Meanwhile following would be helpful;
1) Continue with the Lansoprazole
2) Antacids like Tums or Maalox
3) Avoid chillies and spicy food
4) Bland diet
Please feel free for your follow up questions.
Hello Steve,
Back arthritis is not likely related to it. Though if you take ant-inflammatory analgesics regularly, they can cause peptic ulcer disease and nausea. Following needs to be done for back arthritis:
a) Avoid activities which increases the pain.
b) Rest intermittently
c) Avoid bending at 90 degrees
d) Pushing and pulling should be avoided till pain subsides
f) Avoid prolonged sitting and standing
g) Avoid sitting or sleeping on floor
2) Analgesics and muscle relaxants
3) Local analgesic gels or sprays / ointment
4) Hot fomentation
5) Electrotherapy like trans cutaneous electrical nerve stimulation: done by physical therapist. Other thing are ice packs, heating pads, electrical stimulation, phonophoresis, iontophoresis, relaxation, and biofeedback.
6) Good supervised physiotherapy: The exercises consist of abdominal bracing, modified sit-ups, double-knee-to-chest or low back stretches, seat lifts, mountain and sag exercises, knee-to-elbow exercises, hamstring stretches, extension exercises, and extension flexibility exercises. Swimming exercises (pool exercises) are best for back pain. Initial stretching and later strengthening exercises are taught.
7) Lumbosacral corset or support or brace
8) If obese or over weight, reduce weight for long term benefit.
I hope this was helpful to you. If it was, please remember to ACCEPT the answer so I can get compensated for my work. if you have any more questions, please feel free to ask. I am truly privileged to help you, and I want to make sure that you are satisfied with the answer. Good luck!
Doctor (MD)
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine