Question 1

I'm currently applying cremagel cream for an anal fissure, and I'm really worried about what to do if it doesn't get better after using this ointment. What is the best way to heal a fissure if it doesn't worsen after these treatments?

Accepted Answer

In addition to using Cremagel cream, the best solution for curing an anal fissure involves a combination of lifestyle changes and medical treatments. Lifestyle Changes include adding fiber to your diet, drinking adequate fluids, exercising regularly, and avoiding straining during bowel movement and consult surgeon

Question 2

I'm feeling kind of stuck because my gastroenterologist said I need a colonoscopy for my stomach pain, but I'm trying this new eating schedule where I eat every 33 hours, and fasting is really hard for me. How do I navigate this? Any advice would be really helpful.

Accepted Answer

Chest Pain Characteristics_

1. _Intermittent pain_: Pinpoint pain lasting 3-4 seconds, occurring sporadically throughout the day.
2. _Variable location_: Pain located in the center, left, and right sides of the chest.
3. _Burning sensation_: Accompanying burning sensation, which may indicate acid reflux or gastroesophageal reflux disease (GERD).

_Possible Causes_

1. _Gastroesophageal reflux disease (GERD)_: Stomach acid flowing back up into the esophagus can cause chest pain and burning sensations.
2. _Musculoskeletal issues_: Strained chest muscles or costochondritis (inflammation of the cartilage that connects the ribs to the breastbone) can cause intermittent chest pain.
3. _Cardiovascular conditions_: Although less likely, given the brief duration and variable location of the pain, cardiovascular conditions like angina or pericarditis should be ruled out.
4. _Anxiety or stress_: Stress and anxiety can manifest as physical symptoms, including chest pain and burning sensations.

_Recommendations_

1. _Consult a healthcare professional_: Schedule an appointment to discuss your symptoms and determine the underlying cause.
2. _Diagnostic tests_: Your doctor may order diagnostic tests, such as an electrocardiogram (ECG), chest X-ray, or endoscopy, to rule out underlying conditions.
3. _Lifestyle modifications_: Avoid trigger foods, maintain a healthy weight, and manage stress through relaxation techniques like deep breathing, meditation, or yoga.
4. _Monitor symptoms_: Keep a symptom journal to track the frequency, duration, and characteristics of your chest pain and burning sensations.

Question 3

I've been getting these muscle pains that feel just like a heart attack, but every time, it's diagnosed as acidity. This has been happening for six years now. And in the last two years, I've started having panic attacks that again feel like I'm having a heart attack. I've done stress tests and an echo test, and fortunately, they turned out fine. I've also had gastroscopy done twice. What could be causing these symptoms? Could it just be stress or something else? I'm really looking for some guidance on what steps to take next.

Accepted Answer

It sounds like you may be experiencing musculoskeletal pain that is mimicking heart attack symptoms, along with acidity symptoms and panic attacks. Since your stress test, echo test, and gastroscopy have all come back normal, it is reassuring that there are no major cardiac or gastrointestinal issues. For the muscle pains, you can try taking over-the-counter pain relievers such as acetaminophen or ibuprofen. Additionally, you may benefit from muscle relaxants such as Flexeril (cyclobenzaprine) to help with the muscle pain. For acidity symptoms, you can try antacids such as Tums or Rolaids to help with heartburn and indigestion. For panic attacks, you may benefit from anti-anxiety medications such as Xanax (alprazolam) or Ativan (lorazepam) as needed to help manage the symptoms. It is also important to practice stress-reducing techniques such as deep breathing exercises, meditation, and regular exercise to help manage both the muscle pains and panic attacks. If the symptoms persist or worsen, it is important to follow up with your healthcare provider for further evaluation and management.

How long does it take for stomach lining to heal?

Acute gastritis lasts for about 2-10 days. If chronic gastritis is not treated, it may last from weeks to years.

More Gastroenterology/GI medicine Health Queries

I'm currently applying cremagel cream for an anal fissure, and I'm really worried about what to do if it doesn't get better after using this ointment. What is the best way to heal a fissure if it doesn't worsen after these treatments?

I'm feeling kind of stuck because my gastroenterologist said I need a colonoscopy for my stomach pain, but I'm trying this new eating schedule where I eat every 33 hours, and fasting is really hard for me. How do I navigate this? Any advice would be really helpful.

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