apollo
  • Male
  • 30 Years
  • 29/01/2025

I'm really struggling with a mouth ulcer that's been bothering me for a week now and the pain's becoming unbearable. I first tried smily cream for a couple of days but it didn't help at all. Then a friend gave me some kenacort gel and I've been using that for a couple of days along with taking a B complex capsule. Just today, an MBBS friend of mine suggested I try pantop 40 and BBiotic capsule, plus apply zytee gel. I started this new treatment tonight, on the 15th of September. Is there anything else you would recommend? I've never had an ulcer last this long, usually it gets better within a day or two. The pain's really affecting my ability to eat and now my stomach's been off too. I'm just wondering if there's a better way to tackle this.

Doctor 1

Answered by 1 Apollo Doctors

Excessive Belching (Burping)_

  1. Swallowing air: Gulping down food, drinking carbonated beverages, or eating too quickly can lead to swallowing air, which contributes to belching.
  2. Digestive issues: Conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), or small intestine bacterial overgrowth (SIBO) can cause excessive belching.
  3. Food intolerance: Lactose intolerance, gluten sensitivity, or fructose malabsorption can lead to belching, bloating, and discomfort.
  4. Hormonal changes: Hormonal fluctuations during menopause, pregnancy, or thyroid disorders can affect digestion and lead to belching.

Stomach Protrusion (Protruding Abdomen)

  1. Visceral fat accumulation: Excess fat around the abdominal organs can cause the stomach to protrude.
  2. Muscle weakness: Weak abdominal muscles can contribute to a protruding abdomen.
  3. Digestive issues: Conditions like ascites, hernias, or intestinal obstruction can cause abdominal swelling.

Recommendations

  1. Consult a gastroenterologist: Schedule an appointment to discuss your symptoms and determine the underlying cause.
  2. Dietary changes: Avoid trigger foods, eat smaller meals, and incorporate low-FODMAP foods to alleviate digestive discomfort.
  3. Probiotics and digestive enzymes: Consider adding probiotics and digestive enzymes to support gut health and digestion.
  4. Exercise and physical activity: Engage in regular exercise, such as core strengthening and aerobic activities, to improve overall health and reduce visceral fat.
  5. Manage stress: Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises to help alleviate digestive issues.

Dr. Chandra Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 04/07/2025

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I'm really worried because I've been having pain in my left chest every day for the past 10 months. I've done about 20 ECGs, a 2D echo, and a TMT test a month ago, all of which came back normal. The high sensitivity troponin test was normal, and so were my chest X-ray, random blood sugar, and CBC tests. I've been to the cardiologist three times, and he keeps saying it's not a heart issue, but the pain in my left chest, left hand, and upper left back is still there. I'm scared it might be a heart attack. What other tests should I consider, and which type of doctor should I see next?

Since the cardiac evaluations have come back normal and your cardiologist has ruled out any heart-related issues, the persistent left chest pain could be due to musculoskeletal problems or other non-cardiac causes. I would recommend consulting a Rheumatologist to evaluate for conditions such as costochondritis or fibromyalgia. Additionally, you may consider getting a CT scan or MRI of the chest to further investigate any potential structural issues. In the meantime, you can take over-the-counter pain relievers like Acetaminophen (Tylenol) for symptomatic relief.

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I've been having this pain that starts in my right waist and goes through to my abdomen. It starts off in the evening and keeps getting worse as the night goes on, becoming really severe until I take some medicine like Nicip P to help. I'm not sure which specialist I should reach out to for this. Any ideas?

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I've been dealing with something odd for the last couple of weeks. After eating, especially when I've had a big meal, my temperature goes up to around 99F and my pulse shoots up to 100bps, making me feel really uncomfortable. Sometimes, I also get these random pains in my abdomen, mostly on the right side, both upper and lower. The fever and pulse eventually settle down to normal after a few hours, but medications like paracetamol or ibuprofen dont seem to help at all. Any idea what's going on with me?

Based on your symptoms of elevated temperature, increased pulse rate, and abdominal pain after meals, it is possible that you may be experiencing symptoms of gastritis or an underlying gastrointestinal issue. I recommend you to try taking a proton pump inhibitor like Omeprazole 20mg once daily before breakfast for a few weeks to see if it helps with your symptoms. Additionally, you can take an antispasmodic medication like Dicyclomine 10-20mg three times a day before meals to help with the abdominal pain. It is important to also avoid heavy meals, spicy foods, and caffeine which can exacerbate gastritis symptoms. If your symptoms persist or worsen, it is advisable to consult a gastroenterologist for further evaluation and management.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.