Question 1

I'm dealing with a lot of saliva production, especially in the mornings when I wake up. Within minutes my mouth gets full of saliva, and I have to keep spitting throughout the day to manage it. It's a bit better after I brush, but it's still an issue. What's going on here, and how can I get this under control?

Accepted Answer

Excessive saliva production, also known as hypersalivation, can have various causes such as medication side effects, GERD, infections, or neurological conditions. In your case, since the issue improves after brushing, it could be related to oral hygiene. I recommend using a mouthwash containing chlorhexidine gluconate 0.12% solution twice daily after brushing. Additionally, you can try using tablets containing atropine sulfate 0.5mg to reduce saliva production. If the problem persists, consult with your healthcare provider for further evaluation and management.

Question 2

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

Accepted Answer

Erosive Antral Gastritis_

1. _Definition_: Erosive antral gastritis is a type of gastritis characterized by inflammation and erosion of the stomach lining, specifically in the antrum (the lower part of the stomach).
2. _Causes_: Common causes include:
    - Helicobacter pylori (H. pylori) infection
    - Non-steroidal anti-inflammatory drugs (NSAIDs)
    - Excessive alcohol consumption
    - Stress
3. _Symptoms_: Common symptoms include:
    - Abdominal pain or discomfort
    - Nausea and vomiting
    - Loss of appetite
    - Weight loss
4. _Endoscopy results_: The endoscopy results confirmed erosive antral gastritis, which is a definitive diagnosis.

_Second Opinion and Concerns_

1. _Consult a gastroenterologist_: Schedule an appointment with a gastroenterologist to discuss the diagnosis, treatment options, and any concerns.
2. _Treatment and management_: The gastroenterologist will likely recommend:
    - Antibiotics to treat H. pylori infection (if present)
    - Acid-reducing medications to alleviate symptoms
    - Lifestyle modifications, such as avoiding trigger foods, managing stress, and quitting smoking (if applicable)
3. _Follow-up endoscopy_: A follow-up endoscopy may be recommended to assess the healing progress and rule out any complications.

_Reassurance and Next Steps_

1. _Reassurance_: Erosive antral gastritis is a treatable condition, and with proper management, symptoms can be alleviated.
2. _Adhere to treatment plan_: Ensure your father-in-law follows the recommended treatment plan and attends follow-up appointments.
3. _Monitor symptoms and report changes_: Encourage your father-in-law to report any changes in symptoms or concerns to the gastroenterologist.

Question 3

Dear Doctors I am suffering from Fissure and kind of constipation also. I meet a surgeon and he told my fissure is not too old. As a surgeon he suggested surgery. But I am scared of fissure surgery as I heard it too painful. Can it be cured without surgery with medicine and all I feel burning sensation when stooling. Irritation feeling persist for whole day. Please advice me for necessary step which I can plan. Thanks Ravi

Accepted Answer

Please see a local gastroentrologist, physical consultation.

don't worry it's not more than excess

More Gastroenterology/GI medicine Health Queries

I'm wondering if it's okay to take 150mg of aciloc before meals twice a day and then have digene syrup after meals. Also, between PANTOCID 40mg and ranitidine, which one is better for dealing with indigestion? I'm trying to figure out the best way to handle this.

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