Question 1

I've been dealing with nausea, stomach pressure, acidity, and weight loss even though I've been eating normally. Recently, after getting an upper endoscopy, they found I have antral gastritis and tested positive for H. pylori. So, I'm on Nexpro L, Gaviscon syrup, an H. pylori treatment kit, and a probiotic. It's been 8 days on these meds, with another week to go. While my symptoms have improved and I'm feeling better, I'm still dropping weight. I'm really confused and a bit worried why this is happening. Could it be because of the H. pylori infection? Once the treatment's over, will I be able to gain weight back? I used to weigh around 71 kg last year; now I'm down to 65.5 kg. I also have piles, and it's kind of freaking me out. How should I approach gaining weight again?

Accepted Answer

Kindly discuss for your concern.

Question 2

I'm feeling quite worried about a few things. I recently had a general check-up, and they found my gall bladder to be moderately distended but without any calculi or wall thickening. What concerns me is my bloating, indigestion, and irregular bowel movements. The ultrasound mentioned fatty liver grade 1 too, and that has me even more concerned. I've also been experiencing daily stomach cramps, along with back and leg cramps. I've tried a lot of tablets for these issues and even had a colonoscopy and endoscopy done - both were normal. All other tests like my CBC, LFT, and RFT came back normal too. Can you help me understand what might be going on?

Accepted Answer

A moderately distended gallbladder without calculi or wall thickening is often a benign finding, but given your symptoms of bloating, indigestion, stomach cramps, back pains, and leg cramps, it's understandable that you're concerned; the fatty liver grade 1 is a common condition, often related to diet and lifestyle; consider discussing the following with your doctor: dietary changes to manage fatty liver, potential gallbladder function tests (e.g., HIDA scan), and further evaluation of your symptoms to rule out other underlying conditions.

Question 3

I've been dealing with anxiety and these really troublesome gastric issues. Sometimes after lunch, if I'm out in the sun and either walk about a kilometer or climb some stairs, my heart rate just shoots up and my blood pressure feels high. But it usually calms down after about 15 minutes. I'm wondering if there's a link between the lunch and these heart rate spikes when I'm active like this. Could it really be connected to my gastric problems?

Accepted Answer

It is possible that your gastric issues and anxiety are contributing to your high heart rate and high blood pressure during physical activity. To help with your symptoms, you can try taking Pantoprazole (40mg) for your gastric issues and Escitalopram (10mg) for anxiety. Additionally, you can take Propranolol (20mg) before physical activity to help lower your heart rate and blood pressure. Remember to consult with your healthcare provider before starting any new medications.

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