I've been dealing with some itchy spots around my bikini line and butt, and I've tried using itch guard cream and candid dusting powder, which helped at first, but the itching keeps coming back. Just the other day, I noticed I have some ringworm on my thighs too. I'm really frustrated and worried about why these things keep happening. What can I do to stop this once and for all?

Dr Ibrahim Salah

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

You've been taking Rablet-D (Rabeprazole + Domperidone) for 20 years to manage severe burning and acidity after food. Despite this, you still experience bloating, which you suspect might be due to a wheat allergy.

Considerations

1. Wheat allergy or intolerance: It's possible that you have a wheat allergy or intolerance, which could be contributing to your bloating.
2. Long-term PPI use: Taking Rabeprazole (a proton pump inhibitor) for an extended period can lead to:
   • Reduced stomach acid production
   • Potential impact on nutrient absorption (e.g., vitamin B12, iron)
   • Increased risk of osteoporosis and fractures
3. Domperidone concerns: Domperidone, an anti-emetic and prokinetic agent, has been linked to:
   • Increased risk of cardiac arrhythmias and QT prolongation
   • Potential interactions with other medications

Answered 04/07/2025