Have upper abdomen pain. Diagnosed with Lax LES , Antral gastritis in endoscopy and fatty lever in ultrasound. Suggestions?
Patient: Hi doctor,I have been suffering from upper abdomen  pain from last 15 days. I went to a specialist and was diagonised with Lax LES , Antral gastritis in endoscopy and fatty lever in ultrasound.  I am prescribed with1. Sompraz d 40 mg - 1 empty stomach2. Ursocol 300 mg -2 during day 3. Evion 400.  -1 at bedtime. I am taking this medicines from last 4 days but there is very less relief.Can you please suggest if I need to consult Any other doctor and also what should be the diet. Doctor: Hello, Thanks for the query to H.C.M. Forum. If I were your treating doctor for antral gastritis I would come up with following measures for  your treatment. Try raising the head of your bed about 4 inches with blocks. It also might also help to avoid eating or drinking 2 hours before you lie down. To help control the stomach acid one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy food, greasy foods. As omeprazole provide symptomatic relief , while ursodeoxycholic acid acts over liver and evion is Vitamin E . In such type of patients I usually prescribe rebamipide 100 mg 2-2-2 for 10 days along syrup antacid with oxetacaine. Good luck. Dr. HET