Stomach issues

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Hi All,

​Starting in July I have had these issues with eating and going to sleep. The issue is that I start getting heart palipitations and wake up while I try to go to sleep. This mostly happens around dinner time but I do notice it a little less during lunch. In August I had visited a cardiologist and had a ultrasound of the heart and everything was ok. The dr said it would eventually go away. In September I had an endoscopy done and the doctor said I had an inflamed stomach. The culture showed I had an infection and was given the two antibotics and prilosec. The doctor also said to continue to take Prilosec twice a day (with no end time). I've switched over to Nexium since I haven't had much luck on Prilosec and it has helped a little.

​It is almost 2 months now and last night I ran out of Nexium so I took Prilosec and had the same issue. Last night I ate a fried chicken sandwhich as well as french fries and wass up until 2am. Then woke up at 6. I am not 100% convinced yet that Nexium is really helping as I have only been on it for about a week.

​Is it possible that my stomach hasn't healed? Who would you suggest I visit next to see what could be causing this..an allergist another GI doctor? Are there specialists that are balanced in both?

​This is really impacting my sleep and my ability to function. I've never had these issues up until this past July. I'm 37 170lbs and 6' if that helps. Blood pressure is around normal. Any suggestions would be greatly appreciated.

My primary thinks this is all stress related.

​Is it po

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14 Replies

  • Posted

    Hi,

    One thing I have learned from this forum is that our symptoms can vary massively from one person to the next. I too experience palpitations from time to time but not many of your other symptoms - but I have seen other threads explaining similar ones to you.

    Perhaps try to control your diet a bit better and lay off the fried foods. It also wouldn't hurt to try and raise the head of your bed to let gravity work with your digestive system.

    Hope it all improves.

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  • Posted

    Hi

    There is something not quite right about your treatment at the moment.

    Presumably the infection you say was found at Endoscopy was H.Pylori.

    You appear to have been given the standard treatment for this which is normally two antibiotics - Amoxicillin, and Clarythromycin plus a Proton Pump Inhibitor (PPI) - Prilosec is the trade name for Omeprazole and Nexium is the trade name of Osomeprazole (there are others). The treatment is normally given from 7 to 14 days.

    The correct procedure is that six to eight weeks after treatment you should be given a breath test to make sure that eradication of H.Pylori has taken place. During that six to eight week period you must not take PPIs or Antibiotics or you will get a false test. You may take antacids such as Calcium Carbonate or Gaviscon (not Nexium which can be bought over the counter) but I think it even wise to stop these a week before the test.

    I cannot undertand why you should continue to be given PPIs after eradication treatment and before testing to ascertain its effectiveness.

    PPIs should not be given long term because they can have very counter side effects.

    However, if after testing you were found still to have H.Pylori you would be given a second line therapy with the PPI again but with a different antibiotic to the Clarythromycin.

    (Unfortunately there are even a few sufferers who need even a thirdline therapy).

    You need to question your GP as to why you were not given a post treatment test and also question the continuing and long term use of PPIs. They will reduce acidity but they will not eradicate H.Pylori. (What country are you in ?)

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    • Posted

      Hi Derek,

      I'm in the US. I was wondering why there was no follow-up test. I may have to look for another GI doctor and go from there. I go normally to another doctor but he was booked for 2 months so I decided to go to this other doctor in the same office. I wasn't thrilled with him as it was like pulling teeth to get information from him. 

      From what I was reading on some forums, at least here in the US they like to just push these drugs instead of going after the source.

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    • Posted

      Also I had surgery recently for a deviated septum. I've taken a ton of antibotics for the surgery so I'll probably need to get through a few more weeks before going to get another test for H Pylori again.
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    • Posted

      Well it's pretty certain that in the US (I'm UK) you got a good first line therapy - pretty certainly Clarythromycin (expensive).

      Sorry to say that your present GP doesn't know what he is doing.

      I don't think you should need a GI Specialist to get the proper treatment.

      The American Food and Drugs have issued warnings about long term use of PPIs (Don't get me wrong. You need them for therapy. But not as a daily antacid).

      You are right. You cannot have a breath test unless you get the antibiotics out of your system for 6 to eight weeks.

      Probiotics and Yogurt are helpful - but again get them out of your system for a couple of weeks before the test.

      One thing for certain. You must steer clear of NSAIDS at all costs.

      Let me know if you need anymore info.

      All the best.

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  • Posted

    Just to repeat.

    Neither PPIs nor Antibiotics for 6 to 8 weeks before a breath test.

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    • Posted

      Thanks for the information. It was the GI specialist who told me about taking the Nexium. I think I need to see my regular GI but don't know if there will be tension seeing both are in the same office.
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  • Posted

    Crikey !

    That doesn't sound possible !

    A GI Specialist put you onto your present regimen ?!?!?

    And didn't offer a post therapy test ?!?!?!

    Sure he's qualified ?

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  • Posted

    Crikey !

    That doesn't sound possible !

    A GI Specialist put you onto your present regimen ?!?!?

    And didn't offer a post therapy test ?!?!?!

    Sure he's qualified ?

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    • Posted

      Heh you can't imagine some doctors. Like anything else just becuase they can read a book doesn't mean they know what they are doing.
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  • Posted

    Still trying to come to terms with what you've said.

    It is not unusual for PPIs to be given for three to four weeks post therapy to give the lower acidic conditions which will allow stomach inflammation and ulceration to heal following H/Pylori damage.

    Hope you will be able to see your alternative GI Specialist.

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    • Posted

      Thanks. I really appreciate your comments/advice. I had question why there was no follow-up or date to call back if symptoms are still there. Just telling me it will go away is one of the dumbest things I think any doctor can tell you. I may have to go back for surgery again on my deviated septum if it doesn't heal properly so need to get that out of the way first and then tackle this issue.

      I just can't fathom how people don't wash their hands after going to the bathroom. Especially with food preperation....but then again it may be somewhere in the distribution of food where they don't properly cook or wash something. 

      Nick

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    • Posted

      Hi Nick

      I am very interested to know how you get on with your case in the future.

      Perhap you will kindly keep me informed.

      You are right about personal hygiene. But H.pylori is a strange business.

      Though still rampant in Africa and the East, it is dying out in the West.

      That doesn't mean to say that there are not millions of people infected with H.Pylori who never experience any resultant Gastric problems. There is a theory proposed that some people have genetically more acid producing cells than others and that it is a combination of the two events that causes the problems.

      It could be the reason that Gastric problems often affect numbers of family members. Though an alternative theory for that is that infants are infected by their mothers.

      H.pylori is a very clever little beasty indeed and there is still much research to be done.

      Please keep in touch. I am interested.

      Best wishes

       

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  • Posted

    Here is an update. Went to an allergist and had the entire set of tests done. I found out I am allergic to shellfish which I don't eat. Besides that no wheat or dairy allergies came back. The doctor did mention that these tests seem to be a false/positive and doesn't nescissarily mean I am not allergic to dairy or wheat.

    He suggested I go to visit another cardiologist as well as another GI and to stay off of dairy until I see the GI. With the holidays I won't be able to see them until the beginning of the new year.

    I had another episode of major bloating again two days ago after eating chili and a take-out hamburger. I also ate some of my aunt's christmas cookies. Last night I made dinner and still had bloating not as much though. I did eat the cookies again and will try again this weekend to see if they are triggers.

    I am feeling worse now but I don't know if it is because the dairy helped coat the stomach.

    My sister has similar issues years ago and it turned out to be her gallbladder and penecitis. After she had that taken care of her issues went away. Her GI missed it but the ultrasound tech mentioned it to her to have the GI review it again.

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