Potential Stomach Ulcer

[scubascuba3]

The last 4 weeks I've had an uncomfortable feeling after I've eaten. There is no pain but its not right. Its not indigestion. I thought it was the water, certain foods, tablets, I've ruled these out as a cause.

 

I saw Memorial Dr a week ago, he thought symptoms would go within a couple days after taking:Sanosec Omeprazole 20mg twice a day, Motilium-M 3 times a day, Belcid forte suspension Aluminium Hydroxide gel 3 times a day. Symptoms still here. Medication ran out, symptoms worsened a bit so i bought more Sanosec and Belcid forte suspension.

 

I don't have nausea, no diarrhoea, stools unchanged, normal colour, no blood

 

I'm wondering if anyone has experience of this and can recommend a Dr/specialist in Pattaya?

 

Are there any tests recommended? test for H.pylori bacteria? Gastroscopy?

 

I'm due to go back to Memorial to the same doctor on Monday

[NCC1701A]

5 minutes ago, scubascuba3 said:

test for H.pylori bacteria

i had a ulcer. blood test for H.pylori. then large amounts of antibiotics. Ulcer gone.

 

but i had ulcer symptoms for years before I figured it out. 

9 minutes ago, scubascuba3 said:

The last 4 weeks I've had an uncomfortable feeling after I've eaten. There is no pain but its not right.

    Ulcer is pain. ????

[Spidey]

Omeprazole takes 2 weeks to kick in. Half of Thailand is on it (chilli addiction). Inexpensive at any local pharmacy. I was prescribed it for hiatus hernia, many years ago. Even now, if I try to reduce the dose, the symptoms return eventually.

 

Might be worth trying a 2 week course of Lansoprazole first.

[scubascuba3]

    Ulcer is pain. [emoji846]

Yes doctor said the same thing as does youtube but if not an ulcer what is it

[scubascuba3]

Omeprazole takes 2 weeks to kick in. Half of Thailand is on it (chilli addiction). Inexpensive at any local pharmacy. I was prescribed it for hiatus hernia, many years ago. Even now, if I try to reduce the dose, the symptoms return eventually.
 
Might be worth trying a 2 week course of Lansoprazole first.

Yes i wondered whether taking the medication for longer may help. I read it can take 4 weeks of taking a PPI like Omeprazole to give it time to heal

[RotBenz8888]

If you taken Omeprazol for a couple of weeks, and the symptoms are still there, I'd do I gastroscopy.

[NCC1701A]

1 minute ago, scubascuba3 said:

22 minutes ago, NCC1701A said:

    Ulcer is pain.

Yes doctor said the same thing as does youtube but if not an ulcer what is it

sorry i am not sure. but food and water in Thailand can be a challenge.

[faraday]

40mg starting dose of Omeprazole is a huge amount, as it doesn't sound like GERD.

 

I would go & see a Gastroenterologist, & get this investigated thoroughly.

[scubascuba3]

40mg starting dose of Omeprazole is a huge amount, as it doesn't sound like GERD.
 
I would go & see a Gastroenterologist, & get this investigated thoroughly.

Any recommendations for a Gastroenterologist in Pattaya? where are you@Sheryl

[Spidey]

1 minute ago, faraday said:

40mg starting dose of Omeprazole is a huge amount, as it doesn't sound like GERD.

 

I would go & see a Gastroenterologist, & get this investigated thoroughly.

I've been prescribed 20mg twice daily, by my GP in the UK, for many years. No real short term  side effects.

 

Although it's long term use an lead to brittle bones and dementia, which is why I keep trying to reduce my dose.

[NCC1701A]

11 minutes ago, scubascuba3 said:

Any recommendations for a Gastroenterologist in Pattaya? where are you@Sheryl

its like wondering where Wonder Woman is to save the day.  

[scubascuba3]

its like wondering where Wonder Woman is to save the day.  

That's it, we do our best to guess the way through but out here you're not sure of the competence of the hospitals and the people you see

[scubascuba3]

At Memorial they seem to have different clinics. GI seems like its the right one. Anyone know what Ent. clinic is?

 

Would i just go to reception and ask to see the specialist doctor mentioned at the clinic? as opposed to seeing the standard doctor first.

 

It won't let me attach a screenprint.

 

http://www.pattayamemorial.com/ShowContent.aspx?id=300086

 

 

[LosLobo]

Recently I had a stomach problem with no real classic symptoms, omeprazole and antacids didn't fix it so I consulted a doctor and he said I had a low grade stomach infection.

He prescribed FLAGYL (metronidazole) tablets for 7 days which fixed the problem.
But cannot drink alcohol for 10 days.

 

If you have an ulcer a non invasive breathe test for ammonia will detect the presence of helicobacter pylori, this is available at most large hospitals.

But you will need to fast off antibiotics and omeprazole for a while.
 

[kane666]

6 minutes ago, scubascuba3 said:

At Memorial they seem to have different clinics. GI seems like its the right one. Anyone know what Ent. clinic is?

 

Would i just go to reception and ask to see the specialist doctor mentioned at the clinic? as opposed to seeing the standard doctor first.

 

It won't let me attach a screenprint.

 

http://www.pattayamemorial.com/ShowContent.aspx?id=300086

 

 

ENT prob Ear Nose Throat

[scubascuba3]

Recently I had a stomach problem with no real classic symptoms, omeprazole and antacids didn't fix it so I consulted a doctor and he said I had a low grade stomach infection.
He prescribed FLAGYL (metronidazole) tablets for 7 days which fixed the problem.
But cannot drink alcohol for 10 days.
 

That is an interesting idea. Did you feel sick or raised temperature or diarrhoea? Dr and a pharmacist didn't seem to think antibiotics would be useful as no temperature, sick or diarrhoea.

A couple weeks ago I tried Nifuroxazide 200mg which didn't do anything. Its a mild antibiotic i think

[LosLobo]

1 hour ago, scubascuba3 said:

That is an interesting idea. Did you feel sick or raised temperature or diarrhoea? Dr and a pharmacist didn't seem to think antibiotics would be useful as no temperature, sick or diarrhoea.

A couple weeks ago I tried Nifuroxazide 200mg which didn't do anything. Its a mild antibiotic i think

Evidently Flagyl is good for parasitic infections as well as bacterial. I just felt unwell with slight pain in the stomach no temperature or diarrhoea.

[LosLobo]

I first had some nauseous symptoms a few hours after eating some pink pork which seems to be trendy nowadays


Sent from my SM-N9208 using Thailand Forum - Thaivisa mobile app

[Christophers200]

3 minutes ago, LosLobo said:

I first had some nauseous symptoms a few hours after eating some pink pork which seems to be trendy nowadays


Sent from my SM-N9208 using Thailand Forum - Thaivisa mobile app
 

Pork should always be well cooked - Stay away from undercooked pork no matter who says it is "trendy" it is not trendy just very foolish.

[xylophone]

7 minutes ago, Christophers200 said:

Pork should always be well cooked - Stay away from undercooked pork no matter who says it is "trendy" it is not trendy just very foolish.

Agree.......bit like the trend for eating raw chicken!! Stupid IMO.

[LosLobo]

A couple weeks ago I tried Nifuroxazide 200mg which didn't do anything. Its a mild antibiotic i think

Flagyl and Nifuroxazide are a similar class of drug.


Sent from my SM-N9208 using Thailand Forum - Thaivisa mobile app

[Christophers200]

2 hours ago, scubascuba3 said:

That is an interesting idea. Did you feel sick or raised temperature or diarrhoea? Dr and a pharmacist didn't seem to think antibiotics would be useful as no temperature, sick or diarrhoea.

A couple weeks ago I tried Nifuroxazide 200mg which didn't do anything. Its a mild antibiotic i think

There is no such thing as a "mild" antibiotic and messing with antibiotics results in generating ever more antibiotic-resistant organisms.

[scubascuba3]

Flagyl and Nifuroxazide are a similar class of drug.


Sent from my SM-N9208 using Thailand Forum - Thaivisa mobile app

I just went to a different Dr at Pattaya City. I ran the Flagyl idea by him, he said no because no sign of infection, temperature etc. So same as other doctor said.

He recommended taking Omeprazole 20mg daily for a month. Then if i want to test for the H.pylori test go to Bang Lamung and see a specialist there. He thought it could be a peptic ulcer. Said no need for me to continue with Motilium-M or the Belcid antacid

[SteveK]

I've had problems with peptic ulcers for around the last 5-6 years, it has been a nightmare. At it's worst, I was vomiting (sometimes bloody) every morning, couldn't eat more than a quarter of a meal before feeling full, and being tired and in pain. Lansoprazole helped a bit but the only way to reduce it right down was to eat plain food and only drink water for a few weeks. Mine was H Pylori negative, and I refused to have a gastroscopy, no way they are getting something thicker than a garden hose down my throat.

[scubascuba3]

I've had problems with peptic ulcers for around the last 5-6 years, it has been a nightmare. At it's worst, I was vomiting (sometimes bloody) every morning, couldn't eat more than a quarter of a meal before feeling full, and being tired and in pain. Lansoprazole helped a bit but the only way to reduce it right down was to eat plain food and only drink water for a few weeks. Mine was H Pylori negative, and I refused to have a gastroscopy, no way they are getting something thicker than a garden hose down my throat.

Must be tough, I've read quite a bit on it recently
and some people having quite severe symptoms. I think i would go for the gastroscopy if i had to.

From NHS website:

"Stomach ulcers are usually caused by Helicobacter pylori (H. pylori) bacteria or non-steroidal anti-inflammatory drugs (NSAIDs)"

"It used to be thought that stomach ulcers may be caused by certain lifestyle factors, such as spicy foods, stress and alcohol.
There's little hard evidence to confirm that this is the case, but these factors may make the symptoms of ulcers worse.
But it's thought that smoking increases your risk of developing stomach ulcers and may make treatment less effective"

[Poopyface]

5 hours ago, NCC1701A said:

i had a ulcer. blood test for H.pylori. then large amounts of antibiotics. Ulcer gone.

 

but i had ulcer symptoms for years before I figured it out. 

    Ulcer is pain. ????

I had an ulcer that 98% of the time was NOT pain, FYI.

 

1 hour ago, Christophers200 said:

Pork should always be well cooked - Stay away from undercooked pork no matter who says it is "trendy" it is not trendy just very foolish.

Pork should be stayed away from, period. ESPECIALLY for people with digestive issues.

 

1 hour ago, LosLobo said:

Flagyl and Nifuroxazide are a similar class of drug.

 

Flagyl is hardcore stuff and should only be used in dire situations. Antibiotics in general wreak havok with your digestive system. Naturopaths will caution using them and recommend high doses of probiotics to try to keep gut floura healthy during antibiotic use.

Consider them a last resort.

 

Find out what's wrong first.

 

Or just amaze yourself and try a radical diet shift- anti-inflammatory diet, no meat, no sugar, no fried foods, no dairy, no wheat, no alcohol- that's what will cure many digestive issues.

Let your food be your medicine...

 

 

 

[Poopyface]

5 hours ago, NCC1701A said:

i had a ulcer. blood test for H.pylori. then large amounts of antibiotics. Ulcer gone.

 

but i had ulcer symptoms for years before I figured it out. 

    Ulcer is pain. ????

I had an ulcer that 98% of the time was NOT pain, FYI.

 

1 hour ago, Christophers200 said:

Pork should always be well cooked - Stay away from undercooked pork no matter who says it is "trendy" it is not trendy just very foolish.

Pork should be stayed away from, period. ESPECIALLY for people with digestive issues.

 

1 hour ago, LosLobo said:

Flagyl and Nifuroxazide are a similar class of drug.

 

Flagyl is hardcore stuff and should only be used in dire situations. Antibiotics in general wreak havok with your digestive system. Naturopaths will caution using them and recommend high doses of probiotics to try to keep gut floura healthy during antibiotic use.

Consider them a last resort.

 

Find out what's wrong first.

 

Or just amaze yourself and try a radical diet shift- anti-inflammatory diet, no meat, no sugar, no fried foods, no dairy, no wheat, no alcohol- that's what will cure many digestive issues.

Let your food be your medicine...

 

 

 

[Poopyface]

Why do my posts double post?

Mods, feel free to remove the doubles lol

[scubascuba3]

I'm now thinking rather than wait a month of taking daily Omeprazole 20mg, which may be a month wasted, instead i go to Bang Lamung hospital and arrange the H. pylori infection Stool antigen test.

What do people think?

[SteveK]

Flagyl is metronidazole, which is a basic antibiotic. It is not "hardcore stuff" in any sense of the word. I've been giving flagyl to patients pretty much daily for over 15 years. Only issue with this drug is that you CANNOT drink alcohol whilst using it, and for a day or two after.

 

People who have very stressful jobs and don't eat properly because of workplace pressure, and then go home to unwind with a glass of wine or three are much more likely to develop ulcer-like symptoms. Doing that in Thailand, where you are more likely to eat a lot of very spicy foods only compounds the issue.

 

Flagyl is safe, you can take it when you need, not only in dire situations, trust me.