Something Is Not Right

[meatboy]

i never thought that i would be seeking advice on hopefuly what i think is heartburn,having suffered with a hiatus hernia for over 40years can someone tell me what i am experiencing lately.i have never had this feeling before,i can be sat down or standing up when i get this i feel i am going to be sick starting in my stomach then this feeling takes over my whole body and leaves a very bad taste in my mouth for maybe 1minute or so,yesterday it happened about 4 or 5 times before that about 2months ago and in total about 10months.i dont get any burning or acid shooting up to my throught or coughing.after all that i have been through the last 3years of my life has been the best so this is starting to worry me a bit.i still take my med.lansoprozole fo about 1year and omeprazole since nov.2011.i always try and watch what i eat and if i get this feeling dont eat it anymore but now i am running out of causes.one thought could it be chang beer,classic or export.so please is there anyone out there who has or had the same symptons.

[negreanu]

possibly stomach ulcer.

Edited June 28, 2012 by negreanu

[orchis]

Go see a doctor. He could tell if it's the Chang Classic or the Chang Export. really.

[meatboy]

possibly stomach ulcer.

that hadnt crossed my mind but i do have h.pylori i saw it on a doctors report,i have been taken ppi drugs for over 12years but i did change the brand back in nov.2011. regarding orchis sugestion i see it does affect the brain as well.

[TommoPhysicist]

First sign of and stomach problems ....... stop drinking alcoholic drinks ...... stop smoking.

Wait and see what happens over the next few days.

[marshbags]

possibly stomach ulcer.

that hadnt crossed my mind but i do have h.pylori i saw it on a doctors report,i have been taken ppi drugs for over 12years but i did change the brand back in nov.2011. regarding orchis sugestion i see it does affect the brain as well.

There is a combination of medicines that are quickly successful in getting rid of it, well it was for me personally and for a large percentage of other suffers also, including several members of my family.

We as a family suffered for many years for what was originally diagnosed as ulcer related problems and they then discovered Helicobacter pylori ( H.Pylori ) to be a possible cause and happily it was in our cases.I

can eat most things now that were a no no before treatment ( a combination of 2 medicines )

Enough of the personal experiences then and please go to the NHS website url for in depth info ect. http://www.nhs.uk/Co...ges/Causes.aspx

With T. Visa,s permission of course to keep it in the post.

There are of course other causes for your symptoms and important advice is provided on several of them.

I hope it helps you and provides sound medical advice.

marshbags

P.S.

I,m not sure if the a-z website can be pinned but there would be no problem / objections from the NHS as I,ve checked it out.

It,s a brilliant informative website and laid out in laymans terms for simpletons like myself and complimented with detailed diagrams for easy understanding.

For additional info re terms and conditions should it be considered worthy of inclusion please go to ref.url

http://www.nhs.uk/aboutNHSChoices/aboutnhschoices/Aboutus/Pages/Editorialpolicy.aspx

Edited June 28, 2012 by marshbags

[bangkokrick]

Hi Meatboy I was diagnosed with H.Pylori a while ago and the doctor gave me a 7 day course of tablets to cure the problem. Here is what he prescribed for me.

omeprazole Inhibitor

amoxycillin 500 Anti biotic

metronidazole Anti biotic

mottilium Stomach upset

For 7 days.

Might be better going to see your doctor, but the meds are cheaper at the local Pharmacy.

[Sheryl]

i do have h.pylori i saw it on a doctors report,i have been taken ppi drugs for over 12years but i did change the brand back in nov.2011.

Did you take drugs for H. Pyllori eradication? (would have been 3 different meds for about 2 weeks).

Your first post implies you are taking both lansoprazole and omezaprazole, should not be both just one or the other.

And yes, the symptoms are consistent with peptic ulcer disease/gastritis so a visit to a gastroenterologist is in order. If they don't find anything then a more thorough check up is indicated.

And in the meantime -- no alcohol, no smoking and minimal or no caffeine.

[meatboy]

thanks everyone for your replies i will try and give you all the info,going back as far as the early sixties i was given penicilen which made me very ill,vomiting heaving all the time till i lost a lot of weight.the doctor found i was alergic to penicilen.from then till the late seventies back and fo to the hospital camera down the stomach samples taken of tissue first it was an ulcer then hiatus hernia.everything i was prescibed gaviscon and a tablet i think it was tagamet which was banned.after suffering for over 10years with servere heartburn[the food and drink didnt help plus other problems,then i saw a new doctor who prescibed lansoprazole zoton was the brand they changed my life completly i could eat and drink what i wanted so i thought till i became ill again this time more serious which finaly led to a double by pass and a new heart valve[2007] since then my life has been a bed of roses till i started getting this awfull feeling.i am only taking omprazole besides,amlodipine,bisoprolol,perindopril,warfarin and bestatin.reading all the info on the web sights it could be an ulcer with the sickness feeling i am getting.i am only 67 and enjoying the best years of my life so every one who has taken time to respond to my post me&mrs meat would like to thank you all

[meatboy]

sorry i forgot i have never smoked in my life,i do drink coffee in the morning and i i i do like a drink only beer or cider no spirits twice a week maybe 6-7 cans at a time.

[Tolley]

Unfortunately beer is one of the worst things you can take if you have a real acidic system.

All alcohol, soft drinks, chocolate, fried foods are really bad for people with a condition like yours.

Eating small meals regularly is the go and chewing the food thoroughly.

Foods like bananas,carrot, broccoli,apples are all good along with oats, lentils, rice and white meats are okay.

Slippery elm powder is really good for acidic system

[meatboy]

Unfortunately beer is one of the worst things you can take if you have a real acidic system.

All alcohol, soft drinks, chocolate, fried foods are really bad for people with a condition like yours.

Eating small meals regularly is the go and chewing the food thoroughly.

Foods like bananas,carrot, broccoli,apples are all good along with oats, lentils, rice and white meats are okay.

Slippery elm powder is really good for acidic system

thanks for that i do like my choco as well,untill i moved here 3years ago i only drank cider back home as it is so expensive here [2000+bht a case i started to drink beer,oh well 1 case of chang left i will keep it for guests.i have never had a problem with cider after 50years of drinking it my stomach is must be immune to it.

[Sheryl]

Tagamet has never been banned, in fact in its generic form it is now sold over the counter in the US.

You do not mention having ever taken H. Pylori eradication treatment?

Annd it still sounds like you are taking BOTH lansaproazole and omezapraxole, is that the case? If so stop one of them at once as they are almost the same and you are getting a double dose.

As you also have a cardiac history we cannot rule out the possibility the problem is cardiac, sometimes heart problems manifest this way rather than as chest pain.

in any case, you need to see a doctor.

[meatboy]

sorry if i confused everyone since nov/dec 2011 i have only been taking omeprazole,it is bugging me because i have never experianced the sickness feeling ever.sheryl its 2days since i have had a lets call it a tremor it does seem to travel through my body,i am also monitoring every thing i eat and drink every day,if it does start getting worse do you know anyone in korat that i should see.my monthly blood test is due this weekend anything else i should have checked besides my inr.

[Sheryl]

You should get a check up from your cardiologist to rule out a cardiac cause and possibly a GI specialist if the heart checks out OK.

[meatboy]

You should get a check up from your cardiologist to rule out a cardiac cause and possibly a GI specialist if the heart checks out OK.

thanks sheryl can you recomend a cardiologist in korat i think its time i had a complete check up.after my op in the uk .i was only seen once a year by a reg.nurse who would give me the results of blood tests and ask a few questions and that was it.

[Sheryl]

Frankly I think you'd do best to make the trip into Bangkok, there is no comparison in quality of care there vs. upcountry.

But if you are set in getting treated in Korat, I believe the best option is the Fort Suranaree Military Hospital tel 044 234409. it is open to anyone despite being a military hospital. bring a Thai speaker at least for your first visit because while the doctor will probably speak English, the nurses and administrative personnel will not, and the initial registration procedure can be complicated.

If yo ucan, get a m edical summary from your doc in the UK to bring with you.

[marshbags]

There is an excellent cardiovascular hospital in Khon Kaen that serves the North East and is highly recommended not only by the local community but other areas as well.

My previous neighbour has used it for many years, swears by it and told her to go see her specialist at Udon

My wife has vascular heart problems and the specialist at Udon gov. hospital who used to treat her was from the K.K. hospital and does a twice weekly surgery there.

The website ref is :-

http://www.md.kku.ac.th/en/index.php?index_page=med_serv&page=queen

It is not to far from Korat and is easily reached via a main highway that goes from there to K.K.

Obviously being up country it is easier on the stress levels traffic wise and a very nice city to stay in or visit.

marshbags

Edited June 30, 2012 by marshbags

[Sheryl]

Yes, Khon Kaen Univ Hosp is also a good choice if he doesn't mind travelling.I think it is about the same travel distance as to Bangkok.

[meatboy]

Frankly I think you'd do best to make the trip into Bangkok, there is no comparison in quality of care there vs. upcountry.

But if you are set in getting treated in Korat, I believe the best option is the Fort Suranaree Military Hospital tel 044 234409. it is open to anyone despite being a military hospital. bring a Thai speaker at least for your first visit because while the doctor will probably speak English, the nurses and administrative personnel will not, and the initial registration procedure can be complicated.

If yo ucan, get a m edical summary from your doc in the UK to bring with you.

thanks sheryl it will have to be f.s.military hospice i have seen good reports in fact all good.my med history i will haveto do myself i know all of it the last 10years medication,surgery and i have copys of all my blood tests done uk/thailand.up to 5.45am sun no tremors so thats 3days.

[Sheryl]

up to 5.45am sun no tremors so thats 3days.

Good, but don't let that stop you from seeing a doctor. And let us know how it goes.

[meatboy]

thanks marshbags as i have only been on a pc since i moved to los trying to get treatment from diff.docs in the uk.since they done away with family docs.and opened up these practices with 6 or more docs was almost impossible you never saw the same one twice.there seems to be more info online.today i went for my monthly inr test and spoke to the lab.staff and told him what i have been experiancing,he knows i buy my meds.from a pharmacy near him so he asked if i had changed any,well from the time i have been having these tremors 9-10months i changed from lansoprozole which i brought with me from the uk.run out,to omeprazole looking at the side affects feeling sick is one of them so i will speak to the pharmacy and see if i can have a diff.brand.

[marshbags]

Thanks for the feedback MB and pleased you found the website useful and informative.

The most important thing is you feel better at present and long may it continue.

The NHS site is updated regulary as and when new information is available.

The great thing about the site is that it has the input of many different specialist and doctors.

It does not advertise or make profit so it is not dependant on sponsor funding as with most other similar ones I,ve sometimes logged onto for alternative and additional info for added opinions.

It has so much to offer and also has a marvelous site on drugs and medicines as you discovered.

I really do recommend it to all our members and just wish I could have posted it in a seperate thread, but wasn,t sure if it would be acceptable and going against T.Visa rules.

Incidently I have always used the MIMS site that is now pinned on the health forum for Thai drugs ect.

Perhaps I will if it can be cleared by Sheryl and Admin to do so on behalf of our members.

Also please remember to follow her wise advice and perhaps see a doctor in Korat who the locals use and recommend as an additional check re other possiblities just in case.

Good luck and long may you stay healthy.

marshbags

Edited July 1, 2012 by marshbags

[meatboy]

the wife went to our pharmacy yesterday and explained i might be getting some side affects from omeprazole now and then,none since last thurs,she was given kremil-s chewable tabs to take at night.maybe sheryl can give me some info on them please.

[Sheryl]

They are a simple antacid, akin to what you may know as Maalox. Also contain simethecone for flatulence.

Will not substitute for a PPI, if in fact you still need a PPI.

the side effect profile of lansaprazole is similiar to that of omezaprazole so if you have problems from one you will probably have from the other as well. Alternatives to PPIs (proton pump inhibitors, the class of drug you have been on to decrease acidity in the stomach) are the histamine blockers e.g. ranitidine or cimetidine. But if you are at this point pretty sure that your problems were due to side effects of the PPI, before starting a new drug that might also give you problems, I'd consult a GI specialist to see if you really need to be on anything at all. He can among other things check to make sure the H. pylori has been eradicated. Be sure to tell him that you have side effects from the PPI and want if possible to stop taking them.

As we get older, it is normal to start to suffer more from adverse drug effects. The dilemma of course is that as we age we also start to have more need of medications!

As you may know, the best thing of all for hiatus hernia is to lose weight.

One useful (and underutilized) drug in the GI arena to be aware of is sucralfate, which has a purely local action but much better than that of things like Kremlin or Gaviscon which are very short acting. Sucralfate gives a protective coating to the GI mucosa which lasts many hours and can even promote healing of inflammation and ulcers. If you still have the hiatus hernia but no longer have gastritis or H. pylori, a nightly does of sucralfate just before sleep may be sufficient. Discuss this with the doc. (Note tho that suvralfate can interfere with the absorption of other medications, so if you are on other meds, be sure to take them at least 1 and opreferrably 2 hours before the sucralfate).

[meatboy]

thanks sheryl its only the last 3years that we have had a pc.till then i had to make do with what i was told by the docs..i did read that the hiatus hernia should clear up in time but i have been on med for over 12years [lansop.or omepr.] i cut down from 30mg.to 10mg but still suffered so i have not altered the dosage at all still on 30mg.regarding my weight i have always been a rather large person18.5stone at one time then got down to 16 when i had surgery now its between 15-16 i have cut down on a lot of bad practices,like eating after6pm,fatty foods,big meals and not forgetting the drink,only twice a week and no more than 6-8 cans,it used to be 12-15.considering i worked down the coal mines for 20years,suffered with athritus badly in the uk but over here just some in my hands[vwf] apart from my stomach complaint i feel fine.

[Sheryl]

I thought you said you are off the omezaprazole for about a week?

Any recurrence of symptoms?

[meatboy]

i

I thought you said you are off the omezaprazole for about a week?

Any recurrence of symptoms?

sorry sheryl if i am misleading you its the part of getting old you start to forget things now about oh sht what was i talking about i am still taking ompeprazole and always will,like i said i tried to come off long ago but the heartburn was still there,what i havnt had was the sickness feeling that started on and off from back last dec.to last thurs.reading that this is a side affect of this med.i am putting it down to that.

[Wavefloater]

I can never understand why people seek general medical advise at a forum like this. I can understand if it's a problem specific to tropical climates or Thailand, but not for general problems. I emphasize that especially in a case involving the old ticker (heart). Use Google instead where you can find sites and/or forums that focus on medical issues and advise. After reading so many inane and misinformed posts here over the past couple of years, I would never recommend anybody use it for a serious medical inquiry.

[Sheryl]

sorry sheryl if i am misleading you its the part of getting old you start to forget things now about oh sht what was i talking about i am still taking ompeprazole and always will,like i said i tried to come off long ago but the heartburn was still there,what i havnt had was the sickness feeling that started on and off from back last dec.to last thurs.reading that this is a side affect of this med.i am putting it down to that.

I think you are taking a real risk in assuming piotentially serious symptoms are only side effects of a medication yo uhave been taking for many years without problem. Especially given your cardiac history.