Your Doctor
Dear Doctor, I have been suffering from chronic gastric ulcer for the last 12 years. Following the advice of gastroantrologist I have done endoscopy, conoscopy, CBC, IgG. H. Pylori was found as a causative agent of my problem. Doctor prescribed Clarithromycin+Amoxycillin+Omeprazole 20mg BD. I am taking Omeprazole 20mg BD for many years. I don't take anything that is sweet or sour, nor do I take meat, milk and dairy products. But till now I have been suffering from the same problem. There is no improvement. Are there any side effects of long term use of PPI? Is my problem not curable? Please, give me a suggestion. Regards A K Sarker DhakaAnswer: As gastric ulcer is a very common problem in our country, people think first about it, if they have any pain or other abnormality in the upper abdomen. But all should not be considered as gastric ulcer. As you are taking triple therapy and there is no improvement, most likely you have been suffering from irritable bowel syndrome (IBS), which is often misunderstood. For confirmation you need to consult with an experienced gastroenterologist. You are using proton pump inhibitor (PPI) for long time. There is very little or almost no side effects of prolong use of PPI. So you need not get worried about that. On coming issue "Your Doctor" will respond to problems of Orthopaedics. Send your questions to Your Doctor, Star Health, The Daily Star, 19, Karwan Bazar, Dhaka 1215 or e-mail your problem to [email protected]
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Dr Faruq Ahmed Gastroenterologist Sir Salimullah Medical College and Mitford Hospital, Dhaka |