Continued Discomfort

[LibMill]

I was diagnosed 2 years ago with stomach ulcers.  The doctor's findings are..."My entire stomach is one big ulcer". Biopsis were done and they all came back negative.  The Dr. started me on 40 mg. of Nexium once a day, we had to up the dosage to 40 Mg. twice a day to see results.  I have been maintaining this dosage for 2 years, and in the last few months my discomfort has seriously increased. I feel as if I constantly carry around a 5 lb weight where my stomach used to be, and upon eating ANYTHING...even so little as a few bites of food the "heaviness" in my belly doubles.  There is no burning or indegestion, just heaviness and misery.  I am scheduled to see my gastrointerologist on Wednesday, but I was hoping someone could give me some insight on what to expect.  he says that I am at my maximum dosage of medication.....what else can we do?

[S. Kaul, MD]

Hi there!

Well, without a detailed clinical evaluation it would be difficult to determine the cause of your symptoms. Possibilities that may need to be considered include gastritis, recurrent/ chronic gastric ulcer etc. Factor that may prevent ulcer healing include stress, hyperacidity, infections, dietary causes, hormonal/ endocrine issues etc. A detailed evaluation to look at possible secondary issues that could complicate the situation would be required in the situation aside a repeat endoscopy and biopsy. Also aside medications aiming at reducing acidity, lifestyle changes, medications that promote ulcer healing and management of secondary causes would be recommended. I would suggest considering a detailed evaluation by a gastroenterologist for suggestion of an appropriate management plan.
Hope this is helpful.

Take care!

[LibMill]

Thank you for your input....Secondary EGD w/biopsy is scheduled for May 1.  We will see.....