Duodenal Ulcer and Menstrual Irregularities: Seeking Answers

Q: Duodenal Ulcer and Menstrual Irregularities: Seeking Answers

Hello： It is recommended to first consult your original physician to discuss the issues you are experiencing with your medication and to inform them of the side effects. <br>See if the original physician assesses the need to switch to another medication of the same class. <br>If

Duodenal ulcer, menstrual irregularities?

Hello doctor, about a month ago, I experienced severe upper abdominal pain after eating.
After examination, the doctor diagnosed me with severe bloating and initially prescribed a week’s supply of Moshu Wei Qing, magnesium oxide tablets, and Gascon.
However, after taking the medication, I experienced intense headaches, dizziness, and fatigue within half an hour.
Additionally, my menstrual cycle, which had just ended two weeks prior, started again.

Subsequently, I underwent an endoscopy, which confirmed that I have a duodenal ulcer, mild gastritis, and gastroesophageal reflux disease (GERD).
I was prescribed a two-month course of Pantoprazole and advised to eat smaller, more frequent meals.
However, the results have been inconsistent, and I often experience pain so severe that I can’t stand.
My symptoms include hunger pangs, pain after eating, and bloating immediately after meals.
My menstrual cycle resumed just a week after it ended, and I am unsure of what to do next.
After finishing a month of Pantoprazole, I returned for a follow-up and informed the doctor about these symptoms.
The doctor prescribed the initial medications again, advising me to take them alongside Pantoprazole, but I am very concerned about the side effects of those medications (dizziness and headaches).
Currently, I am only taking Pantoprazole.
Should I consider seeing another doctor for further evaluation, or could this be indicative of issues beyond gastrointestinal problems that require a different specialist?

MMo, 20~29 year old female. Ask Date: 2016/03/29

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: It is recommended to first consult your original physician to discuss the issues you are experiencing with your medication and to inform them of the side effects.
See if the original physician assesses the need to switch to another medication of the same class.
If there is still no improvement, you can obtain a copy of your medical report and seek consultation with another physician; the same tests do not need to be repeated.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/03/29

More Info

It sounds like you're experiencing a complex interplay of gastrointestinal issues and menstrual irregularities, which can indeed be concerning. Let's break down your situation and explore the potential connections and next steps.

Understanding Your Symptoms
You have been diagnosed with a duodenal ulcer, mild gastritis, and gastroesophageal reflux disease (GERD). These conditions can cause significant abdominal pain, especially after eating, as you have described. The pain you experience can be attributed to the ulcer, which is an open sore on the lining of the duodenum, and the gastritis, which is inflammation of the stomach lining. Both conditions can lead to discomfort, bloating, and a sensation of fullness after meals.

Menstrual Irregularities
Your menstrual irregularities, particularly the recurrence of menstruation shortly after it has ended, can be influenced by several factors, including stress, hormonal imbalances, and possibly the medications you are taking. Stress from chronic pain and gastrointestinal issues can lead to hormonal fluctuations that may affect your menstrual cycle. Additionally, certain medications, especially those that affect the gastrointestinal system, can have side effects that may influence hormonal balance.

Medication Concerns
You mentioned experiencing side effects such as headaches and dizziness from the medications prescribed for your gastrointestinal issues. It's crucial to communicate these side effects to your healthcare provider. They may consider adjusting your medication regimen or exploring alternative treatments that may be more tolerable for you.
The medication "百抑潰" (likely a proton pump inhibitor) is commonly used to reduce stomach acid and promote healing of ulcers. While effective, it can sometimes lead to side effects like headaches and dizziness. If these side effects are intolerable, your doctor may suggest a different class of medication or adjunct therapies, such as antacids or H2 blockers, which might be easier on your system.

Next Steps
1. Follow-Up with Your Doctor: It’s essential to keep your healthcare provider informed about all your symptoms, including the menstrual irregularities and the side effects of your current medications. They may want to conduct further evaluations, such as blood tests to check hormone levels or imaging studies to assess your gastrointestinal tract.

2. Consider a Specialist: If your symptoms persist or worsen, it may be beneficial to consult with a gastroenterologist who specializes in digestive disorders. They can provide a more in-depth evaluation of your gastrointestinal issues and suggest tailored treatment options. Additionally, if your menstrual irregularities continue, consulting with a gynecologist may be warranted to rule out any hormonal or reproductive issues.

3. Lifestyle Modifications: In addition to medication, consider lifestyle changes that can help manage your symptoms. Eating smaller, more frequent meals can help reduce the burden on your digestive system. Avoiding trigger foods (spicy, fatty, or acidic foods) and managing stress through relaxation techniques or counseling may also be beneficial.

4. Monitoring Symptoms: Keep a detailed diary of your symptoms, including pain levels, menstrual cycle changes, and any side effects from medications. This information can be invaluable for your healthcare provider in determining the best course of action.

Conclusion
Your situation is multifaceted, involving both gastrointestinal and potential hormonal issues. Open communication with your healthcare providers is key to managing your symptoms effectively. Don't hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Remember, your health and comfort are paramount, and there are various avenues to explore for relief.

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