Could you please provide more context or specify your question regarding medication?
Hello, pharmacist.
I had an upper gastrointestinal endoscopy yesterday, and I'm feeling quite uncomfortable.
The results showed that I do not have gastroesophageal reflux disease, but I do have gastritis.
The doctor at Chang Gung prescribed me "Gastric Protectant Enteric-Coated Tablets," which seems to be indicated for gastric ulcers, duodenal ulcers, and esophagitis, rather than gastritis.
My stomach feels bloated after the endoscopy.
Cai Xiansheng, 30~39 year old female. Ask Date: 2016/04/15
Dr. Hou Fangmin reply Pharmacology
Hello Mr.
Tsai:
1.
(Gastric Lizard Membrane-Coated Tablets) Indications: The drug acts by blocking H2 receptors on gastric mucosal parietal cells, inhibiting gastric acid secretion, and demonstrating healing effects on gastric ulcers, duodenal ulcers, and gastritis.
It is indicated for gastric ulcers, duodenal ulcers, gastroesophageal reflux disease, Zollinger-Ellison syndrome, post-surgical ulcers, and upper gastrointestinal bleeding (including bleeding due to peptic ulcers, acute stress ulcers, and hemorrhagic gastritis).
This medication has multiple uses.
It is normal to experience bloating after undergoing an endoscopy.
According to health insurance regulations, this medication can only be reimbursed if an endoscopy has been performed.
Wishing you good health, peace, and happiness.
Reply Date: 2016/04/15
More Info
After undergoing an endoscopy, it's common to experience discomfort, especially if the findings indicate stomach inflammation or other gastrointestinal issues. In your case, the medication prescribed by your doctor, which appears to be a proton pump inhibitor (PPI) like "胃利贊膜衣錠" (likely a brand name for a PPI), is indeed appropriate for managing conditions such as gastritis, gastric ulcers, and esophagitis.
Understanding the Medication
PPIs work by reducing the amount of acid produced in the stomach, which can help alleviate symptoms associated with inflammation and ulcers. They are commonly prescribed for conditions like gastroesophageal reflux disease (GERD), peptic ulcers, and chronic gastritis. While the medication may be labeled for treating ulcers, it is also effective for managing inflammation in the stomach lining.
Why You Might Feel Discomfort
Feeling bloated or uncomfortable after an endoscopy can be attributed to several factors:
1. Air Insufflation: During the procedure, air is often introduced into the stomach to provide a clearer view of the gastrointestinal tract. This can lead to temporary bloating and discomfort.
2. Post-Procedure Sensitivity: The stomach lining may be sensitive after the procedure, especially if inflammation was present. This sensitivity can cause discomfort as the stomach adjusts.
3. Medication Effects: While PPIs are effective, they can sometimes lead to side effects such as bloating or gas, particularly when starting the medication.
Recommendations for Managing Discomfort
1. Follow Your Doctor's Instructions: Continue taking the prescribed medication as directed. It may take a few days for the medication to start alleviating symptoms.
2. Dietary Adjustments: Eating soft, bland foods can help reduce irritation in the stomach. Avoid spicy, acidic, or fried foods, as well as caffeine and alcohol, which can exacerbate symptoms.
3. Hydration: Drink plenty of water, but avoid carbonated beverages that can increase bloating.
4. Small, Frequent Meals: Instead of large meals, try eating smaller portions more frequently throughout the day to ease the burden on your stomach.
5. Monitor Symptoms: Keep track of your symptoms. If discomfort persists or worsens, or if you experience severe symptoms like vomiting, significant pain, or blood in your stool, contact your healthcare provider immediately.
When to Seek Further Help
If your symptoms do not improve within a few days of starting the medication, or if you have concerns about the medication's effectiveness, it's important to follow up with your healthcare provider. They may need to reassess your condition, adjust your medication, or explore other treatment options.
Conclusion
In summary, the medication prescribed is appropriate for your condition, and while discomfort after an endoscopy is common, it should gradually improve. By following dietary recommendations and monitoring your symptoms, you can help facilitate recovery. Always maintain open communication with your healthcare provider regarding any concerns or persistent symptoms.
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