Consultation on Gastrointestinal Bloating and Medications
Hello Dr.
Chang,
1.
After quitting smoking in early September, I have been experiencing withdrawal symptoms, including severe bloating.
2.
On October 15, I underwent an upper gastrointestinal endoscopy and ultrasound.
The doctor diagnosed me with gastroesophageal reflux disease (GERD) and mild duodenal ulcer.
I was prescribed the following medications, which I currently take once in the morning and once in the evening:
- Panho Enteric F.C.
40mg (one tablet daily before meals)
- Gaslan 40mg (after meals, twice daily)
- Mopride 5mg (Moshuwai Qing enteric-coated tablet)
- Propranolol 10mg (for heart rhythm issues)
Yesterday, I experienced nasal congestion, a sensation of something stuck in my throat, hoarseness, and difficulty breathing.
These issues have persisted since I quit smoking.
During my initial visit to the clinic, I was diagnosed with nasal allergies and prescribed the following medications to be taken with meals:
- Biofermin 150mg (oral, probiotic)
- Bromelain 100mg (enteric-coated tablet)
- Allegra 60mg (oral, antihistamine)
- Lontec (oral, nasal decongestant)
- Deallergy 10mg-ZYR (enteric-coated antihistamine, as needed)
- Scanol 500mg (oral, as needed)
I have the following concerns:
1.
Can these medications be taken simultaneously?
2.
Are there any specific side effects I should be particularly aware of?
3.
Can gastroesophageal reflux disease trigger nasal congestion, throat discomfort, and hoarseness, among other symptoms?
Mr. PY, 60~69 year old female. Ask Date: 2021/10/21
Dr. Zhang Kebin reply Gastroenterology and Hepatology
Dear Mr.
PY,
You have the following concerns: (1) Can these medications be taken simultaneously? (2) Are there any side effects that should be particularly noted? (3) Can gastroesophageal reflux disease (GERD) simultaneously trigger nasal congestion, throat discomfort, hoarseness, etc.?
1.
Individual responses to medications vary; some people can take them together while others cannot.
It is advisable to discuss this with the prescribing physician.
2.
The typical symptoms of gastroesophageal reflux include acid regurgitation and heartburn.
Other possible symptoms may include nighttime cough, throat discomfort, and hoarseness.
It is recommended to monitor whether these symptoms improve after taking the medication and to discuss this with your physician.
Thank you for your inquiry.
Reply Date: 2021/10/21
More Info
Quitting smoking is a significant step towards improving your overall health, but it can also lead to various withdrawal symptoms and gastrointestinal issues, as you've experienced. Your concerns about the medications prescribed and their interactions, as well as the symptoms you're facing, are valid and deserve thorough consideration.
1. Can these medications be taken together?
The medications you've been prescribed include Panho Enteric F.C, Gaslan, Mopride, Propranolol, Biofermin, Bromelain, Allegra, Lontec, Deallergy, and Scanol. Generally, these medications can be taken together, but it is crucial to consult with your prescribing physician or pharmacist for personalized advice. Each medication serves a specific purpose:
- Panho Enteric F.C is used for gastric protection and to manage symptoms of gastroesophageal reflux disease (GERD).
- Gaslan is an anti-gas medication that helps relieve bloating and discomfort.
- Mopride is a prokinetic agent that aids in gastrointestinal motility.
- Propranolol is a beta-blocker that can help manage anxiety and physical symptoms related to stress.
- Biofermin is a probiotic that supports gut health.
- Bromelain is an enzyme that may help with inflammation and digestion.
- Allegra is an antihistamine for allergy relief.
- Lontec and Deallergy are also antihistamines for managing allergic symptoms.
- Scanol is used for pain relief.
While many of these medications can be safely combined, it's essential to monitor for any adverse reactions or increased side effects. Always inform your healthcare provider about all medications you are taking, including over-the-counter drugs and supplements.
2. Are there any side effects to watch out for?
Each medication comes with its own set of potential side effects. For example:
- Panho Enteric F.C may cause gastrointestinal discomfort.
- Gaslan can lead to diarrhea or constipation in some individuals.
- Mopride may cause abdominal cramps or diarrhea.
- Propranolol can lead to fatigue, dizziness, or a slow heart rate.
- Allegra may cause drowsiness in some individuals, although it is less sedating than older antihistamines.
- Bromelain can cause gastrointestinal upset or allergic reactions in sensitive individuals.
It's important to monitor how your body responds to these medications, especially since you are also experiencing withdrawal symptoms from quitting smoking. If you notice any severe or unusual side effects, contact your healthcare provider immediately.
3. Can gastroesophageal reflux disease (GERD) cause nasal congestion, throat discomfort, or hoarseness?
Yes, GERD can indeed lead to symptoms such as nasal congestion, throat discomfort, and hoarseness. This occurs because the acid from the stomach can irritate the esophagus and throat, leading to inflammation. Additionally, some individuals may experience post-nasal drip as a result of throat irritation, which can further exacerbate nasal congestion and throat discomfort.
Moreover, smoking can contribute to respiratory issues and allergies, which may also play a role in your symptoms. Since you have recently quit smoking, your body is undergoing significant changes, and it may take time for your respiratory and gastrointestinal systems to adjust.
Conclusion
In summary, managing gastrointestinal issues and withdrawal symptoms after quitting smoking can be challenging. It's essential to maintain open communication with your healthcare provider regarding your medications and any side effects you experience. Additionally, lifestyle changes, such as adopting a healthier diet, staying hydrated, and avoiding triggers that worsen GERD symptoms, can significantly improve your condition. If your symptoms persist or worsen, further evaluation may be necessary to rule out other underlying conditions. Remember, recovery is a journey, and seeking support from healthcare professionals can make a significant difference in your experience.
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