Hematamesis it can be aggravated by NSAIDs with pre existing APD Or can be induced by mefenemic acid Is pt is alcoholic or has h/o GERD or APD Deranged LFTS or oesophageal varices Adv stop the culprit drug Ingest ice cubes Since three bouts hence substantial loss of blood monitor vitals if needed replace by BT Iv fluids and compensate electrolytes Inj ondestron inj pantaprazole Adv endoscopy
Haematamesis is a side effects of NSAID drug. Mucaine gel Haemostat. Needs further investigation and evaluation to conclude particularly Peptic acid and any serious eventuality.
NEED'S .. TO STOP NSAIDS .. PPI .. ANTACIDS .. R/ O.. CAUSES WITH INVESTIGATIONS.. GI..ENDOSCOPY.. USG..ABDOMEN..
Nsaid can cause Iv pantin bd R/0 pulm tb Haemetemesis Portal hypertension Malignancy Peptic ulcer
Now treatment for acute gastritis is required
It is due to mephenic acid Antacid Mucaine gel Ondosterone Haemostat
Mefenamic Acid can be given only for 7 days . If given for more days it could aggravate the side effects of the drug
Esophagitis and gastroesophageal reflux.
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Friends today I am discussing about Heartburn. What is heartburn? Despite its name, heartburn doesn’t affect the heart. Heartburn is a burning feeling in the lower chest, along with a sour or bitter taste in the throat and mouth. It usually occurs after eating a big meal or while lying down. The feeling can last for a few minutes or a few hours. Symptoms of heartburn Heartburn symptoms vary. They may be slight or extreme. The severity of heartburn may depend on what you have eaten and how much you have eaten. The main symptom of heartburn is a burning feeling in your throat and chest. This happens when when the acidic liquid from your food or drink comes back up into your esophagus. You may have difficulty swallowing or choke on this acid. It may even make you hoarse or cough. What causes heartburn? When you eat, food passes from your mouth down a tube called the esophagus. The esophagus is about 10 inches long in most people. To enter the stomach, the food must pass through an opening between the esophagus and stomach. This opening acts like a gate to allow food to pass into the stomach. Usually, this opening closes as soon as food passes through. But if it doesn’t close all the way, acid from your stomach can get through the opening and into your esophagus. This is called reflux. Stomach acid can irritate the esophagus and cause heartburn. Hiatal hernia can also cause heartburn. Hiatal hernia is a condition in which part of the stomach is pushed up through the diaphragm (the muscle wall between the stomach and chest) and into the chest. Sometimes this causes heartburn. How is heartburn diagnosed? You probably do not need a doctor to diagnose heartburn. Heartburn symptoms are easy to recognize. And there are many over-the-counter medicines to help manage symptoms. If you are questioning whether you have heartburn, you should ask your doctor. He or she will likely be able to diagnose you based on your symptoms. Can heartburn be prevented or avoided? You might be able to avoid heartburn by making some changes in your lifestyle. Tips for preventing heartburn include: Place 6- to 9-inch blocks under the legs at the head of your bed to raise it. Try to eat at least 2 to 3 hours before lying down. If you take naps, try sleeping in a chair. If you smoke, quit. Lose weight if you’re overweight. Don’t overeat. Eat high-protein, low-fat meals. Avoid tight clothes and tight belts. Avoid foods and other things that give you heartburn. Things that can make heartburn worse Many things can make heartburn worse. Heartburn is most common after overeating, when bending over or when lying down. Pregnancy, stress, and certain foods can also make heartburn worse. Things that can make heartburn worse: Cigarette smoking. Coffee (both regular and decaffeinated) and other drinks that contain caffeine. Alcohol. Carbonated drinks. Citrus fruits. Tomato products. Chocolate, mints, or peppermints. Fatty foods or spicy foods (such as pizza, chili, and curry). Onions. Lying down too soon after eating. Being overweight or obese. Aspirin or ibuprofen (one brand name: Motrin). Certain medicines (such as sedatives and some medicines for high blood pressure). Heartburn treatment If lifestyle changes and antacids don’t help your symptoms, talk with your doctor. Your doctor may want you to take prescription medicine. Or he or she may schedule you for some tests. Tests might include: pH test to check for acid in the esophagus. Endoscopy to check for other conditions. During an endoscopy, your doctor looks into your stomach through a long, thin tube. This tube is inserted down your esophagus. Your doctor may also check for pylori, bacteria that can cause ulcers. What about medicines for heartburn? Several kinds of medicine can be used to treat heartburn. Antacids neutralize the acid that your stomach makes. 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You have heartburn often (more than 3 times a week) for more than 2 weeks. Primary Homoeopathic Remedies Carbo vegetabilis This remedy relieves bloating and gas in the stomach, with belching. Lycopodium This remedy relieves discomfort and indigestion, with bloating around the waist and gas, especially after eating onions or garlic. Natrum carbonicum This remedy can be helpful to mild people who have trouble digesting and assimilating many foods and have to stay on restricted diets. Indigestion, heartburn, and ulcers can occur if offending foods are eaten. Milk or dairy products can lead to flatulence or sputtery diarrhea that leaves an empty feeling in the stomach. Cravings for potatoes and sweets are common; also milk, but it makes these people sick, so they have usually learned to avoid it. Nux vomica This homeopathic remedy relieves nausea and cramps from indigestion, especially after excessive eating of spicy foods or drinking of alcohol. 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