Doctor insights on:
What Is The Best Treatment For Epigastric Tenderness
Many options: Some simple things to do for tendonitis include rest, icing (20 minutes per hour), anti-inflammatory medications (such as advil, (ibuprofen) motrin, or aleve), and possibly splinting. See your doctor, however, if these simple treatments are not sufficient, or if your symptoms worsen. ...Read more
Diagnosis: There is never a best treatment without first obtaining an accurate diagnosis. Consultation with an md is the only way to obtain the information about why, and then a best treatment can be planned for. Good luck! ...Read more
Depends on cause: It depends on the cause of the ulcer. If it's due to stasis ulcer (decubitus), then a dressing such as duoderm is helpful. Also, bec there is usualky secondary bacterial infection, tipical and/or antibiotics may be necessary. ...Read more
IBS: Abdominal bloating is considered to be a subset of irritable bowel syndrome but you will need to be evaluated for other causes like reflux, gallstones, pancreatic problems, gyn problems if female and kidney problems. Once work up is negative options are probiotics, antispasmodics and a new treatment with antibiotic rifaximin. Consult your doctor for options. ...Read more
Control glucose: Most important is to control ur blood sugar-w/o that it will likely cont to progress. Tx aimed @ sx include oral: gabapentin, pregabalin, some antidepressants (ex duloxetine), more & topical: capsaicin, lidocaine, tens, more. Dfclt to predict who will respond to which the best. Lots of choices & i gen talk thru in's & out's of many & decide together which to try 1st, etc. May need combo top + oral. ...Read moreSee 1 more doctor answer
Depends on the cause: Your pain could due to trauma (fracture, sprain, arthritis, inflammation), infection, metabolic conditions (gout), poor circulation, musculoskeletal or biomechanical abnormality and different neurologic conditions (neuropathy). A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. ...Read moreSee 1 more doctor answer
Acid blockers: Also known as proton pump inhibitors like Omeprazole etc. Are recommended for the treatment of ulcers. Otc antacids may help with short term symptom relief but will not heal ulcers. If h. Pylori bacterium is present you will need antibiotics as well. Avoid any nsaids, or Aspirin and make sure you eat light avoiding heavy, spicy and acidic foods, including citrus, sodas, caffeine, alcohol & smoking. ...Read moreSee 1 more doctor answer
Ibuprofen/tylenol: Alternating 3 Ibuprofen with 2 tylenol (acetaminophen) at 3 hour intervals gives almost narcotic levels of pain relief without the complications of narcotics. Assuming you can tolerate Ibuprofen and don't exceed the maximum daily dosage for either medication, there is a synergystic effect. ...Read moreSee 2 more doctor answers
Excision: I have to respectfully disagree with dr. Beard. While 80% of patients have pain relief while on lupron, (leuprolide) over half of all patients have a recurrence of pain within a year, some after 6 mos. Complete excision of endo can be done without removing any reproductive organs, and has a 80% chance of curing endo with no recurrence of endo. There are no hormonal side effects like Lupron (leuprolide) has. ...Read moreSee 1 more doctor answer
H Pylori eradication: Peptic ulcers are commonly caused by helicobacter pylori infection, a tough bacteria that can survive in the acidic environment of the stomach. Getting tested for and treated for this condition is important in peptic ulcers. H. Pylori is not the cause. Stomach acid suppression with proton pump inhibitors may also be effective depending on the type, location, and severity of he ulcer. ...Read more
Type and stage: Treatment will depend on the type of cancer and the stage of cancer. Your performance status ( how good your condition is/other medical problems etc) is also a very important factor that has to be calculated in when deciding the best treatment for each case. ...Read moreSee 1 more doctor answer
Options: You have multiple options, the mainstay of treatment are interdisciplinary and include physical therapy, acupuncture, medications (anti-inflammatories, nerve pain agents) and epidural steroid injections. Depending on your response surgery may need to be considered. There continue to be emerging technologies to treat sciatica in a minimally invasive fashion. ...Read moreSee 2 more doctor answers
Depends on type: Leg ulcers may be caused by arterial disease or they are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. These ulcers are generally on the ankle mostly on the inside of the leg. The skin is ofter brown in that area. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read moreSee 2 more doctor answers
Depends: This depends on cause of the "gastric pains".... Abdominal pain? There are treatments for cramps, ulcer disease, heartburn, reflux disease, gallbladder disease, etc.... It is important you discuss with your family physician. He/she will perform a complete history review and physical exam. The results will help direct additional evaluation and diagnose necessary to treat you. ...Read more
Keep it simple.: Medical treatment of IBS can get complicated and is never wholly successful. Start simply with plenty of water, 50 grams of fiber daily, small more frequent meals and OTC remedies for bloating and such. Keep your fiber intake divided equally among 5-6 meals/snacks daily. ...Read more
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