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Ask Dr. Natasha Your Own Question
Dr. Natasha
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine, Ivy League trained
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Got Gastritis from bacteria and i have antibiotics. But Im

Resolved Question:

Got Gastritis from bacteria and i have antibiotics. But I'm scared my tummy will bleed.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Natasha replied 3 years ago.

Dr. Natasha :

hello

Dr. Natasha :

welcome to the chat

Dr. Natasha :

are you still there

Customer:

I am

Dr. Natasha :

why do you think that your tummy will bleed

Dr. Natasha :

Which antibiotics are you on

Dr. Natasha :

and what are you taking for your gastritis?

Customer:

The antibiotics begin with e

Dr. Natasha :

erythromycin

Customer:

And form the Gastritis they begin with. I

Customer:

O

Dr. Natasha :

omeprazole

Dr. Natasha :

you are only on erythromycine for the gastritis?

Customer:

Yes two both

Dr. Natasha :

usually they give you 2-3

Dr. Natasha :

different ones

Customer:

Will it go?

Dr. Natasha :

will it go where

Customer:

The Gastritis?

Customer:

It hurts

Customer:

And scared

Dr. Natasha :

are you taking anything else like maalox?

Customer:

No

Customer:

will i be ok to go on hoilday

Dr. Natasha :

These are the recommened treatmnets for h.pylori

Dr. Natasha :

Omeprazole 40 mg QD + clarithromycin 500 mg TID x 2 wks, then omeprazole 20 mg QD x 2 wks


-OR-


Ranitidine bismuth citrate (RBC) 400 mg BID + clarithromycin 500 mg TID x 2 wks, then RBC 400 mg BID x 2 wks


-OR-


Bismuth subsalicylate (Pepto Bismol®) 525 mg QID + metronidazole 250 mg QID + tetracycline 500 mg QID* x 2 wks + H2 receptor antagonist therapy as directed x 4 wks


-OR-


Lansoprazole 30 mg BID + amoxicillin 1 g BID + clarithromycin 500 mg TID x 10 days


-OR-


Lansoprazole 30 mg TID + amoxicillin 1 g TID x 2 wks**


-OR-


Rantidine bismuth citrate 400 mg BID + clarithromycin 500 mg BID x 2 wks, then RBC 400 mg BID x 2 wks


-OR-


Omeprazole 20 mg BID + clarithromycin 500 mg BID + amoxicillin 1 g BID x 10 days


-OR-


Lansoprazole 30 mg BID + clarithromycin 500 mg BID + amoxicillin 1 g BID x 10 days

Customer:

My doctor said that is all i need

Dr. Natasha :

so you really need more antibiotics if you want to eradicate it

Dr. Natasha :

that is not the recommended treatment

Dr. Natasha :

http://www.cdc.gov/ulcer/keytocure.htm#treatment

Customer:

Will i be ok?

Dr. Natasha :

Yes, you will be 'ok' but it may not work

Dr. Natasha :

you can take maalox or mylanta for pain

Customer:

Still ok to go on holiday?

Dr. Natasha :

yes, you can go on holiday

Dr. Natasha :

no alcohol

Dr. Natasha :

or motrin, ok?

Dr. Natasha :

and check in with your doc when you get back about the other treatments I suggested

Dr. Natasha :

did I provide you with excellent service?

Dr. Natasha :

hello

Customer:

My stomach won't bleed will it

Dr. Natasha :

unlikely

Dr. Natasha :

don't drink alcohol or take motrin

Dr. Natasha :

did I provide you with excellent service?

Customer:

I'm just scared that it will happen

Dr. Natasha :

hey, you can always write to me

Dr. Natasha :

did I provide you with excellent service?

Customer:

It just hurts

Dr. Natasha :

take maalox and mylanta

Dr. Natasha :

that will help. I promise

Dr. Natasha :

maalox OR mylanta

Dr. Natasha :

did I provide you with excellent service?

Customer:

Is it normal for it to hurt?

Dr. Natasha :

yes, it can hurt if it is still irritated

Dr. Natasha :

it can take months to resolve

Dr. Natasha :

did I provide you with excellent service?

Customer:

Oh ok, can you feel it if my stomach is swollen?

Dr. Natasha :

yes, if can be swollen if you have air in there

Customer:

Cause I one put of my stomach hurts a little more

Dr. Natasha :

that is not surprising if your stomach is inflammed

Customer:

Also when I get a lot of gas and wind it makes me have a bm is that normal

Dr. Natasha :

you may want to try simethicone for the excess gas

Dr. Natasha :

did I provide you with excellent service?

Customer:

Is it normal?

Dr. Natasha :

yes

Customer:

So every think sound normal to you?

Dr. Natasha :

did I provide you with excellent service?

Customer:

So you don't think my stomach will bleed that is all I'm scared about.

Customer:

??

Dr. Natasha :

Can you answer my question first

Customer:

What is that?

Dr. Natasha :

did I provide you with excellent service?

Customer:

Yes you have

Dr. Natasha :

great.

Customer:

Can you answer my question plz

Dr. Natasha :

I think that there is always a possibility of bleeding, but in your case, being 26 years old without any other medical problems, it is highly unlikely

Dr. Natasha :

you need to eat a bland diet, no tomatoes, spicy food, acidic food, alcohol or motrin

Dr. Natasha :

you can take maalox or mylanta for pain

Customer:

I have mitral valve prolapse

Dr. Natasha :

I mean, no diabetes, kidney failure, lupus, etc

Customer:

Does it normal cause bleeding

Customer:

?

Dr. Natasha :

what causes bleding

Customer:

What I have wrong with me?

Dr. Natasha :

does gastritis cause bleeding? yes it can

Customer:

What happens if it dose?

Customer:

I'm going on holiday.

Customer:

??

Dr. Natasha :

then unless you have black or bloody stool, then don't worry about it

Dr. Natasha :

and if you do, go to A&E

Customer:

See that is scared me

Dr. Natasha :

I DON'T THINK YOU WILL BLEED

Dr. Natasha :

GO ON YOUR HOLIDAY AND HAVE FUN

Customer:

I feel I could cry

Dr. Natasha :

You will be fine

Dr. Natasha :

Have you thought about seeing someone for health anxiety

Dr. Natasha :

Listen

Dr. Natasha :

I am an ER doctor

Dr. Natasha :

If I thought this was an emergency, I would tell you to go to A&E now

Dr. Natasha :

If I thought you should not go on holiday, I would tell you not to go

Dr. Natasha :

the fact, that I, as an ER doctor, is telling you that your chance of bleeding is very very small and go have fun, should mean something to you

Dr. Natasha :

people pay me $300 in the states to tell them that

Dr. Natasha :

if you are still anxious about this, then you need to talk to a counselor

Customer:

Ok you think I'm begin silly

Customer:

?

Dr. Natasha :

honestly, yes

Dr. Natasha :

I think that you need a vacation ;-)

Customer:

Ok and the medicine will help

Dr. Natasha :

go have fun. you are 26 years old.

Dr. Natasha :

yes, it will

Dr. Natasha :

please have a good time and come back and tell me all about it

Dr. Natasha :

I am not going on vacation this year- I have to take my boards again!

Customer:

Oh ok thank you

Customer:

You think I am over the top

Dr. Natasha :

I think that you are stressing yourself out

Customer:

What for no reason

Dr. Natasha :

pretty much

Customer:

I just get scared, cause I don't want it to happen

Dr. Natasha :

well, I would like to win the lottery, but that won't happen either

Customer:

Is it uncommon for bleeding to happen

Dr. Natasha :

for you, YES

Dr. Natasha :

I have to jet. Gotta pick up my kids.

Dr. Natasha :

Have a great vacation and have FUN

Dr. Natasha and 2 other Medical Specialists are ready to help you