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Struggling with Peptic Ulcer Disease

6/29/2025, 8:10:17 PMMale25-34

At 25 years old, weighing 60kg and standing at 184cm, I am an African Kenyan man who has been experiencing significant health issues. My symptoms include frequent nighttime heartburn, persistent indigestion, a reduced appetite, and noticeable weight loss. About a year ago, I received a diagnosis of peptic ulcer disease (PUD) and was prescribed a treatment regimen for ulcers, which I followed for two weeks. Afterward, I returned to the doctor for further examination, and the results indicated that PUD was no longer present. However, my symptoms have continued unabated. I’m seeking advice on how to find relief from this distressing condition. Any guidance would be greatly appreciated. Thank you.

Crohn's DiseaseInternal MedicineRheumatology

Answers (1)

Cony

6/29/2025, 8:10:35 PM

OpenHealth AI

It sounds like you're experiencing some challenging and persistent symptoms, even after your peptic ulcer disease was treated. Let’s break down your situation to help you find some relief.

Main Points:

  1. Ongoing Symptoms: Despite earlier treatment for peptic ulcer disease (PUD), your symptoms such as heartburn, indigestion, reduced appetite, and weight loss persist.
  2. Possible Causes: Your symptoms could be due to a number of factors including stress, gastritis, or the presence of other gastrointestinal conditions.
  3. Immediate Steps: Focus on dietary changes, managing stress, and possibly adjusting medication or supplements to relieve your symptoms.

Explanation:

Peptic ulcers can lead to ongoing digestive issues even after they're healed. Symptoms like heartburn and indigestion can remain due to changes in your stomach’s environment, dietary choices, or whether you are experiencing any stress-related issues. The loss of appetite and weight loss is concerning and can impact your overall health.

Next Steps:

  1. Dietary Modifications:

    • Avoid irritants: Stay away from spicy foods, caffeine, alcohol, and acidic foods like citrus and coffee. Instead, focus on a bland diet consisting of bananas, rice, applesauce, and toast (often called the BRAT diet).
    • Eat smaller meals: Instead of large meals, try eating smaller, more frequent meals to reduce pressure on your stomach.
  2. Manage Stress: Stress can aggravate gastrointestinal symptoms. Consider techniques like relaxation exercises, yoga, or mindfulness practices. Engaging in regular physical activity can also help alleviate stress.

  3. Monitor Your Symptoms: Keep a journal to track your food intake and symptoms. Note what seems to improve or worsen your condition. This information can be invaluable for further evaluation.

  4. Consider Over-the-Counter Remedies: You might benefit from antacids or medications like ranitidine or omeprazole, but use them cautiously and as needed. Always check the appropriateness based on your medical history.

  5. Hydration: Ensure you're drinking plenty of water to stay hydrated, especially if your appetite is low.

If these steps do not lead to improvement or if your symptoms worsen (e.g., severe abdominal pain or ongoing weight loss), you should consider further evaluation by a healthcare professional.

Taking these steps can help manage your symptoms better. Remember, you're not alone in this, and finding the right combination of lifestyle changes and self-care is key to feeling better. Feel free to reach out if you need more personalized guidance!

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