{"id":1189,"date":"2022-02-08T07:49:08","date_gmt":"2022-02-08T04:49:08","guid":{"rendered":"https:\/\/whmc-sa.com\/?p=1189"},"modified":"2022-10-30T16:21:58","modified_gmt":"2022-10-30T13:21:58","slug":"internal-medicine-gastroenterology-and-endoscopy-clinic-2","status":"publish","type":"post","link":"https:\/\/whmc-sa.com\/en\/internal-medicine-gastroenterology-and-endoscopy-clinic-2\/","title":{"rendered":"Internal Medicine, Gastroenterology and Endoscopy Clinic"},"content":{"rendered":"<p style=\"text-align: left;\">Indigestion<\/p>\n<p style=\"text-align: left;\">I read your article about non-ulcer indigestion and found that the symptoms apply to me, and I took a lot of medications after the doctors thought I was suffering from Irritable Bowel Syndrome.<\/p>\n<p style=\"text-align: left;\">Indeed, I am complaining about it, but about 7 or 8 months ago, I began to feel the symptoms that I talked about, and since I have pain when pressing on the upper stomach, I suffer almost and completely.<\/p>\n<p style=\"text-align: left;\">Constant pain or rather a burning sensation in the lower chest, which makes me feel the need to cough. I don&#8217;t know if that also sometimes causes tightness in the chest?<\/p>\n<p style=\"text-align: left;\">I also live a kind of anxiety and stress daily, does that have an effect as well? Knowing that I took SCOPINAL and SPASMOMEN medicines without feeling much relief, and the second medicine helped me in relieving the symptoms of shortness of breath!<\/p>\n<p style=\"text-align: left;\">Ksh<\/p>\n<p style=\"text-align: left;\">As I mentioned in a previous issue, indigestion that is not associated with ulcers, its symptoms may be confused by the patient and the doctor sometimes, but after making sure that the patient is free of organic diseases, the doctor can start treating the condition as a functional disease by leaving food and drinks containing caffeine and cocoa and avoiding some harmful medicines for the stomach wall, such as Anti-arthritis, it is also advised to avoid smoking, and the patient often needs some medicines that control stomach secretions.<\/p>\n<p style=\"text-align: left;\">The case may be accompanied by some symptoms similar to Irritable Bowel Syndrome and may require treatment for a period of time, and it is not recommended to take the analgesic drugs mentioned in the last question because they are not feasible in the long term.<\/p>\n<p style=\"text-align: left;\">Vitamin B12<\/p>\n<p style=\"text-align: left;\">First: I would like to thank you very much for addressing the topic of (B12) on the Riyadh Medical page on Tuesday, 23\/1\/1430<\/p>\n<p style=\"text-align: left;\">Which was missed by many specialists and others&#8230;<\/p>\n<p style=\"text-align: left;\">While I appreciate your valuable time, I hope you will kindly answer my question:<\/p>\n<p style=\"text-align: left;\">I did a full analysis on 10\/16\/2008 AD and it was found that I have a severe deficiency of b12, as it was found that my average is (132) pg\/ml (132), while the normal range is from 190 to 900, and as you know of course..<\/p>\n<p style=\"text-align: left;\">I took a complementary treatment for this element by intramuscular injection (betolvex) 1mg\/ml (5) needles within 15 days, then one needle after two months&#8230; I have not been able to analyze again until now..<\/p>\n<p style=\"text-align: left;\">My question, if you would be so kind, is: Is this enough to cover my needs from the shortage, given that I am 54 years old.. Or do I have to take a needle every certain time.. and how can I get this element of food without the need for treatment?<\/p>\n<p style=\"text-align: left;\">And the most important question &#8211; may God prolong your life &#8211; what is the reason for this deficiency in me, knowing that I am a lot of thinking and nervous..<\/p>\n<p style=\"text-align: left;\">I was diagnosed with depression about 10 years ago &#8211; and I took Prozac (Fluoxetine) 20 mg 3 years ago and I am about to quit it now because my condition has improved a lot.. Is this medication or this depressive state related to B12 deficiency &gt;&gt; ..<\/p>\n<p style=\"text-align: left;\">I kindly request you to kindly inform me about these questions and give me useful information related to this vitamin to benefit from, as my information and those I asked about this element is very little&#8230;<\/p>\n<p style=\"text-align: left;\">Mg<\/p>\n<p style=\"text-align: left;\">With regard to vitamin B12 deficiency, the cause of the deficiency must be known first so that the necessary treatment plan can be given, knowing that the deficiency of this vitamin takes a long time (years) until the symptoms of deficiency become clear.<\/p>\n<p style=\"text-align: left;\">The deficiency may be due to a lack of eating food containing vitamin, such as meat, but over a period of years (such as vegetarian people) or who is exposed to a chronic disease, and the cause may be a defect in absorption from the intestine, and the patient usually needs treatment for long periods determined by the treating doctor according to the condition patient and accepting treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Indigestion I read your article about non-ulcer indigestion and found that the symptoms apply to me, and I took a lot of medications after the doctors thought I was suffering from Irritable Bowel Syndrome. Indeed, I am complaining about it, but about 7 or 8 months ago, I began to feel the symptoms that I [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":916,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[38],"tags":[],"class_list":["post-1189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts\/1189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/comments?post=1189"}],"version-history":[{"count":1,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts\/1189\/revisions"}],"predecessor-version":[{"id":1191,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/posts\/1189\/revisions\/1191"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/media\/916"}],"wp:attachment":[{"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/media?parent=1189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/categories?post=1189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/whmc-sa.com\/en\/wp-json\/wp\/v2\/tags?post=1189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}