Still confused, GERD vs. Gastritis

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New Member

Date Joined Dec 2010
Total Posts : 12
   Posted 2/13/2011 1:52 PM (GMT -6)   
I have a few questions for the forum, but first I will start with my symptoms.

I am a 27 year old male in relatively good shape. I am not overweight, nor do I smoke or drink in excess.

My symptoms started about 6 months ago. I don't know if it is GERD or gastritis. (side note: my father has GERD due to a hiatal hernia)

My current symptoms:

1. Abdominal pain. Mostly in the center of my stomach. Mostly just a dull ache that seems to get better when eating. However, my stomach aches often when it is empty.
2. Heartburn. No so much the wicked heartburn that races up your esophagus and into your mouth, but really just burning in my stomach.
3. Nausea. I get nausea after I eat sometimes. Sometimes it just comes out of the nowhere and disappears after a while. I usually drink some pepto and that cames me and the nausea down.
4. Burning nostrils. When my stomach is really burning, it feels as if the burning is coming through my nostrils like they are inflammed.
5. Burping. I find myself burping a lot.

So, I have gone to numerous physicians and none of them know what it is. "Could be GERD, could be your gall bladder, could be gastritis..." I had a blood test done for H. pylori. It came back negative. I just recently had a Barium Swallow done, and they said everything looks normal. I asked the nurse who gave me the results of the test, "no signs of inflammation or ulcers," and she said "No." So... where does that leave me? Is it GERD or mild gastritis or my gall bladder?

I was on 40mg omperazole (generic prescription) for one month, but I was still having breakthrough symptoms. Now my doctor put me on generic Protonix (40mg once daily). That worked wonderfully in the beginning, but now I am on day 18 and breakthrough symptoms have been occurring again. Given that the PPIs sort of worked, that leads me to believe I can rule out gall bladder issues. Seeing as, if it was my gall bladder I would still be having pains even while on PPIs. No?

So, really, I just want to know what they hell it is I have. Should I go back for more H. pylori tests? I mean, I feel like I have gastritis symptoms. But then again, the PPIs should be more effective for gastritis, right? I don't know... I don't want to have an endoscopy done (nor does my insurance company), but I need to figure this out. It is causing too much worry and I just want to move on with my life.

If I have mild gastritis, with no ulcers, is this something that just heals slowly, with say, 6 months of PPI treatment? Again, I understand it depends on the cause. If it is H.pylori, I will have the joys of eating the "Prevpack" for 2 weeks.

I did take two courses of really strong anti-biotics in the last year. Clindamycin for a skin infection on my thumb that got huge! Just last month, Keflex for a giant boil I had on my hip. Funny thing is, while on Keflex I had no stomach complaints at all.

No clue, any insight?

Forum Moderator

Date Joined Feb 2009
Total Posts : 7181
   Posted 2/13/2011 8:01 PM (GMT -6)   
Hi zdkaiser,
Welcome to Healing Well! I'm sorry to hear you're having so many stomach problems. I'm sure that others will be by to share their own experiences and ideas.

I can identify with your situation. Many of us don't fit into the easily diagnosed categories, and are more difficult to diagnose. Often GI issues aren't that clear-cut.

I'm afraid I can't give you any specific help, but can tell you that your symptoms could indicate a reactive stomach--sensitive to a variety of stimuli. Do you notice the problem more after eating something specific, or taking a particular medication?

At times when you have an irritated stomach and some reflux, you can get some burning in the lower esophagus. Your stomach and esophagus will take quite a while to heal.

I'm glad you're pursuing a medical diagnosis. You might be helpful if you kept a journal of your symptoms, so when you see the doctor it will be easier to communicate what you're experiencing.

Good luck with your quest!
Take care,

Regular Member

Date Joined Feb 2011
Total Posts : 95
   Posted 2/16/2011 12:54 PM (GMT -6)   

Clindamycin is known for severe side effects to the digestive system that can occur many months after completing a round of it. Is tummy dr. aware you took this med?



Regular Member

Date Joined Jun 2010
Total Posts : 395
   Posted 2/19/2011 10:55 PM (GMT -6)   
I feel your pain! I have had numerous tests, have gone to the E.R., to my physician regularly with the same symptoms as you are describing and all they say is the same thing....gastritis and gerd! I think the gastritis is the main problem with the burning in the middle of the stomach and nausea symptoms most of the time. I have silent reflux since I don't have the usual acid coming up in to my throat and the burning either.

Do you have any sinus/ear issues? That was my complaint for quite awhile until my doctor said it was GERD. I am thinking you may have mainly the gastritis and it is very hard to deal with/get rid of. I take zegerid daily-the only thing that has really helped but I have to take a Mylanta tablet as well for breakthrough symptoms. I think the key to healing is diet, stress-reduction(good luck), and controlling the acid as much as you can. It won't happen quickly most of the time. Mine even comes and goes randomly, very annoying.

Good luck and try not to worry to much! Take care

New Member

Date Joined Dec 2010
Total Posts : 12
   Posted 2/23/2011 3:00 PM (GMT -6)   
I do have some sinus issues. Basically, when my stomach starts burning, my nostrils do to (they feel as if they are inflamed when i inhale/exhale). plus, i feel like i just noticed that i have tinnitus in my right ear. slightly in my left. they ring constantly, but i mostly can only hear them when i lay in bed and it is quiet late at night.

sometimes i wake up in the middle of the night and feel like I am choking. i wake up, and immediately sit up and just hack really hard, like i am going to vomit. it only happens occasionally. i don't think anything is coming up, but it feels like something is stuck in my throat.

again. all this happens, but i don't really feel like i have your "run of the mill" heartburn. i mostly just have stomach pain, sort of a gnawing feeling, and nausea. sometimes it feels like something is stuck in my throat.
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