|Stomach pain, acid taste in mouth and burning feeling
Feb 6, 2002
Dear Dr., I have been on Norvir,Fortovase,Zerit and Viramune for about two years. Besides many other problems such as neuropathy, recently I have had horrible stomach pain which is accompanied by a burning feeling in my gut, I break out in a sweat and an acid taste in my mouth, my Dr. put me on Prilosec, which did help but it is back. It ussually comes because I didn't eat properly the night before. Food grosses me out, it takes all I have to find a food I can get down. I do drink Ensure Plus which I love and does help, but what else should I do and is there anything I should be very concerned about? Your attention to this question is greatly appreciated.
| Response from Dr. Henry
Lots of details are not provided to help sort that out. Ritonavir containing regimens often are very hard on the stomach. Whether you can switch to a different regimen depends on whether your virus is resistant to some of the other meds and whether you cannot tolerate some of the other meds. Switching to a different regimen without ritonavir on a trial basis may help. An evaluation for H pylori disease, other stomach ailments, hepatitis, pancreatitis, esophageal reflux may be warranted depending on other details. If your appetite is bad Megace or Marinol might help. A good dental evaluation may also me be helpful. KH
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