Any questions: Why does rebound abdominal pain occur after anti-ulcer drugs are stopped?BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7090.0i (Published 03 May 1997) Cite this as: BMJ 1997;314:i
- R G Long, is a consultant gastroenterologist
Our attempts to stop proton pump inhibitors and H2 antagonists in patients with dyspepsia (but not proved ulcers) are often associated with a rebound in abdominal pain. What are the likely causes of this? Are high gastrin concentrations (resulting from suppression of hydrochloric acid) likely to be important?
The causes of non-ulcer dyspepsia are numerous, but the commonest cause associated with rapid relapse of symptoms is gastro-oesophageal reflux. Clinically, the epigastric pain is usually associated with symptoms of heartburn, regurgitation of acid, and increased oral flatulence. Such symptoms may occur without …