Anal fissures usually heal within 4 to 6 weeks with your treatment of Veloz (rabeprazole), Sitcom (euphorbia prostrata), and Duphalac (lactulose). Regarding your frequent, large-volume, painless urination, this is highly unlikely to be related to the fissure or these medications. It could simply be from high fluid intake, but it can sometimes indicate a separate metabolic or kidney-related issue. I highly recommend mentioning this new symptom to your doctor for a simple evaluation.

Dark, sticky stools often suggest bleeding in the digestive tract, and Veloz D (rabeprazole and domperidone) helps reduce stomach acid to manage this. Because your hemoglobin has dropped to 5.7 and you have an enlarged spleen, it is very important that you seek immediate medical care. Please contact your doctor or go to the nearest emergency room. They can safely evaluate your spleen and blood count, and perform an endoscopy to find the exact cause of the bleeding.

Veloz D (a combination of rabeprazole to reduce acid and domperidone to help clear your stomach) will work to relieve your constant burping, vomiting, and chest discomfort. An endoscopy is a safe, routine procedure that lets us look inside your digestive tract to find the exact cause of your symptoms. Regarding your lab results, low vitamin D is incredibly common and easily treated with supplements, while your white blood cell count is something we can safely monitor.

Since Veloz D, Acta Pro, and Gaviscon haven't fully relieved your left chest and back burning, the pain may not be purely acid-related. After COVID-19 and steroid treatment, it is quite common to experience nerve sensitivity (neuropathy) or rib joint inflammation (costochondritis). Sometimes, steroid medications can also cause persistent stomach lining irritation that requires a different approach. I recommend sharing this with your doctor so they can evaluate you for nerve or musculoskeletal pain.

Veloz-L contains rabeprazole, which reduces stomach acid, and levosulpiride, which helps your stomach empty. When you finish a three-month course, your stomach can experience a temporary rebound increase in acid production, and digestion can slow down again. This explains the vomiting, feeling full quickly, and the bitter taste from morning reflux. Please be reassured that this is a common reaction. I highly recommend consulting your doctor, as they may suggest gradually tapering the medication or implementing simple lifestyle and dietary changes to help your digestive system adjust safely.

Hello. It is wonderful that you are taking an active interest in your health. Veloz contains a single active ingredient, rabeprazole, which reduces stomach acid to relieve heartburn. Veloz-D is a combination medication containing rabeprazole and domperidone. Domperidone helps speed up stomach emptying, which is very helpful if you are also experiencing nausea, bloating, or fullness alongside acidity. Essentially, Veloz-D provides extra relief for stomach discomfort and nausea. I highly recommend discussing with your doctor to determine which option is the safest and most effective choice for your specific symptoms.