What could be the reason for severe reflux, loss of appetite, and vomiting with achy chest pain despite taking medicines?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

As per the brief history given by you, most likely you are having severe gastritis with overlapping esophageal spasm and gastroesophageal reflux. Because of the reflux disorder, acid contents of the stomach regurgitate back into the esophagus causing heartburn or burning sensation. Dyspepsia can be a sign of gastroesophageal reflux disease, stomach ulcer or gastritis (an inflammation of the lining of your stomach). I suggest you to do upper gastrointestinal endoscopy to rule out any erosion of the esophageal mucosa, Barrett's esophagus, or ulcers. Antacids are just the first line of medicines so if they are not relieving the symptoms, you have several other options. The options are as follows:

1. Start taking Nexium (Esomeprazole) 40 mg twice daily. If not relieved, doses can be increased to 80 mg twice a day.
2. Domperidone is very effective in treating reflux not controlled by PPIs (proton pump inhibitors) especially when combined with Rabeprazole or Esomeprazole.30 mg slow-release dose can be taken daily.

Strict adherence to the diet suggested below is required along with medications:

1. Eat a simple, natural, and organic diet.
2. Take foods that have low-fat content and are easily digestible.
3. Eat a lot of raw salads, especially vegetables.
4. No alcohol or smoking.
5. No aerated beverages or soda.
6. Avoid meat or processed foods.
7. Avoid cheese, dairy, cream milk, etc.
8. Take a lot of yogurt in your food.
9. Avoid spicy foods and fast foods. If possible try a vegan diet as dinner and a normal diet as lunch.
10. Drink at least eight cups of water every day.
11. Avoid citric fruits. Avoid orange or pineapple juice.
12. Have one cup of fruit like bananas daily.
13. Drink one glass of cold milk daily half an hour before meals. Milk being an alkali neutralizes the acid.

To be on the safer side, I would suggest you get an EKG (electrocardiogram) done because sometimes atypical angina (postprandial angina) can present with the same symptoms.

I hope this has helped you.

Thank you.