Acid reflux is caused when the acid in the stomach travel up to the throat and create a burning feeling in the chest. The symptoms are heartburn, bad breath, sore throat, hoarse voice, bloating, etc. It can be caused by consuming spicy and fatty food or due to obesity, stress, anxiety, pregnancy, smoking, etc.
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Query: Hi doctor, I want to inquire what are the causes and possible treatment for acid reflux? Read Full »
Answer: Hello. Welcome to icliniq.com. The common causes of peptic ulcer disease are H pylori infection, Non-steroidal antiinflammatory drugs (NSAIDs), drugs other than NSAIDs such as Tetracycline, Iron tablets, potassium supplements and Bisphosphonates, Zollinger Ellison syndrome, and carcinoid tumors. The... Read Full »
I have chest pain and acid reflux with raised AST and ALT levels. Why?
Query: Hello doctor, I recently went to the ER for persistent and sharp chest pain. It was diagnosed as a bad acid reflux spell but was told to follow up with a GI doctor in case it was an ulcer. The doctor noted slightly high protein levels but I am looking at my chart and I have high AST and ALT levels.... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand you must be concerned and very upset about your recent onset symptoms and visit to ED for this chest pain. Yes, they are right, that you might have ulcers in the food pipe that has led to chest pain. But you see, the patients with ulcers in food pip... Read Full »
Did my GERD symptoms worsen due to esophageal cancer?
Query: Hi doctor,I have GERD for a decade. I manage it by taking H2 blockers and antacids. I have heartburn on and off for the past few weeks. It becomes worse when I lie down. I do not have problems while swallowing and I have not lost weight. I am taking Prilosec for the past ten days and it takes care o... Read Full »
Answer: Hi, Welcome to icliniq.com. I do not know the findings of your previous endoscopy. If you have attached it, it can help to provide you a proper diagnosis. Approximately fifty percent of the population develop GERD (gastroesophageal reflux disease) in their lifetime. Five percent of people with GER... Read Full »
Kindly suggest a permanent remedy for my long-term acid reflux problem.
Query: Hi doctor, I have suffered from reflux for over 10 years now, but usually quite manageable. It waxes and wanes. There are periods where I can have no symptoms, eat trigger foods without problems, and take Gaviscon now and then, and there are periods where I have to take 40 mg of PPI daily to keep ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your history and seen the report of gastric scintigraphy (attachment removed to protect patient identity). You do not have gastroparesis, a fraction of 25% at 2 hours post-meal within the stomach is a normal finding. Ideally, it should have been done for... Read Full »
Query: Hello doctor, I am a 31-year-old female. I need medical advice. I have stomach bloating. The food I eat at night feels like it comes back to my mouth and it has this bitter and acidic taste. I feel nauseous because of this. I have mild chest pain and abdominal pains as well. I did an H.pylori blood ... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Your problem is explainable by your weight and partly explained by the course of antibiotics you are taking. And there are certain other things like diet, lack of exercise, and underlying endocrinological pr... Read Full »
Does drinking alcohol after fasting result in burping up brownish acid?
Query: Hi doctor,I am a 39-year-old male with acid reflux. I am taking Phentermine 37.5 mg for weight loss. On Wednesday, I ended up getting my COVID vaccine. The next day, I had a fever (took two medicine for fever that day) and returned to normal on Friday. Then yesterday (Saturday), I fasted all day and... Read Full »
Answer: Hello, Welcome to icliniq.com. Alcohol is the cause of gastritis, inflammation of the stomach lining. And it can cause nausea, vomiting, pain, and sometimes blood as well. Taking alcohol on an empty stomach has more of these above-mentioned symptoms than taking on a full stomach or fed stomach... Read Full »
Does a hiatus hernia cause ulcer formation in the lower end of the gullet?
Query: Hi doctor, I have a 10 cm hiatus hernia. I have been under a specialist for 12 months now. I had two endoscopic procedures done, one under GA, but my gullet was not opening and was severely inflamed. On the CT scan, it shows a dark shaded area. The consultant could not get to see a closer picture o... Read Full »
Answer: Hi, Welcome to icliniq.com. I want some clarification before I would be able to guide you on what further you should do. TB (total billirubin) is 20. Is it in mmol/liter, or is it mg/dl? It is important. Please upload the liver function test results. I could not find this in your notes nor in the ... Read Full »
Please suggest treatment for epigastric pain.
Query: Hi doctor,I am having pain in my epigastric region for three months. But today it was very high. I am taking an antacid tablet and syrup. I feel better after taking it for a short period of time and after that, I started to have the same pain. What to do? Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. From your history, you seem to have pain secondary to hypersecretion of acid. There are many other reasons to have upper abdominal pain. Do blood and stool test before taking medicines. For now, you can take capsule Esmoprazole 40 mg befor... Read Full »
Can indigestion cause stomach bloating and acid reflux?
Query: Hi doctor, I have severe bloating, indigestion, and acid reflux attacks. It feels like a big break is in my stomach that will not digest. I get stomach convulsions, and the only thing that gives me some relief is a hot bath and ginger. I have pressure in my head, and I get lightheaded and dizzy that... Read Full »
Answer: Hello, Welcome to icliniq.com. Indigestion is a common thing to happen to anybody in a lifetime. Your current body weight seems the main trigger for your symptoms. When the abdominal fat is excess, it compresses the stomach and small bowel, which are gas-filled organs. They can be easily compresse... Read Full »
Do I need surgery to improve severe reflux symptoms?
Query: Hi doctor,I have heartburn from time to time after taking food. Sometimes I have a sour stomach after taking food. After eating, I spit some of my food and it seems to be clear or milky. Usually, spitting happens when I feel to have a burp. But vomiting happens instead of it. I was taking Dexilant a... Read Full »
Answer: Hi, Welcome to icliniq.com. Reflux resolves by taking medications. Dexilant (Dexlansopraole) and Omeprazole helps a lot. But you have tried taking these two medicines. If it is a refractory GERD (gastroesophageal reflux disease) or any side effects due to medications or if you are not willing ... Read Full »