Acid Reflux

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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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 »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to 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 »

Dr. Ajeet Kumar Lohana

Answer: Hi, Welcome to 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 »

Dr. Ajeet Kumar Lohana

Answer: Hi, Welcome to 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 »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to 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 »

Dr. Ajeet Kumar Lohana

Answer: Hi, Welcome to 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 »

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 »

Dr. Ajeet Kumar Lohana

Answer: Hi, Welcome to 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 »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to 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 »

Please help me to get relief from consistent chest pain.

Query: Hello, I am current experiencing pain in my chest and have been for almost 3 years now. I have been to two different cardiologist and have had EKG, stress test, and ultra sounds on my heart performed at both locations. Nothing from either cardiologist was discovered to be out of the ordinary . I the...  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello dear I welcome you to icliniq. Well I can understand that you must be very anxious about your problem, and I really would like to provide you with the best suggestion I can. But before jumping in to treatment of it, it is crucial that I have all your reports in my hands to interpret in light...  Read Full »

What could be the cause of the feeling of food getting stuck in the throat?

Query: Hi doctor,I am looking for a second opinion on a barium x-ray performed for my father. He had the feeling that his food is getting stuck and takes time to settle. He had a barium x-ray done. The radiologists' report shows normal, so we need to confirm it. He has a previous history of diabetes and al...  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to Well, barium swallow reporting requires a lot of expertise, mainly if a timed barium esophagogram (TBE) is performed. I would be able to guide you if you can see the images of it. Secondly, I would need you to tell me some more information about your father, which wo...  Read Full »

What medication should I take to relieve acid reflux and burning sensation in stomach?

Query: Hello doctor, I am a 47-year-old female with a history of hiatus hernia diagnosed through endoscopy before six years. Since the past one month, I have an increased acid reflux problem and a feeling of heaviness in the throat. I have a burning sensation in the stomach sometimes with mild pain and b...  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to You should switch to capsule Esomeprazole 40 mg once daily, half an hour before breakfast. If that does not settle your problem increase the dose to 40 mg twice daily before meals. Let me know about your symptoms in a week's time, because that is the time required...  Read Full »

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