Hi, I am a 51 year old man. I was diagnosed with Hay Fever four months back. I was prescribed antihistamine, omeprazole and nasal spray then. Although my symptoms reduced a bit after a while, they never disappeared. However, since a couple of months, I started experiencing symptoms like heartburn, regurgitation, some swalloing difficulty, sleeping disorder, etc. I visited a doctor, I was diagnosed with malaria and acidity (possibly stomach ulcer). The video xray performed then found that there is excessive gas in the stomach. He prescribed me spasmodigestin for 10 days and rabeprazole for a month, besides 3 dosage of antibiotic for malaria. It was doing better, but due to my travel last week, for several days, I could not control my food intake. This has led to some deterioration again. I am feeling more acidic with heartburn and occasional stomach pain. Is it GERD or some Peptic Ulcer, could you advise please?
Thank you for the details. Ulcer in the stomach is not a diagnosis made on ultrasound. Anyways, some antibiotics you may be taking will have side effects like erosion of the stomach wall. I am not sure if you were prescribed medications to reduce the acid secretion in the stomach along with stomach. Considering the immediate past history, hear stomach burn is mostly antibiotic induced. If you are experiencing heart burn, cough, acid taste in the mouth after sleeping for few hours, most likely it is regurgitation as you have mentioned. Please follow the suggestions below. You should be alright.
1. Tab Omeprazole sustain release (SR) twice daily for 7 days and then once daily for further 14 days.
2. Plenty of fluids
3. Avoid excess tea/coffee, spicy food
4. Avoid smoking and alcohol if you do so
5. Provide at least 90 min between your dinner and sleep. Do not sleep/lie down immediately after food.
6. Slightly raise the head end by placing pillows between your shoulder blades
7. We can consider an upper GI endoscopy (insertion of camera through food pipe) if severity persists or symptoms reappear after about a month to see what exactly is happening.
Hope this helps. Please take care.
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