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What could cause recurrent acid reflux and bloating?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 28 year old male. I have had severe acid reflux and stomach bloating three times in the past 12 months. It started suddenly each time. There is no prior symptom. This is the third time and it has been going on for a month. During the first time, I treated myself with antacids (Calcium carbonate) and a two week cycle of Nexium with probiotics. When it came back for the second time, I had Pepsin and Betaine hydrochloride, probiotics for a month. It worked very well. Five months later, it came back for the third time now. I have had no acid reflux, but just bloating. I am taking Betaine HCl and Pepsin, but it is not going away. I will start to bloat right after my first bite of food. Even drinking water too fast will make it. The bloating is bad. I have severe bloating and pressure for hours after I eat. I think my stomach is not producing any acid. Could it be like that?

Answered by Dr. Kagathara Happy Kumar Devkaranbhai

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

You described two different entities here.

  • If you have indigestion due to any reason, then you may have bloating, burping, heaviness of abdomen and early satiety. This occurs due to less enzymes available from the stomach, gall bladder and, pancreas for digestion due to a variety of causes.
  • If you have a weak junction of esophagus with the stomach, then swallowed food with stomach acid move into esophagus and produce symptoms of gastroesophageal reflux.
  • Acid reflux will give you burning pain in the chest and upper center part of the abdomen, nausea, heaviness after meals and symptoms of acidity. You might need further evaluation to confirm the diagnosis.

Investigations to be done

CT scan of abdomen and upper gastrointestinal (GI) endoscopy.

Differential diagnosis

1. Indigestion.

2. Hiatus hernia.

3. Esophagitis.

Probable diagnosis

GERD with gastritis.

Treatment plan

Continue treatment for gastritis.

Regarding follow up

For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
Medically reviewed by iCliniq medical review team
Published At September 19, 2016
Reviewed At May 17, 2024

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

Recurrent Acid Reflux and Bloating Companion

How it works

Recurrent acid reflux and bloating can be uncomfortable and confusing. Here's a breakdown of common causes and symptoms to help you understand what might be happening.

1

Indigestion
Causes

2

Understanding
Weak

3

Acid
Reflux

4

Antacids
Symptom

5

Proton
Pump

6

Betaine
HCl

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

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