Hello doctor,
I am feeling bloated (gas in the stomach), heaviness in the chest, feeling that there is phlegm in the throat. When burping or belching, I felt relieved and fine. But after a while, the above symptoms appear again. I am a 60-year-old female with hypertension and I am currently taking Twynsta 40/10, Bisoprolol 5 mg.
Hello,
Welcome to icliniq.com.
I guess you are on Twynsta 40/10 which is a combination of Telmisartan and Amlodipine and Bisoprolol 5 mg.
So this is likely a gastric and reflux problem, however, sometimes symptoms of gastritis and heart disease overlap in elders with such symptoms. Electrocardiography (ECG) is recommended.
Meanwhile, you should have antacids along with your current medications like tablet Pantoprazole DSR 40 mg or Rabeprazole DSR 20 mg before breakfast once daily for a week and later whenever needed.
You should also avoid heavy meals. Have less oily, spicy and fatty foods. Have a walk for sometime after meals rather than resting immediately. Have light dinner. If you are having constipation then you should get it treated with laxatives like syrup Cremaffin plus. Regular sleep is also important.
I hope this helps.
Thank you doctor,
May I have e-prescription of this.
Hi,
Welcome back to icliniq.com.
I have mention it here in the treatment plan, lets see if it is available to you.
Gastritis and reflux.
Investigations to be done:ECG.
Treatment plan:Tablet Pan DSR 40 MG before breakfast for seven days.
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