How to treat intermittent digestive problems, stress, depression, gas, ribs, sinus and back pain, vertigo, and a tingling sensation in a 48-year-old adult?

Hello,

Welcome to icliniq.com.

Thank you for consulting us on icliniq.com.

I went through your query and understood your concern.

I will try to answer your questions one by one,

1) Intermittent symptoms are relatively less dangerous as compared to persistent symptoms. Some other important points are the history of unintentional weight loss, red flag symptoms like blood in vomit or stools, and a family history of chronic disease or cancer. You have not mentioned any, so intermittent symptoms are less dangerous.

2) Consider your history of extreme stress and anxiety. This feeling is known as globus hysterics in medical terms. To avoid stress and anxiety, if you can swallow your food and water, that is just a feeling.

3) If you swallow air for a month, you may have this feeling, which will go away by burping. Try to avoid filling your stomach at once. You can have multiple small meals and do not sit or lie down immediately after meals.

4) Vertigo is not a symptom that arises from the stomach, you should be checked for pharyngitis or ear examination for the possible causes. I do not think there is any significant relationship between stomach gas and vertigo. For this, you can increase probiotics in your diet. You can take naturally occurring probiotics like yogurt daily or have a short course of oral commercially available probiotics like Ecotec sachet once daily for two weeks. Try to eat healthy and clean foods.

6) I suggest you to take anxiolytic or anti-depressants for a few months. You will feel significant improvement in all these symptoms, including your stomach and sinus pain. Also, I suggest you to check for allergic pharyngitis or ear examination, the same goes for a history of vertigo.

7) There are some non-specific symptoms, which will improve with anxiolytic or anti-depressant medicines, I agree with your doctor's prescription, and I guess you should try these medications. There are no major side effects of these medicines.

Kindly consult a specialist, talk with them, and take the medications with their consent.

I hope this helps.

I wish you good health.

Hi,

Welcome back to icliniq.com.

Thanks for your query.

1) The excessive salivation or watery mouth is not GERD (gastroesophageal reflux disease). You can chew gum or anything of that sort. This is a simple technique, and I do not think this is very concerning, considering the intermittent nature of the condition.

2) Yes, this seems to be GERD. In your routine, eat your last meals around 2 to 3 hours before bed. Take small meals and try to elevate the headend of the bed (do not increase the pillow). Just put some bricks or wooden logs at the headend of your bed so that it should be head up around 20 to 25 degrees. This will help you a lot.

3) This seems to be anxiety-related.

4) No, this medicine is stomach friendly; it does not cause gastritis or gastric ulcers.

5) This issue is anxiety-related, and you are concentrating too much on this. Give yourself some time to recover.

However, I suggest you to take 20 mg of the antacid once daily, half an hour before breakfast for two weeks, and later on, taper the dose by taking it on alternative days. I agreed with the rest of the plan. However, elevate your headend of the bed, as suggested above. In addition, are you on any anxiolytic medicine as well? Or are there active stressors in your life? If yes, you need to avoid that too.

I hope this helps.