Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is a condition where the stomach acid flows back into the esophagus (tube connecting the throat to the stomach). This acid regurgitation irritates the lining of the esophagus causing a burning sensation in the chest. Antacids and proton pump inhibitors are used in the treatment.

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Why do I have frequent gnawing pain when my stomach is empty?

Query: Hi doctor, I have frequent gnawing pain when stomach is empty, which is relieved after eating. There is a continuous mucus accumulation in the throat throughout the day, which obstructs proper breathing and flares the nose nostril followed by dry mouth. It is particularly in the early morning hours....  Read Full »


Dr. Happykumar Kagathara

Medical Gastroenterologist, Surgical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Your symptoms are consistent with GERD (gastroesophageal reflux disease). In this condition, junction of esophagus and stomach become weak and therefore, stomach acid move up into the esophagus. The most common cause for this is hiatus hernia in which the...  Read Full »

Can stomach cancer result in severe stomach pain?

Query: Hi doctor, I am a 20 year old female. 8 years ago, I had hemoptysis. The endoscopy report showed peptic ulcer and gastritis. I took drugs for three months. Again, 2 years ago, I had severe stomach pain. I was vomiting as soon as I eat. Again, I had an endoscopy and it showed the same, but there was...  Read Full »


Dr. Happykumar Kagathara

Medical Gastroenterologist, Surgical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. No, there is no possibility of cancer. Also, there is no heart impression on the stomach. This impression is present on the lower part of the esophagus. Gastritis since long duration and Helicobacter pylori infection suggest your present symptom may be due to severe ga...  Read Full »

Is it fine to do fundoplication for GERD?

Query: Hello doctor, I have been struggling with pressure under my ribs and tightness in my chest for 5 years. It is on and off, but mostly it gives me a hard time to come through. I feel hard to belch often. I have taken Esomeprazole and Nexium to keep the reflux down, but the tightness and other awful ...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have carefully worked through your health query and can well understand your issues. Yes, it seems to be due to GERD (gastroesophageal reflux disease), simply the acid reflux. It has caused damage to the esophagus and other parts of the body too. Hiatal hernia...  Read Full »

Why am I experiencing weight loss, stomach burn, and throat pain?

Query: Hi doctor, I feel nausea and painful throat. It is paining inside the throat and some coffee color blood came out from the throat while spitting. I am experiencing unexpected weight loss for the last four months. I also have nausea, chest pain and stomach burning. I had an endoscope and a blood test...  Read Full »


Dr. A K Srivastava

ENT Otolaryngologist

Answer: Hi, Welcome to icliniq.com. I have gone through your query and attached files (attachment removed to protect patient identity). It appears that you are suffering from erosive gastritis. This in turn leads to gastroesophageal reflux disease. I suggest you antacid with PPI (proton-pump inhibitors). Co...  Read Full »

What could cause ascites along with chest pain??

Query: Hi doctor, The patient is 33 years old, who is 5.5 feet tall and whose weight is 60 kg. She had been admitted for stomach pain. She has ascites in the stomach, and it was removed, and more ascites are still there in the stomach. She has chest pain, and the full left part of the body is painful. The...  Read Full »


Dr. Arbab Muhammad Kashif Khan

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Your main problem is ascites, which are leading towards gastro-esophageal reflux. But the cause of ascites here could not be known. The most typical cause of ascites is cirrhosis (due to alcohol, hepatitis B, and C), but the liver is normal on ultrasound. There are also...  Read Full »

Can caffeine trigger GERD symptoms?

Query: Hi doctor,I am an 18-year-old male 182 cm feet tall and weighs about 63 kg. I have a problem with the last five months. I have been experiencing these symptoms like a burning pain in the stomach region (a few centimeters above belly button), alleviated by eating food, to a greater extent by antacids...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well, I can very well understand your concerns. It seems that you probably have one of the two potential conditions. Considering your age and chronicity of the symptoms with no apparent weight loss or bleeding or reduced appetite (I assume since you did not mention)...  Read Full »

How to manage smoker's cough?

Query: Hello doctor, I am a 24-year-old male. I have been smoking since the age of 18. I recently started feeling random pricking pain (mild) on both sides of the chest (but it occurs at one place at a time, not together), and it feels like it is coming from beneath the ribcage. I also have a smokers' cou...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you have been suffering from chest pain, which is pricking in nature. You are a smoker. You have a smoker's cough too. Smoker's cough is normal, and it can happen in any part of life in p...  Read Full »

Why do I have pain on the right side of my rib cage with a burning sensation?

Query: Hi doctor, I am having pain on the right side of the rib cage just 6 to 7 cm away from the armpit. It is like tightening pain or stabbing pain and sometimes burning sensation. It seems to be related to acid reflux and what I do is drink 2 to 3 glass of warm water by rubbing fingers on the backside ...  Read Full »


Dr. Sugreev Singh

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. Thank you for writing, and I understand your concern. Yes, it can be due to acidity or gastroesophageal reflux, which occurs due to the stomach's overproduction of acid. The other reason could be respiratory tract infection. And it is sometimes associated with the live...  Read Full »

I feel like I have a bubble in my chest. Please help.

Query: Hi doctor, I am a 32 year old male, I have been to the ER twice in the past two weeks for a bubbling sensation that starts at the base of my sternum and goes up my esophagus, mostly when I am sitting or lying down. On the first visit they did a complete blood workup, EKG, and x-ray, everything was ...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Did you have the same feeling during the ECG? Do you have any symptoms like dizziness, upper abdominal pain, nausea, vomiting, bloating and burping? The feeling that you are having may be due to acid reflux, but then you would have a burning feeling. There is a possib...  Read Full »

Do I need surgery to improve severe reflux symptoms?

Query: I have heartburn (burning in my chest from time to time after a meal), sometimes I have a sour stomach after a meal, mostly I have reflux issues. Meaning after I eat I spit up some food and clear or milky liquid. Usually the spitting up happens when I feel like I need to burp but vomit comes up inst...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello dear. I welcome you to icliniq. Well as of now you would certainly had idea that this relfux is not going anywhere. It should be resolved with the medications one of which are dexilant and omeprazole in past. Or if refractory GERD or in case you develop side effects due to these medications, ...  Read Full »

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