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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I have chest pain and GERD with normal heart reports. Please advice.

Query: Hi doctor, I have chest pain for the past 15 days. I also have upper back pain along with it. My ECG and echocardiogram reports are usual. My troponin tests are normal. I had a negative result for the treadmill test. Before three years, my CT angiography was negative. I have GERD. But I do not have...  Read Full »


Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Your reports related to heart problem are normal. The symptoms you have now can be due to GERD (gastroesophageal reflux disease). You can take Pan IT (Itopride with Pantoprazole) one ca...  Read Full »

I have constant squeezing chest pain for past three weeks. Why?

Query: Hello doctor, I have been using Adderall for about three years now. About one year ago, I started experiencing chest pains that would quickly go away after awhile. Then, there were a few occasions where I abused my medication and took too much. Since the last time that this happened (about six month...  Read Full »


Answer: Hello, Welcome to icliniq.com. Likely, this is gastritis and reflux disease. Pain occurs due to acid reflux and esophageal spasm. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular...  Read Full »

Even after removing my gallbladder, I have stabbing pain in my chest and back. Why?

Query: Hello doctor, I had my gallbladder removed almost six months back. However, I am still having the same sharp stabbing pain in my chest and back. I also have fatigue and nausea. I went to the ER two nights ago. They advised me to undergo an EKG, stress test, liver and kidney function tests and other ...  Read Full »


Answer: Hi, Welcome to icliniq.com. I think it is gastritis and reflux disease. To alleviate your condition, it's advisable to steer clear of spicy and fatty foods, and to abstain from smoking and alcohol if applicable. Consistency in your sleep schedule and incorporating regular exercise into your routine...  Read Full »

I am experiencing constant regurgitation. Please help.

Query: Hello doctor,I am a 45-year-old Caucasian male weighing 187 lbs. I am a former smoker with a history of approximately 15 years of smoking. Currently, I am on several medications, including Lansoprazole15 mg twice a day, Famotidine 20 mg twice a day, Gabapentin 300 mg twice a day, Buspirone 5 mg twic...  Read Full »


Answer: Hello,Welcome to icliniq.com.I understand your concern. I have reviewed your case history and you have provided complete details so moving to your questions: Reflux esophagitis can develop within one year due to persistent acid reflux. Barrett's esophagus will not develop within one year, especially...  Read Full »

I have an irritated throat and no allergy. What to do?

Query: Hi doctor, I have irritated throat for almost two years. Sometimes hoarse voice refers to the ear and chest. Along with that postnasal drip, LPR was diagnosed. I have tested negative for Streptococcus pyogenes and allergies.  Read Full »


Answer: Hi, Welcome back to icliniq.com. Thanks for briefing me regarding the problem of concern. The most common reason for having these symptoms can definitely be a feature of chronic silent GERD with LPR (gastroesophageal reflux with laryngopharyngeal reflux). Even though you might be asymptomatic or hav...  Read Full »

I am experiencing mild GERD. Please help.

Query: Hello doctor,I have a mild GERD for which I take a PPI as needed. I never experience anything severe like waking up in the middle of the night, etc. Additionally, I had a pH test a couple of months ago which was not too concerning, and an endoscopy done three years ago which showed no issues. My mai...  Read Full »


Answer: Hello,Welcome to icliniq.com.I understand your concern.For a more detailed assessment, I would appreciate learning more about your specific concerns first. It would be beneficial if you could kindly provide your PH (potential of hydrogen) test and endoscopy reports, along with any other relevant tes...  Read Full »

Could my GERD symptoms be indicative of stomach cancer?

Query: Hello doctor, I am a 42-year-old man who has been dealing with GERD for the past year, and recently, I have been facing appetite issues. I do not feel hungry, and I am experiencing indigestion problems, bloating, and occasional constipation. Currently, I am taking Protonix. I underwent an abdominal ...  Read Full »


Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Indigestion and reflux symptoms are commonly encountered in gastroenterology. A normal CT (computed tomography) scan is reassuring, indicating no major issues. Red flag signs, such as unintentional weight loss, blood in...  Read Full »

I have chest discomfort. Should I consult a cardiologist?

Query: Hi doctor, I am a heavy drinker and also smoke seven to eight cigarettes a day. I started feeling chest discomfort from last 10 days like I feel chest burns, nausea, abnormal heartbeat, cold sweat after I smoke and today I felt like very uneasy so I had one Ecosprin 75 mg and now I feel a little bet...  Read Full »


Answer: Hello, Welcome to icliniq.com. Yes, you should get one ECG (electrocardiogram) done from the local doctor and you may upload here as well if you need it. Regarding your current symptoms, likely possibility is of gastritis and reflux disease. You should avoid fatty, oily and spicy diet. Have so...  Read Full »

Can iron deficiency anemia cause gastroesophageal reflux?

Query: Hello doctor, My father is diagnosed with a gastrointestinal problem. The doctor has told him that he has an ulcer and also his hemoglobin is low. He has undergone a capsule video endoscopy and a bone marrow test and all these tests have been normal. He also has reflux of food when he is sleeping. I...  Read Full »


Answer: Hello, Welcome to icliniq.com. I have gone through your father's test reports (attachment removed to protect patient identity) and he has microcytic hypochromic anemia. The most common cause of which is iron deficiency. This could be due to bleeding from duodenal ulcers over a long period of t...  Read Full »

I am suffering from a burning throat. Please help.

Query: Hello doctor, I am a 37-year-old male. I am feeling some slight burning sensation from throat to upper stomach and feeling bit uneasy in the throat. I have also noticed some blood on spit twice or thrice last one week. Today, I got the test result which is all perfect except some borderline up chole...  Read Full »


Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). After seeing your symptoms and labs which seem to be normal, you most probably have gastroesophageal reflux disease which requires some antiacid therapy. I would like to know if you ha...  Read Full »

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