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HomeAnswersMedical Gastroenterologygastroesophageal refluxI am worried about my symptoms such as liquid moving up the throat, high heart rate, and increased and painful gas below ribs and stomach. Please help.

What does it mean to have gastric problems, irregular heart rate along with the weight loss?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ramesh Kumar S

Medically reviewed by

iCliniq medical review team

Published At September 1, 2023
Reviewed AtSeptember 1, 2023

Patient's Query

Hello doctor,

Yesterday, I went to an urgent care clinic for some problems that have become worst. I am not certain if the doctor is on the right track to help me. I am suffering from the following symptoms: I am suffering from:

  1. Liquid moving up the throat.

  2. Increased and painful gas below the ribs and stomach.

  3. Tissue or lining present in the bowel movements (not often but today's was long).

  4. Weight loss.

I feel as if something is blocking my nutrients. My blood pressure level is fine, and my glucose level is fine, but I have a high resting heart rate. I do not know if it is just recently this high but it has always been irregular. The doctor mentioned the following:

  1. Cytomegalovirus test.

  2. Gall stones.

  3. Liver issue.

  4. Bacteria.

  5. Breath test.

Until tests are in, I have been prescribed the tablet Nexium which takes forever to work. Any assistance from your side is appreciated.

Thank you.

Answered by Dr. Ramesh Kumar S

Hello,

Welcome back to icliniq.com.

I read your query and understand your concern. Most likely your symptoms are because of gastroesophageal reflux disorder overlapping dyspepsia. I can suggest you few things: Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

I would suggest you some medications given in the following:

  1. Tablet Nexium (Esomeprazole): Initially take it 40 mg twice daily. However, if not relieved, the doses can be increased to 80 mg twice a day.
  2. Tablet Levosulpiride (Dislep): If still not relieved add it, it is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPIs (proton pump inhibitors) has an excellent effect on patients suffering from acid reflux.

Strict adherence to the diet suggested below is required along with medications for a few days:

  1. Take a low fat easily digestible food.

  2. Eat a lot of raw salads, especially vegetables.

  3. No alcohol or smoking.

  4. No aerated beverages or soda.

  5. Avoid meat or processed food.

  6. Avoid cheese, dairy, milk, etc.

  7. Take lots of yogurt in food.

  8. Avoid spicy or fast food (no pizza or burgers).

  9. If possible try a vegan diet for dinner and a normal diet for lunch.

  10. Drink at least eight cups of water every day.

  11. Avoid all fruits which are citrus.

  12. Avoid orange or pineapple juice.

  13. Eat one cup of fruit like a banana daily.

If not relieved in five days then an upper gastrointestinal endoscopy should be planned.

I hope I have answered your question. Let me know if I can assist you further.

Regards.

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

Dr. Ramesh Kumar S

Dr. Ramesh Kumar S

Medical Gastroenterology

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