I am a 50 year old male. My weight is 72 kg and height is 168 cm. I am a vegetarian. I do not drink alcohol and I do not smoke too. I have recently stopped taking tea and coffee. I do exercise regularly. I am suffering from the following symptoms for the last five years but not on a daily basis. There is sudden awakening from sleep due to feeling of suffocation, sometime feeling of breathlessness even if I am awake. Sometimes, flu like experience passing throughout the body. This is quite evident immediately after a sexual ejaculation. My ECG, 2D echo, treadmill test, pulmonary function test, chest x-ray, MRI brain scan were normal. I do not feel any heartburn or acid entering the throat. For the last three months I am under medication for suspected gerd. My current medications are Topcid 40 mg, Nexpro 40 mg and Perinorm CD. Especially with the last medicine I am a little bit apprehensive as I feel uncomfortable after having it. I would like to have a second opinion on my symptoms, the probable causes and about the medicines prescribed. Thank you.
Welcome to icliniq.com.
From going through the information you have provided, it is clear that currently you are on treatment for suspected GERD - gastroesophageal reflux disease (acid reflux disease). You have been having intermittent problems over five years.
Acid reflux can cause breathlessness and waking up from sleep at night. Some might feel and describe heartburns, but others may not actually feel the burning sensation. The symptoms can be worsened by stress, anxiety and panic attacks.
My recommendations are an endoscopy procedure called gastroscopy will help to check for any weakness in the valve at the lower end of the food pipe (gullet or esophagus) and to directly visualize any evidence of inflammation there that is reflux esophagitis.
Following the above test, you may require a 24 hour pH monitoring study and a manometry test to confirm that acid is refluxing back whenever you have symptoms and that there is no problem with motility of the gullet.
I agree with you that I would not continue on Perinorm CD (Metoclopramide). I tend to give it only for nausea or vomiting.
Some people with GERD may find that eliminating certain food helps to improve their symptoms. For example avoiding spicy foods, raw onion, garlic, black pepper, citrus products and juices of orange, grapefruit or cranberry, tomato products, chocolate or brownies, caffeine, sodas, coffee, tea, etc., peppermint, fatty or greasy foods.
2. 24 hour esophageal pH monitoring and esophageal manometry.
2. Functional dyspepsia.
For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
Thank you doctor,
I would like to know more about proton pump inhibitors. Kindly explain, please.
Welcome back to icliniq.com.
For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
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