How to manage lump-in-throat feeling from GERD?

Question

Hello doctor,

I am 33 years old. For the last few days, I have been suffering from GERD. I feel something is stuck in my throat, and even if I take water, this feeling never goes away. Also, I feel a loud sound in my stomach before and after lunch, and the formation of gas.

I took Reblet D, Eristozyme tablets, and Sucral O antacids, but they did not work. Please suggest me remedy so that I can get relief from GERD and the feeling in the esophagus.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

Not sure whether the diagnosis of GERD (gastric esophageal reflux disease) was made by you or your physician. By looking at the symptoms, it looks like there is increased gastric acid secretion, which is giving you the sensation of bloating.

Diagnosis of GERD is made if you feel that the gastric acid is regurgitating back and you feel soreness in your mouth, especially when lying down. This is because of the relaxation of the lower esophageal sphincter pressure. As a result, acid is regurgitated into the esophagus. I suggest you modify your lifestyle as mentioned below.

1. Avoid spicy and acidic foods.

2. Avoid going to bed immediately after food. A gap of at least one to one and a half hours is recommended.

3. Elevate the head end of the bed to about 30 degrees while sleeping.

4. Avoid smoking and alcohol if you do so.

5. Take small feeds or meals and avoid fatty foods and large meals.

6. Avoid coffee, tea, cold beverages like cola, etc., for a few days.

Continue tablet Lansoprazole or Pantoprazole 40 mg twice daily for a month. No need to take Domperidone along with these. You can take antacids as and when required, but not more than one and a half tablespoons per day.

If symptoms do not resolve after 30 days, give a try for the H. pylori kit (Lansoprazole, Amoxicillin, and Clarithromycin) for 14 days. It is readily available from chemists.

If the problem still persists, you need to undergo endoscopy to find out the reasons for persistent symptoms, and you may require surgical intervention.

I hope this helps.