Q. For more than four weeks now, my nose, throat, and stomach feels like they are on fire. Why?

Answered by
Dr. Kapil Gupta
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Apr 18, 2020 and last reviewed on: Apr 30, 2020

Not been feeling to good for more than 4 weeks now, no appetite so have lost weight, night sweats. Whole body feels weak and uncomfortable all day this has gotten worse during the past week and a half. Nose and throat feel like they are on fire, coughing more after eating. Stomach also feels like it's on fire, gets worse after eating. Stomach acid reflux after eating and burping. Burping a lot after eating sometimes burping up acid reflux. Calves have difficulty moving, very tired. No appetite More severe night sweats, wake up every half an hour just about each night. Very tired.

 

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Dr. Kapil Gupta

General Medicine Internal Medicine
#

Hello, I am sorry to hear that you are not feeling so well.

Reading about your symptoms the most common differential diagnosis would be GERD or Gastro esophageal reflux disease. It is basically reflux of the acidic content of the stomach into your food pipe or oesophagus that causes all these problems . And to confirm the diagnosis I suggest you to meet a gi specialist after the covid situation settles down who will then do an endoscopy to confirm the diagnosis.

Till then try avoiding alcohol, citrus juice, tomato based products and coffee. After meals take a walk inside your premises and wait for 2-3 hours and then lie down.

Keep an extra pillow to elevate your head while sleeping . Also stop taking omeprazole and start talking tablet esomeprazole/nexpro rd/nexpro. Have 1tsp of syrup sucralfate 30 minutes before taking esomeprazole.


Investigations to be done:

Endoscopy
Urea breath test

Treatment plan:

Tab esomeprazole -domperidone
Syrup sucralfate


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