The burning sensation that you get in the chest and behind the breastbone is called heartburn. It is commonly caused due to acid reflux, smoking, being overweight, lying immediately after eating, eating spicy food, and drinking alcohol.

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Do I need surgery to improve severe reflux symptoms?

Query: I have heartburn (burning in my chest from time to time after a meal), sometimes I have a sour stomach after a meal, mostly I have reflux issues. Meaning after I eat I spit up some food and clear or milky liquid. Usually the spitting up happens when I feel like I need to burp but vomit comes up inst...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello dear. I welcome you to icliniq. Well as of now you would certainly had idea that this relfux is not going anywhere. It should be resolved with the medications one of which are dexilant and omeprazole in past. Or if refractory GERD or in case you develop side effects due to these medications, ...  Read Full »

How to know whether my chest pain and heartburn are due to gastric or cardiac issue?

Query: Hi doctor, I am 31 years old. I am a diabetic and on medication. I have a gastric problem for three years. Now I have left arm and chest pain. I did everything like TMT, echo, ECG, etc., but all reports are negative. No problem in the heart. Last month also I did an ECG and the report was normal. A...  Read Full »

Dr. Sugreev Singh

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. Yes, you can take gastric medicine and see if there is some relief because sometimes heartburn and those things can be caused by acidity or gastric reflux disease. If it is due to that, then you can take tablet Omeprazole 40 mg once daily before a meal for three days, ...  Read Full »

What causes chronic heartburn and a feeling of fullness?

Query: Good Day, I am 25 years old. I want to consult my medical condition, 2 years ago I experienced of stomach cramps and sometimes heart burn and year passes until now it becomes worst. I experience heart burn, throat congestion and the most uncomfortable feeling the upper part of my stomach is always ...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello. I welcome you to icliniq. Do you often get blaoted? and does your symptoms of pain in stomach occur after you take meals? how about your symptoms in the morning before breakfast? I mean does your symptoms improve on fasting? your painseems to be due to gas and bloating that cause...  Read Full »

How to permanently manage symptoms of GERD?

Query: I have GERD. My stomach hurts and I feel theres a lump on my throat and heartburn sensation. My doctor issued me medicine like pantropazole and mucosta but the pain will be gone and after few hours it will be back  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello dear. I welcome you to icliniq. I can understand you must be worried about your ongoing symptoms. Well first thing first, the diagnosis of GERD is established on two things. The one is endoscopy (which is normal in your case-rather I would say it was negative for GERD), and the second is PH...  Read Full »

How long should I continue the medications for GERD?

Query: Hello doctor, I have been dealing with a heavy case of GERD due to stress. I tried medications OTC, however, as I tried to ween off the medication, my body created a resistance towards them and started causing me heartburn. I stopped taking them and have not been taking anything for four weeks, how...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. You are right, the GERD with the possibility of some ulcer at the gastroesophageal junction (GEJ) the junction where esophagus combines to stomach. But again, it is not necessary, because the acid itself can bring pain in the lower esophagus or can cause ulcers with th...  Read Full »

Can stress worsen heartburn and stomach ache?

Query: Hi doctor, I have had stomach issues for over 15 years. I have taken some form of Omeprazole (Esomeprazole, Pantropazole, Omeprazole) 5 times a week for all those years. My heartburn and stomach "ache" have gotten much worse recently. I have been going through immense financial stress (primarily, ...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well I can understand your situation and reason for you being upset. It seems that you have GERD (gastroesophageal reflux disease). And the first line treatment for GERD is acid suppressant medications, which you are already taking. You can simply increase the dose o...  Read Full »

What is the remedy for my heartburn and vomit?

Query: Hello doctor, I am experiencing heartburn, hard to breathe. When I vomit it tastes like sour, and I vomit every after meal or when I drink water. I also frequent to have hiccup and burp. I have tried over the counter medicine (antacid) like Gaviscon (tablet and liquid), Semico and I think it is not ...  Read Full »

Dr. Subharanjini Ramesh


Answer: Hi, Welcome to icliniq.com. What kind of foods causes your heartburn? Do you overeat and then vomit? If you are vomiting after every meal, then you should have become very weak by now. For your acidity problem, eat small frequent meals. Have your breakfast, lunch, and dinner with two small interm...  Read Full »

Can low hemoglobin and vitamin B12 levels present as mild left-sided chest pain?

Query: Hello doctor, I am a 39-year-old woman. I have mild pain in the left side of the chest (below the neck and above the breast) and then sensation in the upper back from four days. It comes and goes. Sometimes it goes to the right side of the chest also. I have done my ECG and blood test 6 months ago...  Read Full »

Dr. Zirwa Sarfraz

General Practitioner, Family Physician

Answer: Hello, Welcome to icliniq.com. I would like to ask you some more questions, do you have symptoms of acid peptic disease or GERD? Or any burning sensation in the epigastric region, the center of your chest (heartburn). If you do, it could also present as chest pain so I will guide you accordingly. I ...  Read Full »

Will drugs taken for acid reflux and heartburn cause diarrhea?

Query: Hello doctor, It has been weeks since I have been feeling acid reflux with symptoms of heartburn and back pain. I have been taking Kremil-S and Omeprazole. Lately, I am experiencing diarrhea. I hope you can help me.  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I have reviewed your history as well as the medication profile you just shared. (attachment removed to protect patient identity). So the part of the problem is secondary to the medicine you are taking such as diarrhea which tends to occur secondary to Kremil-S sin...  Read Full »

I have heartburn, indigestion and frequent belching. Can it be GERD?

Query: Hello doctor, Heartburn and indigestion all day. Frequent belching. Gurgling in throat/ esophagus. Throat or esophagus is making a funny noise off and on for years sporadically. Diagnosed with Gerd and Larapharyngeal reflex. Clean endoscopy in 2 years back but esophagus is slightly twisted. Had dil...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Most of the symptoms such as burping, gurgling within esophagus and funny noise all can be encompassed in to one diagnosis, that is, GERD. But thing which make concerned, are-you have 3 endoscopies and all showling normal without signs of ulceration which is not usua...  Read Full »

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