Dr. Ajeet Kumar
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
For the past three days, I am unable to take food. I am trying hard to eat but while trying to eat I feel like vomiting, but it is not coming. I have burning sensation in the stomach, especially after waking up in the morning, I feel too much burning sensation and hungry but if I try to eat something I have vomiting feel. Fro the past three days, I am just having drinks. Please suggest me good tablets. What happened to me?
Hello,
Welcome to icliniq.com.
It seems that you have symptoms secondary to acid in the stomach. It is possible that you might have something in your food four days back which has caused this.
I suggest you some treatment for now but want that you should provide the following information. Because below information will give me an idea of the possible underlying cause for your symptoms and help me to guide you for the suggested duration of taking the treatment.
Do you take alcohol or do you smoke? Do you have abdominal pain or diarrhea? Do you have a past history of similar symptoms? I see your weight is on the higher side, does this weight increase in the recent past? Are you on some regular medication? For anything? For any weight reduction treatment? Do you walk regularly? Or do you have a sedentary lifestyle? Does this burning ever occurred midnight causing you to awake from sleep? Any cough, sore throat, or sore taste of mouth? Any skin allergies?
Let me know answers to the above questions then I would be in a position to guide you and give a long term treatmnt plan. For now, I suggest you the following treatment.
The Probable causes
Treatment plan
Regarding follow up
Patient's Query
Thank you doctor,
I do not drink alcohol and do not smoke. Two days past, I had diarrhea. I do not have a past history of similar symptoms. No, this weight does not increase in the recent past. No, I am not on regular medication. I will not walk regularly, and I do not have a sedentary lifestyle. No night time burning sensation. I have sore taste more on early mornings and until sleep, I had sore taste in mouth. No skin allergies.
Hello,
Welcome back to icliniq.com.
So now, I can figure out the reason for your recent onset symptoms. Since you do not have similar symptoms in past, it precludes the diagnosis of gastroesophageal reflux (GERD). This recent onset of your symptoms seems to be an abrupt increase in the acid surge within your stomach. The common reason for this is food poisoning, you probably have something terrible in your diet a few days back which has lead you to this.
Secondly, our stomach acid production is a continuous process which decreases and increases itself and frequently respond for given our environmental changes, climate changes, sleep patterns, food, and water. Kindly start the treatment as I suggested and let me know in the next 48 to 72 hours.
I hope that your problem will solve by that time after starting the treatment. Furthermore, you did not tell me about any recent change in diet, or had something that you were not sure of?
Treatment plan
Regarding follow up
Patient's Query
Thank you doctor,
Due to heavy work, I skipped my afternoon meals for five days. How many times I have to take Esomeprazole (proton pump inhibitor) 40 mg in a day?
Hello,
Welcome back to icliniq.com.
You should take only once in a day. Half an hour before meals or breakfast. I hope you will feel an improvement within the next two days.
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Medical Gastroenterology
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