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I Have Been Dealing With Real Bad Acid Reflux And

Posted on Wed, 29 Jan 2020

Question: I have been dealing with real bad acid reflux and Gerd for 5 months now I have went to the ER 3 times and nothing has helped I have tried taking gas x it didn't relieve any gas it is now to the point that my lymph nodes in my neck and groin and also under my chin is swollen and I feel alot of pressure in my chest and also a burning sensation in my stomach. i have been on a diet only eating eggs grits and bananas also snacks like wheat thins nilla waffers I have lost 10 pounds due to this I now way 94 pounds I have rest less nights I constantly burp and I am also constipated I feel bubbles in my neck and I also deal with bad headaches I am beginning to feel really weak I havent been able to actually eat alot as I feel nauseous

Answered by Dr. Bhagyesh V. Patel (25 minutes later)

Brief Answer:
systemic disorder with auto immune response most likely with GERD

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query with attached photo image and here is my advise.

* As per my clinical experience, systemic disorder of some sort as auto
immune phenomenon or else may be underlying reason to manifest as
severe GERD, weight loss, lymph node enlargement as well.

Kindly provide me further details so that I can answer your query completely.

1. Do you have fever, vomiting after meals ?
2. The lymph nodes which are enlarged have which type of consistency,
what size, progress of size since onset ?
3. History of smoking, alcohol consumption if any ?
4. What work up has been done till now as blood reports, upper GI
endoscopy, ultrasound, CT scan of abdomen or else ?
5. What medications are being consumed currently apart from Gas X ?
6. Your age.

Awaiting for your response.
Regards.
Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (6 hours later)

1). i dont have a fever . i have experience high blood pressure and really really bad pain after i eat food. i havent vomit yet, i just feel very nausea. but never vomit yet.
2). the lymph nodes are enlarge in my neck which causes little bubbles under my chin and in chest and right by my groin and even when it eat it might cause my head to hit ... its alot of bubbles in neck and sometimes my neck will swell up and sometimes it will go down and then come back.. my neck get heavy especially if i lay a certain way.. i just dont know what to do i want to be ok but i do go see a one on one doc next week

Answered by Dr. Bhagyesh V. Patel (25 minutes later)

Brief Answer:
basic lab tests, upper GI endoscopy, ultrasound of the abdomen needed.

Detailed Answer:
Hi Jasmine
Thanks for the details.

* Extreme pain after food intake can be related to hiatus hernia, reflux
esophagitis, stomach ulcer, motility related disorder or else.

I would recommend you to discuss the need of following during your visit to doc
- basic lab tests of fasting blood sugar, thyroid hormone and lipid profile
- ultrasound of the abdomen & pelvis
- upper GI endoscopy

Till that time, advisable to follow certain simple measures

- an intake of proton pump inhibitor as omeprazole ( 20 mg ) with sips of
water on empty stomach will relieve belching
- consuming food of small quantities at frequent intervals
- avoid spices, non veg, junk food, dairy fat till possible
- avoid late night dinners and immediate sleeping after meals or dinner
- try to manage sound sleep of minimum 6 hours by control of stress,
use of meditations and YOGA
- avoid smoking and alcohol ( if consuming )
- avoid any off the counter medicine for pain ( if taking )
- keep head end of the bed elevated about 30 - 40 degree so that reflux of
acid will be minimal

Wish you best recovery.
Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhagyesh V. Patel (35 minutes later)

thank u so much for answering and responding but i do have a little bump in the middle of my chest, i never had it before.. the er said it could be my bone since i lost weight..but i never saw that before .. and if it is a hernia can it damge me before i visit my doctor.

Answered by Dr. Bhagyesh V. Patel (6 minutes later)

Brief Answer:
follow up.

Detailed Answer:
Hi

Little bump in middle of chest sound to be prominent bone due to loss of fat pad and not hernia , so there will be no damage to you before you visit your doc for sure.

Manage your stress and general measures as described above and wait till your meeting with doctor without anxiety, you will be fine definitely.

Take care.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhagyesh V. Patel (17 minutes later)

i have a prescription from er called famotidine thats ok to take after hearing everything? i just didnt know because the er didnt check my body honestly. and last question is it ok to experience milk coming out your boob sometimes and your younger child is about to be two in march? im only 25 and im just scared

Answered by Dr. Bhagyesh V. Patel (6 minutes later)

Brief Answer:
follow up.

Detailed Answer:
Hi
Famotidine is equally good compound for acid reflux ( though not at par with omeprazole ) to be taken two times a day on empty stomach.

Discharge of milk from breast most likely concern with hormone imbalance most likely that of Prolactin and that too is not of worry or scarring , but you must discuss the same with your doc so that he or she can co relate with other systemic features if it is relevant from clinical point of view.

Thanks.

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Above answer was peer-reviewed by : Dr. Nagamani Ng