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Suggest Remedy For Persistent Heart Burn

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Posted on Tue, 17 Nov 2015
Question: I have had heart burn for a month now. it feels like a sour, slight burning feeling mainly from my throat up to my tongue. It goes away when I eat or take antacids but comes back. I am on nexium in the morning and Zantac (150) at night but still wont go away
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Answered by Dr. Panagiotis Zografakis (36 minutes later)
Brief Answer:
an upper gastrointestinal endoscopy would be appropriate

Detailed Answer:
Hello,

it sounds like gastroesophageal reflux disease (GERD). In cases like yours an upper gastrointestinal endoscopy is very helpful to determine whether esophagitis is also present and to exclude other potential causes of the symptoms. The fact that you had one almost 9 months ago makes the worst possibilities less likely (cancer for example). The hiatal hernia contributes to GERD. Nexium is very helpful as a treatment.

Until you do the new endoscopy, you should try to avoid fatty food, too much food, lying down right after meals, drinking coffee or citrus juices, alcohol, etc

When you lie down you can try to elevate the head of the bed a little to allow gravity to reduce the reflux.
Aspirin may make your burning worse, so you should discuss about it with your doctor.

I hope you find my comments helpful!
You ca contact me again, if you'd like any clarification or further information.

Kind Regards!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3819 Questions

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Suggest Remedy For Persistent Heart Burn

Brief Answer: an upper gastrointestinal endoscopy would be appropriate Detailed Answer: Hello, it sounds like gastroesophageal reflux disease (GERD). In cases like yours an upper gastrointestinal endoscopy is very helpful to determine whether esophagitis is also present and to exclude other potential causes of the symptoms. The fact that you had one almost 9 months ago makes the worst possibilities less likely (cancer for example). The hiatal hernia contributes to GERD. Nexium is very helpful as a treatment. Until you do the new endoscopy, you should try to avoid fatty food, too much food, lying down right after meals, drinking coffee or citrus juices, alcohol, etc When you lie down you can try to elevate the head of the bed a little to allow gravity to reduce the reflux. Aspirin may make your burning worse, so you should discuss about it with your doctor. I hope you find my comments helpful! You ca contact me again, if you'd like any clarification or further information. Kind Regards!