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Suggest Treatment For Chronic Heartburn While On Prilosec

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Posted on Tue, 31 Jan 2017
Question: My 20 year old son suffers from excess phlegm. He is hawking and spitting it out. Not sure if this is related but he also has chronic heartburn and has been proscribed Prilosec. Prilosec helps, but he has been on it for months, and as soon as he stops the heartburn returns. I don't think you are supposed to stay on that drug for long periods of time, and he has already been on it for three months. Can you please advise?
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
Some information, and a few questions to better help you sir/ma'am

Detailed Answer:
Hello and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Your son probably suffers from acid reflux (may be a condition called gastroesophageal reflux disease/GERD).

This condition is treated with medication like prisolec (omeprazole), along with other steps for management like:

+Dietary changes:
-Avoid fatty food
-Avoid smoking
-Avoid alcohol
-Avoid spicy food
-Avoid fried food
-Avoid stress
-Avoid overeating
-Avoid carbonated drinks
-Drink plenty of water

+Lifestyle changes:
-Lose weight if at all the individual is overweight
-Only mild forms of exercise allowed

And a few other approaches which would be best if discussed with a dietician. But please also note that only taking medications like prisolec will not suffice. Other medications can also be added to the treatment regimen until a significant improvement is seen.

Prisolec and other medications can be discontinued, but only after near complete recovery is seen. But lifestyle and dietary changes have to continue throughout the lifetime.

Now coming to the main part of your query, the phlegm. I would first like to ask what colour the phlegm is:

+Yellow
+Green
+Blood tinge
+Colourless

Also, please ask your son if the mucus or phlegm he has been complaining of is accompanied with a bitter taste ? I shall comment further on the possibility or cause for the phlegm once you revert with a response on these 2 questions, thank you.

I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Shoaib Khan (2 days later)
I just saw quite a bit of blood in the toilet, and I am assuming it is from Jack's spit. Are you concerned?
doctor
Answered by Dr. Shoaib Khan (4 hours later)
Brief Answer:
If the amount is mild, it should not be a cause for concern

Detailed Answer:
Hello once again.

Hemoptysis is seen with GERD, and is not considered anything serious, and can occur with the condition, but if at all the amount is more than it should be (mild with GERD); then it is better investigated by a doctor to rule out any other underlying causes, just to be safer.

But, once all other conditions are ruled out, then the cause is GERD, and the treatment approach needs to be revised.

Best wishes.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For Chronic Heartburn While On Prilosec

Brief Answer: Some information, and a few questions to better help you sir/ma'am Detailed Answer: Hello and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Your son probably suffers from acid reflux (may be a condition called gastroesophageal reflux disease/GERD). This condition is treated with medication like prisolec (omeprazole), along with other steps for management like: +Dietary changes: -Avoid fatty food -Avoid smoking -Avoid alcohol -Avoid spicy food -Avoid fried food -Avoid stress -Avoid overeating -Avoid carbonated drinks -Drink plenty of water +Lifestyle changes: -Lose weight if at all the individual is overweight -Only mild forms of exercise allowed And a few other approaches which would be best if discussed with a dietician. But please also note that only taking medications like prisolec will not suffice. Other medications can also be added to the treatment regimen until a significant improvement is seen. Prisolec and other medications can be discontinued, but only after near complete recovery is seen. But lifestyle and dietary changes have to continue throughout the lifetime. Now coming to the main part of your query, the phlegm. I would first like to ask what colour the phlegm is: +Yellow +Green +Blood tinge +Colourless Also, please ask your son if the mucus or phlegm he has been complaining of is accompanied with a bitter taste ? I shall comment further on the possibility or cause for the phlegm once you revert with a response on these 2 questions, thank you. I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help. Best wishes.