Brief Answer:
It is not in your mind. You have been having Hiatal hernia!!!

Detailed Answer:
Thanks Dear XXXX for helping your friend for her disease. You have been very helpful and I really appreciate that.

((I am concerned about and addressing your friend in this conversation)).

Dr. Hanif warmly Welcomes you to my virtual clinic HCM!
I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation.


You are not wrong in feeling the real discomfort after taking the meals. You have got clear reasons for the issue. You had been diagnosed with Hiatal Hernia and that causes issues of indigestion, pain and gastroesophageal reflux disease to aggravate. Repair of the hiatal hernia itself is associated with major relief in the life of patients suffering from such symptoms that you are facing. This is very important to get it cured. Your treating physician will help you in referral for the same.


You also needed to have an h. pylori bacterial test to see if there is infection of the stomach due to this bacterium. I am sure you may have gone for that uptil now.


Are you diabetic?? Screened ever for diabetes?? If yes, do you take some medications?? How is your diabetic control??

It is important to mention it here because Uncontrolled & long standing diabetes causes Diabetic Gastropathy and this disease causes all the symptoms you have right now.

I suggested last time in conversation to elevate your headboard by placing the headboard elevators underneath. It is very important to do that as to get symptomatic relief from the discomfort especially after taking the meals and when lying in bed.

You need to take small meals. Do's for food:-

Take plenty of water, fruits, vegetables and salads.
Take 'Citrucel dietary fiber supplement' with plenty of water. It will help you a lot to get relief from symptoms and you will feel much better. Also take a bland diet and take little meals in small intervals. Take skimmed milk to give a soothing relief to the digestive system.


Don'ts for food:-

Beverages, alcohol, energy drinks, caffeinated drinks, chocolates, spices, hot foods and very cold foods, stuffy meals, fatty meals, fried and fast foods, junk foods, excessive sugar and salts etc. No refined foods and processed meats.


Don't get hopeless please. Let's see the pH test to come so that we may be able to have a clear look on what's going on in there.


If I was your treating physician I must have prescribed you with Dexilant by mouth. This is very appropriate for chronic hyperacidity induced discomfort cases.


Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you with expert medical help. If satisfied here, please give a generous five star rating to help us assist our patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing (Always write down my name in the start of your questions at HCM & I will be with you in no time).


Regards!
DR. XXXXXXX HANIF
USA

Click the link to open my profile. Click 'Ask Me a Question' anytime for super fast expert medical help!!!
https://www.healthcaremagic.com/doctors/dr-muhammad-hanif/70199

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