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Suggest Treatment For Recurrent Heartburn
Question: Well - for about a month now - I've been experiencing some pretty bad heartburn - having to take antacid several times a week. This morning about 1.5 hrs ago, I woke up with a real bad case of heartburn. I took some antacid and was able to get back to sleep. About 20 minutes ago, I woke up with heartburn so bad that I had to run to the bathroom to vomit very forcefully. It had a very bad taste. Right now, I feel better than I did - but I can't lay back down without that taste coming back again. I feel like my heart is pounding quite strongly. My pulse is 27 beats every 15 seconds. I'm a 61 year old white male, 6ft 05in and weigh about 225 lbs. I live by myself and am kinda scared - I've never had anything like this before....
Brief Answer:
Gastro esophageal reflux disease with gastritis.
Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query,
Most likely your symptoms are because of reflux disorder. In which the acid contents of stomach regurgitates back into esophagus causing Heart-burn and bad taste in mouth.
So suggestions are:
- Firstly I would suggest you to take Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80mg twice a day.
If still not relieved add,
Option 1. -Levosulpiride- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's have excellent effect in patients suffering from acid reflux.
Option 2. Domperidone- Very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.
Strict adherence to the diet suggested below is required along with medications-
-Take a low fat easily digestible food.
-Eat a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc.
.-Take a lot's of yogurt in food
.-Avoid spicy or fast food(No pizza or Burger).-If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.Avoid orange or pineapple juice.-Eat 1 cups of fruit like banana daily.
If not relieved in 5 days then an upper G.I endoscopy should be planned.
Regards.
Gastro esophageal reflux disease with gastritis.
Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query,
Most likely your symptoms are because of reflux disorder. In which the acid contents of stomach regurgitates back into esophagus causing Heart-burn and bad taste in mouth.
So suggestions are:
- Firstly I would suggest you to take Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80mg twice a day.
If still not relieved add,
Option 1. -Levosulpiride- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's have excellent effect in patients suffering from acid reflux.
Option 2. Domperidone- Very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.
Strict adherence to the diet suggested below is required along with medications-
-Take a low fat easily digestible food.
-Eat a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc.
.-Take a lot's of yogurt in food
.-Avoid spicy or fast food(No pizza or Burger).-If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.Avoid orange or pineapple juice.-Eat 1 cups of fruit like banana daily.
If not relieved in 5 days then an upper G.I endoscopy should be planned.
Regards.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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