Brief Answer:
Dyspepsia.

Detailed Answer:
Hi Dear,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and appreciate your concern.

As per the brief history given by you most likely you are having severe gastritis with overlapping esophageal spasm and Gastro esophageal reflux. Because of reflux disorder acid contents of stomach regurgitates back into esophagus causing Heart-burn and severe burning sensations.

Dyspepsia can be a sign of gastroesophageal reflux disease. Dyspepsia can also be a sign of a stomach ulcer or gastritis, an inflammation of the lining of your stomach.

Tests suggested
Upper G.I endoscopy to rule out any erosion of esophageal mucosa or XXXXXXX esophagus or ulcers.

Treatment suggested-
Antacids are just the first line medicines so if they are not relieving you a number of other options are there. Please discuss them with your primary consultant.
So suggestions are:

- Firstly I would suggest you to start taking Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80mg twice a day.

-Domperidone- Very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.30mg slow release dose can be taken daily.


.Strict adherence to the diet suggested below is required along with medications-
-Eat simple,Natural and organic.
-Take a low fat easily digestible food.
-Eat a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-No alcohol or smoking.
-Avoid meat or processed food.-Avoid cheese, Dairy, cream 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.
-Drink one glass of cold milk daily half hour before meals.Milk being an alkali neutralize acid.

To be on very safe side i would suggest you to get a E.K.G done because some times atypical angina(post parandial) can present with same symptoms.


I hope i answered your query well,In case of any other query feel free to ask.

Regards.

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