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I Do Not Have Heartburn But I May Have Silent
Question: i do not have heartburn but i may have silent gerd? When i lay down
at night i have to continually clear my throat since it feels like my
throat is filling with fluid. i thought it was post nasal drip but it is not.
It is beginning to make my espohegus feel slight burn sensation.
i am 76 years old, on plavix. Should i try taking nexium or what?
at night i have to continually clear my throat since it feels like my
throat is filling with fluid. i thought it was post nasal drip but it is not.
It is beginning to make my espohegus feel slight burn sensation.
i am 76 years old, on plavix. Should i try taking nexium or what?
Brief Answer:
Most probably it is GERD
Detailed Answer:
Hello Fredricka, Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advise.
I want to know whether you have any of the below mentioned symptoms :-
1. Burning pain in abdomen just below the ribs.
2. Esophageal regurgitation, which awakes you in between sleep.
Are you taking plavix for any heart condition or any other vascular disease?
If answer of above questions is yes then definitely it is gastric acid re-flux (GERD) which is causing esophageal burning.
For that minimum 2 weeks course of proton pump inhibitors (omeprazole, esomeprazole) 12 hourly is required.
These medications should be taken 1 hour before or 2-3 hours after meals.
Prolongation of therapy is required if you have esophageal erosion/stricture, hoarseness of voice or dry cough because of acid reflux.
For esophageal examination you have to consult gastroenterologist or general surgeon, who will do endoscopic examination to rule out erosion or ulcer in esophagus and stomach.
Hope I have answered your question. Let me know if I can assist you further.
Most probably it is GERD
Detailed Answer:
Hello Fredricka, Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advise.
I want to know whether you have any of the below mentioned symptoms :-
1. Burning pain in abdomen just below the ribs.
2. Esophageal regurgitation, which awakes you in between sleep.
Are you taking plavix for any heart condition or any other vascular disease?
If answer of above questions is yes then definitely it is gastric acid re-flux (GERD) which is causing esophageal burning.
For that minimum 2 weeks course of proton pump inhibitors (omeprazole, esomeprazole) 12 hourly is required.
These medications should be taken 1 hour before or 2-3 hours after meals.
Prolongation of therapy is required if you have esophageal erosion/stricture, hoarseness of voice or dry cough because of acid reflux.
For esophageal examination you have to consult gastroenterologist or general surgeon, who will do endoscopic examination to rule out erosion or ulcer in esophagus and stomach.
Hope I have answered your question. Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Remy Koshy
here are the answers to your questions.
1. Burning pain in abdomen just below the ribs. NO
2. Esophageal regurgitation, which awakes you in between sleep.NO
Are you taking plavix for any heart condition or any other vascular disease?
HAD A MILD STROKE IN 2012
I have trouble getting to sleep at night, i feel like i have flem in my throat.
Dr thought it might be post nasal drip but nasal sprays don't help.
fredericka
1. Burning pain in abdomen just below the ribs. NO
2. Esophageal regurgitation, which awakes you in between sleep.NO
Are you taking plavix for any heart condition or any other vascular disease?
HAD A MILD STROKE IN 2012
I have trouble getting to sleep at night, i feel like i have flem in my throat.
Dr thought it might be post nasal drip but nasal sprays don't help.
fredericka
Brief Answer:
Start omeprazole
Detailed Answer:
Hello and welcome to 'Ask me Doctor' service. I have reviewed your query and here is my advice.
You can start capsule omeprazole + domperidone (Ones D) 12 hourly.
It should be taken 1 hour before taking any food.
Avoid taking spicy and oily foods.
consult surgeon for endoscopic examination to rule out any erosion or stricture in easophagus.
Hope I have answered your question.
Let me know if I can assist you further.
Start omeprazole
Detailed Answer:
Hello and welcome to 'Ask me Doctor' service. I have reviewed your query and here is my advice.
You can start capsule omeprazole + domperidone (Ones D) 12 hourly.
It should be taken 1 hour before taking any food.
Avoid taking spicy and oily foods.
consult surgeon for endoscopic examination to rule out any erosion or stricture in easophagus.
Hope I have answered your question.
Let me know if I can assist you further.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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