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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spinal Stenosis And Spondilitis. Severe Acid Reflux And In Wheel Chair. Could The Strain Of Leaning Forward Causes Esophagus Spasms?

My 96 year old mom has been wheelchair bound for the past 2 years. She has a mild systolic murmur which creates no problems, spinal stenosis, kyphosis, and spondithiliosis for which she wears a 100 mcg fentanyl pain patch. Her B/P is very normal, she is alert,and mostly in good health except for waking up with severe acid reflux after she begins to lean slightly forward in bed several mornings a week to change an incontinence pad herself to prevent wetting the bed. This action seems to trigger the burning, squeezing pain. She takes Prilosec 20 mg and Pepsid twice daily. She sits up for about 3 hours after eating before lying down in bed. Could the very slight strain of leaning forward in bed cause esophgeal spasms and reflux?
Fri, 22 Nov 2013
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General & Family Physician 's  Response
Hi, Welcome to Health care magic forum.
Your mother is 96 years old, and at this age, usually the voluntary and involantary muscles may be weak, and feel difficult to do their task.
I advise you to consult a gastroenterologist for diagnosis and treatment.
I usually prescribe to my patients with such symptoms omeprazole, domperidone, and antacid gel.
I omit famotidine as a second drug, as it may stagnate the gastric contents and regurgitate.
Wishing he r a quick and complete recovery. Thank you.
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Spinal Stenosis And Spondilitis. Severe Acid Reflux And In Wheel Chair. Could The Strain Of Leaning Forward Causes Esophagus Spasms?

Hi, Welcome to Health care magic forum. Your mother is 96 years old, and at this age, usually the voluntary and involantary muscles may be weak, and feel difficult to do their task. I advise you to consult a gastroenterologist for diagnosis and treatment. I usually prescribe to my patients with such symptoms omeprazole, domperidone, and antacid gel. I omit famotidine as a second drug, as it may stagnate the gastric contents and regurgitate. Wishing he r a quick and complete recovery. Thank you.