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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Gastric And Indigestion Problems, Heart Burn, Burping And Bloating. Had Lap Myomectomy In The Past. Throat Congestion And Breathing Difficulty

hi doc, m a marreid 34 yr old female who just had a lap myoectomy in january this year. the surgery was succesful however even today i am suffering from severe gas and indigestion problem along with heartburn , burping and bloating . I also have a tendecy to have this symptom more severe during my pre periods time. I also feel like something is stuck to my throat and the burps can t come out, this causes more problem in breathing at some point of time. please advise
Fri, 31 Aug 2012
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General & Family Physician 's  Response
hi

It sounds like the symptoms may be due to gastroesophageal reflux which presents with heartburn, bloating, excess burping, feeling as though food is stuck in the esophagus, nausea, cough.
The risk factors for GERD: obesity, alcohol, smoking, hiatal hernia, some medications can also worsen GERD.

It is diagnosed based on history, in some cases futher tests such as imaging or monitoring of acid may be required.

Treatment involves: weight loss if there is excess weight,
using smaller meals,
elevating the head of the bed,
earlier evening meals,
avoiding chocolate, alcohol, caffeinated drinks,peppermint, fatty foods, highly citrus fruits, spicy foods, carbonated drinks
stop smoking if this is an issue

Medications may be required if these measures are not helpful and includes antiacids (eg tums) or proton pump inhibitors (eg nexium or prilosec) or histamine antagonists (eg famotidine or cimetidine).

You should speak to your doctor regarding your symptoms , he or she will examine your abdomen and likely recommend lifestyle therapy and possibly suggest medications.
I hope this information is helpful
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Suffering From Gastric And Indigestion Problems, Heart Burn, Burping And Bloating. Had Lap Myomectomy In The Past. Throat Congestion And Breathing Difficulty

hi It sounds like the symptoms may be due to gastroesophageal reflux which presents with heartburn, bloating, excess burping, feeling as though food is stuck in the esophagus, nausea, cough. The risk factors for GERD: obesity, alcohol, smoking, hiatal hernia, some medications can also worsen GERD. It is diagnosed based on history, in some cases futher tests such as imaging or monitoring of acid may be required. Treatment involves: weight loss if there is excess weight, using smaller meals, elevating the head of the bed, earlier evening meals, avoiding chocolate, alcohol, caffeinated drinks,peppermint, fatty foods, highly citrus fruits, spicy foods, carbonated drinks stop smoking if this is an issue Medications may be required if these measures are not helpful and includes antiacids (eg tums) or proton pump inhibitors (eg nexium or prilosec) or histamine antagonists (eg famotidine or cimetidine). You should speak to your doctor regarding your symptoms , he or she will examine your abdomen and likely recommend lifestyle therapy and possibly suggest medications. I hope this information is helpful