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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Heartburn Caused By Acute Acidity

Ive had what I think is heartburn. Its getting so I can t eat anything. About ten minutes after eating I get terrible pain up under my rib cage. I feel like I mhhaving a heart attack. I belch terrible and bloat terrible. The pain goes straight through my back and radiates to my lower back and that feels like a snake is constricting my lower back. It kees me up all night. My bowel movements smell horrible. I get very sick. Lots of vomiting. I velost 30lbs in 1month. I vewent from 130 to 100lbs. II monly 52years old. I look tterrible. I don t have heart burn or gerd. I vebeen told this aalso sounds like gallbladder attacks. I also have terrible gas.
Thu, 26 Nov 2015
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General & Family Physician 's  Response
Hi,
Welcome to HCM.

Heartburn or stomach burning with terrible pain and bloating is a commonest symptom seen nowadays.

The causes could be excess stomach acid or acute gastritis, gastroenteritis or gastric ulcer or Helico-bacter pylori infection or food allergy or stress or drug induced but should be investigated further.

Also,the cause of your loss of weight could also be related to this acidity or heartburn.

You must undergo routine blood investigations and H.pylori,liver function tests,urinalysis and stool for blood,abdominal ultrasound and upper gastrointestinal endoscopy to detect the underlying cause.

Treatment is mainly depend on the cause but you may take symptomatic treatment meanwhile.

Antacids like h2 blockers (ranitidine) or proton pump inhibitors (pantoprazole or rabeprazole) will help to reduce excess acid production in stomach.

You can also take digene gel or liquid or ulcero-protective agents like sucralfate or bismuth subsallicylate to reduce the burning sensation.

Apart from medications you should,

1) eat plain foods like boiled rice and green leafy vegetables without adding spices or oil. It will help to neutriluze digestive acids and also they are easily digestible means there will be no need of extra stomach acid.

2) avoid oily,spicy and fast foods

3) avoid eating full stomach at a time rather have small meals frequently.

4) drink coconut water will help to reduce burning.

5) eat lots of fruits like banana and watermelon.

6) avoid excess tea and coffee.

Consult gastroenterologist who will take your detailed medical history and clinical examination to diagnose the cause.

Regards,
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Suggest Treatment For Heartburn Caused By Acute Acidity

Hi, Welcome to HCM. Heartburn or stomach burning with terrible pain and bloating is a commonest symptom seen nowadays. The causes could be excess stomach acid or acute gastritis, gastroenteritis or gastric ulcer or Helico-bacter pylori infection or food allergy or stress or drug induced but should be investigated further. Also,the cause of your loss of weight could also be related to this acidity or heartburn. You must undergo routine blood investigations and H.pylori,liver function tests,urinalysis and stool for blood,abdominal ultrasound and upper gastrointestinal endoscopy to detect the underlying cause. Treatment is mainly depend on the cause but you may take symptomatic treatment meanwhile. Antacids like h2 blockers (ranitidine) or proton pump inhibitors (pantoprazole or rabeprazole) will help to reduce excess acid production in stomach. You can also take digene gel or liquid or ulcero-protective agents like sucralfate or bismuth subsallicylate to reduce the burning sensation. Apart from medications you should, 1) eat plain foods like boiled rice and green leafy vegetables without adding spices or oil. It will help to neutriluze digestive acids and also they are easily digestible means there will be no need of extra stomach acid. 2) avoid oily,spicy and fast foods 3) avoid eating full stomach at a time rather have small meals frequently. 4) drink coconut water will help to reduce burning. 5) eat lots of fruits like banana and watermelon. 6) avoid excess tea and coffee. Consult gastroenterologist who will take your detailed medical history and clinical examination to diagnose the cause. Regards,