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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Upper Back Pain, Continuous Burping, Heart Burn. Taking Digene. Due To Gastritis?

hi, i have sleepless nights due to upper back pain in the early morning hours. Along with that I have continious Burping,little heart burn sensation and intial pain while swalloing food.I guess the problem is becauese of gastic but I am not sure of the medicines available in xxx.I am taking Digene every now and then and I get relaxed but not foor long time. Please advice
Thu, 28 Feb 2013
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General & Family Physician 's  Response
Hello dear...
The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage
4. Surgical treatment- includes Fundoplication, it is done when medical measures fail.

If symptoms still persist, it will be better to consult a Gastroenterologist.
There is no need to worry...you will be fine.
Wish you a good health & speedy recovery.
Thanks & Take care.
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Upper Back Pain, Continuous Burping, Heart Burn. Taking Digene. Due To Gastritis?

Hello dear... The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage 4. Surgical treatment- includes Fundoplication, it is done when medical measures fail. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care.