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A 45-year-old male asked:

i now take 40 mgs of omeprazole twice daily for gerd and still get bad attacks of indigestion. when i eat it gets better. is this a normal response?

2 doctor answers2 doctors weighed in
Dr. Jordan Rush
Gastroenterology 13 years experience
Check it out: If you are still having attacks despite Omeprazole 2 times per day you should make sure that the diagnosis of acid reflux is correct. You could be having non-acid reflux which would have different treatment. Alternatively esophageal movement problems may be evaluated. Talk to your doctor.
Dr. Donald Alves
Emergency Medicine 24 years experience
Time to see GI: The symptoms are not improving on excellent treatment, so are either complicated or something other than what you think it is--both equal see specialist. Gastroenterologist can do exam / scope / treat.

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A 29-year-old member asked:

Will he need surgery to relieve heart burn?

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Dr. Ruben Rucoba
Pediatrics 32 years experience
Probably not: Surgery is rare in children with gastroesophageal reflux disease, the usual cause of "heartburn." nearly all cases of reflux can be treated with special feeding techniques or medicine. Surgery is only used in very rare cases of severe, chronic reflux, or in children who are neurologically impaired (in these cases, reflux can lead to pneumonia). A healthy baby with reflux won't need surgery.
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If I took indoethacin in my last weeks of pregnancy, should the fetal heart rate be monitored on a daily basis?

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Depends: Indomethacin taken frequently over a long period of time can cause a transient change in the fetal heart circulation (in doctor speak it closes the ductus arteriosus). Small doses for only a few days, which is usually the only thing we would do, is not particularly dangerous. Check with your doctor on why you are taking it and whether monitoring is needed.
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Could my daily headaches be due to lack of sleep from breastfeeding all night ?

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Will my blood clot put me at risk for a heart attack or a stroke?

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A 21-year-old member asked:

After I eat, I always feel like I need to clear my throat. Is this a sign of gerd?

2 doctor answers9 doctors weighed in
Dr. Patrick Melder
ENT and Head and Neck Surgery 27 years experience
Could be: This sounds like a classic symptom for acid reflux. Common symptoms: throat clearing (especially after meals), feeling like something is stuck in the throat, thick mucus, hoarseness, bitter taste in throat, throat irritation. See your local ENT who can use a camera and look at your vocal cords.
Dr. Francine Yep
Family Medicine 31 years experience
* Try preventing acid reflux first. Check your diet [caffeine/chocolate, alcohol, spicy, citrus, tomatoes, acidic foods], aspirin/non-steroid anti-inflammatory medicines like ibuprofen. Consider using over-the-counter acid reducers [TUMS, antacids, H2-blockers] for 1-2 weeks. Eat small meals. After you eat, wait 2-3 hours before laying down. * if you're not better, see your doctor.
Nov 22, 2011

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