Doctor insights on:
Gerd Without Heartburn
Not really.: Ibs causes abd distention, bloating, cramping, constipation and diarrhea like symptoms. Your symptoms sound typical of reflux disease. Avoid spicy food, chocolates, coffee, eat small meals, and take anti ulcer meds. Reflux symptoms could be from a hiatal hernia as well which is diagnosed by either an upper GI contrast study or egd. Follow up with a GI doc if symp not goinng away. ...Read more
Yes and no: Acid reflux is not clearly a cause of esophageal cancer. But there is an association of reflux (acid and non-acid) to barrett's esophagus/adenocarcinoma of the esophagus. There are other types of esophageal cancers, which may or may not be related to reflux. ...Read moreSee 1 more doctor answer
Yes: Short answer yes.Get a more detailed answer ›
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
Maybe: First line therapy would be acid blocking medications such as h2 blockers or proton pump inhibitors. If those do not work surgery to correct the hernia may be needed. Given that you are young, i'd consider surgery sooner than later as we are just learning some of the long term issues with chronic anti acid medication. One example is increased osteoporosis due to decreased calcium absorption. ...Read moreSee 2 more doctor answers
Possible but unusual: Most likely lower esophageal adenocarcinoma is caused by gerd, which changes the lining of the lower esophagus into that of the stomach (barrett's) which is a precursor for adenocarcinoma. However, one could have squamous cell type without gerd. Best to review with your gastroenterologist. ...Read moreSee 1 more doctor answer
It depends: There are a few surgical options for wt loss and a few are actually very effective in reducing gerd symptoms. I do have patients who report more gerd sx after lap band but usually improves with dietary modification. Sometimes band adjustments are helpful for persistent symptoms. ...Read moreSee 2 more doctor answers
Been experiencing hiccups, burping and bad breath and acid reflux ? Solutions ? Prescribed proton pump inhibitors for acid reflux. Acid reflux is gone
Careful on the long: Be careful with the a ppi as a 19 year old man. With prolonged use, they can cause rebounding (addiction) and seem to cause osteoporosis. Try using an h1 blocker like zantac (ranitidine) or pepcid. Give it a couple of weeks and see if it resolves. If it does not, follow up with your pcp. ...Read moreSee 1 more doctor answer
I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?
LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more
Weight loss, diet: If your are overweight, losing weight can help. You should avoid late meals, large meals, fatty meals, peppermint, caffeine, nicotine, chocolate, spicy foods, tomato sauce and any other foods you find cause heartburn. Taking a daily acid medications such as ranitidine or Prilosec otc can be helpful if the above does not help. ...Read moreSee 1 more doctor answer
Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more
Any dairy = reflux/heartburn. Extreme fatty food = no heartburn, no reflux. No lactose milk = acid reflux too. What causes reflux then ? Thank you.
Milk protein Allergy: If the reflux is triggered by both lactose containing and lactose free milk, then you may have milk protein allergy. An allergic reaction releases histamine. Histamine in the stomach will increase acid production and cause stomach contractions which will push the acid up the esophagus. Try avoiding cows milk products and see if it helps. ...Read more
Bile reflux-acid reflux, being treated for acid reflux 40mg Pepcid (famotidine) and 40mg pantaprozole each 2/aday. But symtoms of bile reflux..Wrong meds?
Bile or acid reflux?: If you have acid reflux disease and are having symptoms despite high dose acid-reducers and acid-blockers, then either your reflux is more severe and other treatment options should be considered, or the reflux is not acid-related but possibly gall bladder/liver related. ...Read more
Constant burping, occasional regurgitation and hiccups, heartburn and coughing. Do I have acid reflux?
Sure sounds like it: We can't diagnose here, but you've certainly described many features associated with acid reflux (GERD). Usual first measures include dietary and lifestyle modifications and over the counter medication. Seek eval if no improvement to avoid worsening and long term risks. Gastroenterologists are specialists in this area. ...Read moreSee 1 more doctor answer
Protonix (pantoprazole): The most common side effects from taking Protonix (pantoprazole) are headaches, constipation, gas , and nausea. There is a long list of potential side effects that are really rather rare but these are the ones I have seen in clinical practice. Occasionally someone will have diarrhea or abdominal pain as well. ...Read more
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