Doctor insights on:
Severe Chronic Heartburn
Chronic cough, heartburn (usually controlled with meds), fatigue, horseness, chronic pain. Could this be lpr?
Could be: Laryngopharyngeal reflux manifests as a sensation of a ball in your throat, a need to clear your throat and can be associated with gastroesophageal reflux. It can also produce hoarseness. I can't comment on the fatigue and chronic pain. Have an ENT perform a fiberoptic nasopharyngoscopy to confirm the diagnosis. ...Read more
See below: The common causes of kidney pain are kidney stones, infection and cyst rupture in polycystic kidney disease, besides kidney trauma from any cause and there is a condition called loin pain hematuria syndrome. Besides the above generally speaking chronic glomerulonephritis does not cause kidney pain get yourself examined for other causes. ...Read moreSee 1 more doctor answer
Yes: The last three or four teeth in the upper jaw have roots that are in close relationship to the floor of the maxillary sinuses. It is not uncommon for patients with chronic sinusitis to have pain radiate into the maxillary teeth. Likewise, patients with dental problems in the maxillary teeth that lie in close contact with the floor of the sinus can refer pain to the sinuses. ...Read moreSee 6 more doctor answers
Chronic pancreatitis: Interesting question. Chronic pancreatitis per se does not cause gastric ulcers, but the level of physiologic stress caused by the disease can certainly be a causative factor. Judging by your history of chronic pancreatitis, abdominal pain and diarrhea you should be on some form of gastric acid blocker such as Omeprazole and also pancreatic enzyme supplements. ...Read more
What could cause chronic indigestion, upper left back pain, chronic fatigue, nausea, stabbing headaches?
Related or not?: There are lots of possibilities here, all of which can be addressed by a physical exam and appropriate testing. Migraines for example can affect both head and gut ("intestinal migraine"). Please however don't contribute to your stomach upset by taking excessive nsaid's aimed at alleviating head ache. Get checked to rule out more esoteric pathology. ...Read more
Yes...: Reflux can cause bronchospasm which, in turn, can cause coughing. The treatment entails treating the reflux aggressively as well as bronchodilators and steroid inhalers for the bronchospasm until the reflux is under good control. Your doctor can diagnose and treat this so see your doctor so therapy can be instituted asap. ...Read more
Unknown.: Idiopathic means that we don't know why it happens. If we don't know why it happens then we cannot make any logical assumption as to how to cure it. Further information could be helpful. Are you diabetic? Are you overweight? What kind of diet do you have? You drink alcohol ever? Is there anything that you eat that seems to make it worse? Do you have high cholesterol or high triglycerides? ...Read moreSee 1 more doctor answer
No.: Indigestion and abdominal pain are both symptoms that can be associated with many different abdominal diseases. I recommend that you schedule an appointment with your primary care physician. They can take a thorough history, perform a physical exam, and order appropriate tests to determine the cause of these symptoms and treat them. ...Read moreSee 1 more doctor answer
Unlikely: Celiac disease is secondary to damage to the lining of small intestine. Classic symptoms are diarrhea and weight loss. A small percent of patient may have constipation but not severe. Common causes of severe constipation are meds induced, diet related, not drinking enough fluids, and metabolic changes. Colonic inertia is another cause which requires a detailed workup. Hope this helps. ...Read more
I am having severe URQ abdominal pain with severe chronic low back pain. No gallbladder/have chronic enlarged CBD. What could cause this?
Yes: It can, if coupled with c-spine or thoracic abnormalities, contribute to uncontrollable repetitive movements. You need to be seen by a good Neurosurgeon who can evaluate your cervical thoracic and lumbar spine. I suspect there will be other findings beyond the scoliosis. Good information is available at http://www.srs.org/patient_and_family/scoliosis/early_onset_scoliosis/tis/index.htm ...Read moreSee 1 more doctor answer
Chronic Severe heartburn AND feeling hot wakes me up in the middle of the night. What to do? Both symptoms at the same time.
What tests should be run before considering a nissen fundoplication to manage severe, chronic gerd?
Several: The work up for surgery for gerd includes an exam by the surgeon, an upper endoscopy preferably by the surgeon, possibly a test to measure how much acid is coming up, and an esophageal manometry which tests the function of the esophagus. Sometimes an x-ray UGI is also done. ...Read moreSee 3 more doctor answers
I have GERD & IBS w/severe chronic constipation. What is the best Rx for GERD without increasing constipation and inducing other side effects?
Severe GERD, mod chronic inflamm @ GE junc. On max PPI, sucralfate, raised HOB, diet. Thick mucous, no h. hernia, no Barrett's. Alt tx, home rem?!?
I have heard: Aloe juice is helpful I've also heard it tastes awful. Sorry :( ...Read more
Studies have shown: That the differential diagnosis of heartburn symptoms is quite broad, but according to Dr. Harmon and others in Therapeutic Advances in Gastroenterology, there are five major causes: Medications, functional dyspepsia, GERD, peptic ulcer disease, and cancer. GERD may have no symptoms of heartburn whatsoever. Here is a review to read: http://tinyurl.com/nqnv9qr ...Read more
Due to my severe GERD severe heartburn when I take antibiotic pills despite being on PPIs. Do all antibiotics come in injectibles as well? tyvm
GERD: Many antibiotics do come in injectable forms. However, if your heartburn is that severe, I would encourage you to speak with your provider. If not already done, you would benefit from an upper endoscopy to see what's going on in the upper GI tract. You might also need twice daily PPI for a period of time. You should have this checked. ...Read more
Dr says I've GERD. I don't have classic heartburn. I've chest discomfort but not pain & a chronic cough ?
GERD: There are two types of acid reflux: 1) Gastroesophageal reflux disease (GERD) is when acid refluxes from the stomach to the esophagus. Symptoms include heartburn, chest bloating, and regurgitation 2) Laryngopharyngeal reflux (LPR) is when acid refluxes from the esophagus to the throat. Symptoms include cough, throat fullness, voice change, and feeling like you have to gulp twice to swallow. ...Read moreSee 2 more doctor answers
My Husband is experiencing heartburn (gerd) (worsened by: eating certain foods) , diarrhea (quality: chronic (persistent, sustained)) and abdomin...
Gastroenterologist: He may be dealing with an irritable bowel syndrome as well as gerd. Have him consult a gastroenterologist for evaluation, diagnosis and proper treatment including dietary advice as well as avoiding alcohol, caffeine,nicotine and harsh roughage. In the meantime start him on prilosec or zantac daily until he is examined. ...Read more
Currently taking 40mg omeprazole 4 gerd, recently, have excessive acid (ea) which results in severe heartburn even with ppi. What can causes for ea b?
I have gerd, heartburn , regurgitate food a lot and chronic cough as well as my teeth are going brown what to do? Feel gaseous too at times
Why would i develop heartburn after starting ppis? Had severe allergies/asthma since child, was told (despite allergy testing) that it might be GERD
Tender center of chest & pec area. Feels sore/tight but no pain. Not exercise related. Can breath normal. GERD/Severe heartburn? My anxiety acting up?
Chest pain: always means a trip to the doc or the emergency room to rule out any medical conditions. After that consider a mental health professional to teach you stress management techniques. GERD may be part of the picture and your doc can help w/that. A natural approach is the use of DGL supplement. Peace and good health. ...Read more
I am experiencing back pain (severity: severe) (side: both) , chest wall pain and heartburn (gerd) (worsened by: eating shortly before bed, bendin...
I've had chest X-ray, a whole heart work, heart doc says heart is ok. Why does my back hurt so bad?
You would: probably benefit from a neurological or orthopedic evaluation. Ask your primary health care provider for a referral. ...Read more
My Father is experiencing diarrhea (quality: bloody, chronic, persistent) , painful bowel movements, passing gas, stomach upset and heartburn (gerd) (worsened by: eating certain foods) . The following also describe him: Abdominal pain (generalized) and S
Bloody Diarrhea: can be very serious. Your father needs prompt medical attention. Take care. ...Read more
Management of GERD: Small [email protected] time.no fluids with meals.(just rinse)Avoid caffeine nicotine alcohol Nsaids stress fatty food.Lose weight if overweight.No bending or lying down 2hrs post food.Sleep on right hand side.(facilitate emptying of stomach)Check meds if taking.Munch provita biscuits periodically.Elevate bedhead or pillow.No medication can cure/help if behavioural changes not done.Good luck ...Read moreSee 1 more doctor answer
Im only 21 but I've had severe GERD for most of my life. I've tried everything but nothing has worked. What could happen if this remains untreated?
You should set up a : schedule with a Gastroenterologist as to how often to monitor your esophagus. Also, discus surgical option for condition. ...Read more
What are the risks of having to be on long term GERD medicines due to chronic condition? Can anything be done to minimize risks?
Well tolerated meds: In general, proton pump inhibitors are well tolerated. Occasionally, they may result in headache or altered stool pattern. Rarely, they may contribute to hypomagnesemia (low magnesium blood levels) & increase risk of clostridium difficile infection. Significantly, particularly in postmenopausal women, they can increase risk of hip fractures. Checking a bone density scan can help define this risk. ...Read moreSee 1 more doctor answer
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