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Anxiety and acid reflux - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Schizophrenia
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1764 Questions
User :   acid reflux
Doctor :   Hi
Doctor :  
How can i help you?\
User :   hello
User :   yes i wanted to ask how i could solve my problem
User :   i have acid reflux but it is not the typical one that most people get
Doctor :   Please describe it.
User :   mine is 24 hours a day, eating or no eating and it is now affecting my breathing ,lungs
Doctor :  
Ok
User :   i just had an x ray today and the lungs look normal
Doctor :   Ok

User :   but i feel like there is something there because i feel the acid evry single time
Doctor :  
Ok
User :   i have tried ppis and they dont work
Doctor :  
May i know since when are you having these symptoms?
User :   do you have knowledge on alternative medicine(herbs,diet,other therapies) that are not traditional
User :   i am going on 6 months now
Doctor :   Do you have pain?
Doctor :  
or is it just a sensation?
User :   i have done endoscopy and went normal, except for my stomach that at the time i was having gastrititis and my stomach had reddots all over the place, but it looks like its gone now since now the acid is up in the lungs lika hose without a switch of button
Doctor :   In what way has your breathing been affected?
User :   i have pain when i breath deep and get to the the end of my breathing, feels like a blockage
User :   i dont feel as if i am breathing to my potential , plus i notice the breathing is more heavy
Doctor :  
May i know your age and gender?
User :   25 male
Doctor :  
do you smoke or consume alcohol?
User :   alcohol
User :   i know for a fact it was caused by it
Doctor :  
How much and how often?
User :   not much anymore , but right before this started almost evry 2 days and heavy
Doctor :  
You mentioned that your symptoms were present almost all the time but
Doctor :  
has does the severity vary during any time of the day?
User :   the week before chrostmass i was feeling amost the exact same as now , drank about 5 beers with each beer per hour and the next morning woke up perfect, it lasted a week untill christmass when i drank heavily and since then the symptoms are there
User :   yes my symptoms are 24 hrs
User :   time of the day does not matter
Doctor :   does the severity vary?
User :   it seems as if what i eat does not afffect in a good or worse way
User :   its always the same
Doctor :  
I mean is it increase during the night time?
User :   so i am completely cluless and i have been to several doctors and they have given up on me
User :   no , its the same night and day
Doctor :  
Ok.
User :   its 24 hrs a day
Doctor :  
May i know about some detail on your occupation?
User :   student, property manager
User :   i am drinking alakaline water now , have been for the past 3 to 4 days
Doctor :   Ok
Doctor :  
Has that helped you?
User :   since usually acid reflux is cause by excess acidity i was wondering maybe this could help but so far nothing has happened, and i am averaging a gallon a day give or take
User :   i wouldnt be talking to you right now if it helped jajajaj joke
Doctor :  
Ok.
Doctor :  
ok
Doctor :  
I shall suggest few measures.
User :   so now my quesiton to you is what can i do???
Doctor :  
Your problem could be partly due to the acid reflux.
Doctor :  
i shall suggest you few other measures
Doctor :   1. You may need dietary modification
Doctor :  
the modifications include decreasing the spicy food, caffeine, alcohol
Doctor :  
2. Antacids are available as an OTC
Doctor :  
You can try syp mucaine gel. 2 tsp before meals thrice a dau\y
User :   antacids do not work for me Doc
Doctor :   Ok.
Doctor :  
then you can take these when your symptoms are severe
Doctor :  
it will reduce the severity
User :   Doc, my symptoms are severe 24 hours a day
Doctor :  
3. do not hit the bed immediately after a meal
User :   i will try the syrup mucaine gel
Doctor :   these antacids work the same way as alkaline water
Doctor :  
except that you do not need to take them in gallons
Doctor :  
4. do not eat upto the brink
User :   what about supplements
User :   because i havent tried that department
Doctor :  
I mean that you need to stop eating when you are about to be full
Doctor :  
since your symptoms have been persisting you need to follow all the measures
Doctor :  
Partial treatment may not work
Doctor :  
Hence i am suggesting the other measures too.
Doctor :  
Have you followed?
Doctor :  
5. When you lie elevate the head by means of two pillows.
Doctor :   are you there?
User :   what about the LES valve
User :   is there something i can take to strenghen it
Doctor :   the weakness in the LES splincter if there were any would have been picked by an endoscopy
Doctor :  
SInce you said the endoscopy was normal i did not comment on that.
Doctor :   have you followed?
User :   let me ask you something... why do you think the 5 beers thing that i day and got better helped resolve the problem ? because if beer is acid and thats not what i need how come it helped me that day?
Doctor :   As i mentioned earlier, your symptoms are partly due to acid reflux.
Doctor :  
The other part could be just due to anxiety.
Doctor :  
Your symptoms have a combination of both.
Doctor :  
Have you followed?
User :   i agree with the anxirety part too, but what can i do about that??
User :   what is your intake on vitamin b 12 shots for the nervous system?
Doctor :  
The treatment of anxiety includes both treatment of the symptoms which i have suggested
Doctor :  
and once these symptoms decrease the anxiety will also reduce.
Doctor :  
and if the anxiety does not reduce on by the treatment of the physical symptoms then
Doctor :  
you may find help by means of counselling.
Doctor :  
You can take multivitamins too as oral supplements
Doctor :  
You may not need it as injections if your absorption has been good.
Doctor :  
Have you followed?
User :   yes i have
Doctor :  
Ok.
User :   thanks for your help Doctor
Doctor :   I shall summarise all that i have mentioned to you
Doctor :  
if you want to
Doctor :   Are you there?
User :   no its ok thank you
Doctor :  
Please fill the feed back form too.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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