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Diet and medication for gastritis, acid reflux, stress management - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3588 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   Hello,
Doctor :  
please proceed with your health query
User :   I had two sharp chest pains while I was hungry and smelt my lunch. Since I have eaten I have no longer felt any pains. Could they have been some sort of acid reflux pains?
Doctor :   they could be related to the acid reflux
Doctor :   what other symptoms do you have?
User :   I only get pains in my chest now both sides.
Doctor :  
ok
Doctor :  
do you feel burning or sour sensation in chest and throat?
User :   I went to the dr. in Aug for some slight chest pains. She did some blood work and said I had inflammation. She also sent me to a cardiologist. I did all the testing with the cardiologist and all was fine.
Doctor :  
do you have a feeling of mucus like thing stuck in the throat?
Doctor :  
ok
User :   Not really
User :   My doctor told me to take Aleve for my inflammation and I did but I also took Advil for my headache. I had a horrible reaction to it.
User :   I threw up and ended up losing about 25 pounds in 6 weeks
Doctor :  
ok
User :   My doctor put me on Prilosec twice a day for 3 weeks and I could not stop throwing up. Then we went to Protonix for a month twice a day and still horrible acid and vomiting
Doctor :  
so the symptoms were due to the gastritis induced my these tablets
User :   She sent me to the Gastroenterologist and he did an upper and lower gi and said I had acid reflux
Doctor :  
ok
User :   But I would still keep having pains all over including arms and legs. I feel like I was going nuts and even panicking about it all.
Doctor :  
ok
User :   So I just stopped all medication on my own and am slowly getting better now
User :   I can eat regularly and sometimes I have heartburn but not even 3 times a week.
Doctor :  
ok
Doctor :  
there are certain things that you should do to prevent further reflux
User :   yesterday I got a few pains in my chest but they were very small and hardly noticeable. Could this be from acid reflux still?
Doctor :  
i will help you with the tips to prevent these from occuring
User :   ok
Doctor :  
since you have had a typical history of gastritis and other sypmtoms, you could have still had them again
Doctor :  
the first and foremost point is not to leave stomach empty for more than 3 hours at a stretch
User :   What does gastritis do? Does it affect me all over or just my stomack?
Doctor :  
except when you sleep at night
Doctor :  
gastritis when bad can affect other systems too leading to multiple complains
User :   So having pains like today, after going so long without food, seems like the gastritis?
Doctor :  
yes it does
User :   Will I ever get over it or will it be something that goes on forever?
Doctor :  
another thing you should always remember is never to lie down immediately after having food. there should be a gap of atleast half an hour
Doctor :  
you will get over it
Doctor :  
i will suggest you ways that will help you in getting over it
User :   ok
Doctor :  
1)take Tab TUMS 1 tablet after meals or at bedtime
Doctor :  
2) do not leave stomach empty for more than 3 hours at a stretch
Doctor :  
3)avoid lying down immediately after food
Doctor :  
4)avoid oily and fried stuff at night especially
Doctor :  
5) when you do get hungry choose to eat a little bland foods rather than spicy mouth watering ones
Doctor :  
6) having a well balanced diet counts
Doctor :  
7) avoid having lots of cabbage, cauliflower and potatoes, they tend to form more gas due to more acid production
Doctor :  
8)Limit or if possible eliminate intake of simple sugars (sweet, fruit, and milk), flour, caffeine, alcohol, fatty foods, spicy foods and tomato products.
User :   Ok, I feel like this mess has changed me. I am a paranoid person now because of it. I was doing good until the pains today which really shook me up.
Doctor :   9) having chilled milk at night sometimes helps, you can have a small cup of chilled milk rather than hot milk.
User :   I had no idea milk was not good. I have been drinking quite a bit of it.
Doctor :  
do not worry
Doctor :  
relax yourself first, many people have these symptoms atleast 4-5 times a year
Doctor :  
which can be overcome
Doctor :  
follow the suggestions given
User :   I have been dealing with all of this since Aug
Doctor :  
it wil help you
User :   Ok, thanks.
User :   Now I have a second topic. Can I ask you?
Doctor :  
10)Eat a light or soft diet , it provides a lot of assistance.
Doctor :   let me finish with these sugestions
Doctor :  
then you can proceed with your other query
User :   sorry, thanks.
Doctor :  
it will avoid unwanted confusion and yu wil understand better what i am saying
Doctor :  
11)Cessation of smoking and relaxation therapy also helps. Meet a counsellor or a relaxation therapist
Doctor :   12)Take a lot of high fiber containg foods, they too help in cutting down acid production
Doctor :   13) if inflammation is suspected, then taking a long term Omega-3 Fish oil will help you
Doctor :   to reduce and eliminate inflammation related gastritis
User :   Is that a supplement?
Doctor :  
yes it is a supliment
Doctor :  
14)limit alcohol and tobacco. avoid taking acidic beverages like coffee, carbonated beverages, and fruit juices with citric acid.
Doctor :   15) avoid fatty foods or hard to digest oily stuff.
Doctor :   have you followed what i have said uptil now?
User :   yes, I actually do most of what you said already. I just got busy today and did not have my lunch on time today.
Doctor :  
ok
Doctor :  
try and avoid missing food on time
Doctor :  
it wil only laed to more problems for you
Doctor :  
remember that you are important and your health is a priority
Doctor :  
do not neglect
Doctor :  
you can proceed with your other query now.
User :   I had been told that I had gastritis but its been six weeks since taking the last pill and it feels like I am not healed from it as of yet. Can that be possible still?
Doctor :  
there could be other reason as well..
User :   Or are these pains just acid reflux now?
Doctor :  
sometimes there is a bacteria in stomach which makes you produce more acid
Doctor :  
which damages the stomach lining and keeps irritating it
Doctor :  
resulying in prolonged symptoms
Doctor :  
so i would recommend you to go back to your doctor
User :   Would that have been seen in the gi tests?
Doctor :  
and ask for this specific treatment
Doctor :  
called as "HP-Kit"
Doctor :  
it would not have been seen in the GI tests
Doctor :  
it is only a suspicion and needs extensive work up to prove it
Doctor :  
so taking this treatment helps
Doctor :  
many people after taking this kit for 3 days have noticed
Doctor :  
far much improvement in their symptoms
Doctor :  
like not having repeatd pain, able to eat healthy and reduction in vomiting spells
User :   they redid the inflammation tests and said that it has gone down so there is less inflammation in my blood now too.
Doctor :  
that is good news
Doctor :  
so now taking this treatment against the bacteria H. Pylori
Doctor :  
will help you much better
User :   I do feel like I am already getting better but I just cannot believe that it would take this long. I am 32 years old and it amazes me.
Doctor :  
also follow the above said suggestions
Doctor :  
is it ok. sometimes this problem troubles patients for more than 5 years, going upto 10 years also
Doctor :  
so do not worry
Doctor :  
you still have got excellent chances to recover
Doctor :  
from all these problems
User :   ok I will see my doctor about that.
Doctor :  
just relax
Doctor :  
and practice relaxation techniques
User :   ok thanks,
Doctor :  
you getting paranoid and stressed will not helpyou
Doctor :  
rather it will result in more acid production
User :   I know and i do notice more chest pains when I am stressed out
Doctor :  
which will hamper your healing
Doctor :  
as stress, paranoid behavoiur and acidity is interrelated
Doctor :  
so avoid stressful situations
Doctor :  
maintain a diary of wht stressors u can identify
User :   I have 4 kids so that is impossible.
Doctor :  
and try and avoid them
User :   My biggest stress is them when they are all fighting. Other than that I usually feel pretty good. As a matter of fact when I felt the pains today I had 3 of the kids with me.
Doctor :  
if kids are a problem making you more stressed, then take them for copunselling they will learn to behave well and listen to you
Doctor :  
lids are vulnerable, they follow what you teach them
Doctor :  
be as a friend
Doctor :  
and tell them
Doctor :  
they wil listen
Doctor :  
correcting them as a friend works more than being strict with them
User :   ok my next issue is I get exercise headaches and was a little worried about that.
Doctor :  
give them small responsibilities around the house to keep them busy
Doctor :  
ok
Doctor :  
could you explain your symptom in detail?
User :   Yesterday I went on a 45 minute walk pushing my 1 year old in a stroller and I worked up a sweat. I got home and immediately got a headache.
User :   It lasted all day and when I woke up today it was gone.
User :   For as long as I can remember back I always get this when I do an intense workout.
Doctor :  
Please fill the feedback form and comment box, and say done when done, while i answer your next query
Doctor :   you headaches are due to physical stress and sweat that accumulates after workouts.
User :   I am overweight and about 3 years ago I lost about 45 pounds and that entire time of working out I had to deal with these headaches everytime I worked out.
Doctor :  
whenever you workout tie a cotton cloth around your head
Doctor :  
it will absorb the sweat
Doctor :  
and have a shower after each workout
Doctor :  
or sweaty stiuations
Doctor :  
it will help you in reducing them
User :   It does not matter if I workout in the morning or evening the headache will last until I go to bed. Always the next morning they are gone.
Doctor :  
ok
Doctor :  
try having a shower after workout
Doctor :  
it will help
User :   Another part of it too is if I do something where I am hot all day and cannot cool off I get a headache and if nothing is taken for it like advil it will get worse until I vomit and then pass out.
Doctor :  
when you sleep, the barin gets rest and other chemicalsa re relased which relives the headache
Doctor :  
when the headache like this is abut to start or is in process of beginning
Doctor :  
take Tab Advil or Tylenol
Doctor :  
along with one tab of TUMs
Doctor :  
such that you get releived with the headache
User :   I did some research on exercise headaches and it said there were two kinds and the secondary kind could be because of a tumor or something else bad in the brain. So my headaches do not sound like something like that?
Doctor :  
and at the same time do not have gastritis symptoms
User :   Advil helps but nothing really makes the headaches go away but sleep.
Doctor :  
ok
Doctor :  
the brain tumors will have other effects too
User :   I have also been having a lot of neck pains the last couple of days along the sides.
Doctor :  
of nausea and symptoms related to increased intracranial pressure
User :   But this is recent and the headaches have been around for years
Doctor :  
if you are worried due to them
Doctor :  
then insteacd of sitting and worrying, get a MRI brain and neck done
Doctor :  
it will confirm/rule out the tumors
User :   Well thats why I am asking you because I have been to so many doctors over the last 4 months I am embarassed.
User :   Just for all of these gastritis problems. I saw the cardiologist, gastroenterologist, rheumatologist, and my internist.
Doctor :  
ok
Doctor :  
then let us go step by step
Doctor :  
we will first work on your gastritis and related symptoms
Doctor :  
by following all that i have suggested
Doctor :  
also practice relaxation techniques to releive stress
Doctor :  
and for headaches, continue to follow what i have suggested
Doctor :  
for next one month
User :   Ok I like that idea about relieving stress
Doctor :  
do you want me to tell you few relaxation tips?
User :   definately
Doctor :  
ok
Doctor :  
1) first start with identifying what all stresses you
Doctor :  
make a note of all the points and situations
Doctor :  
2)think of ways to handle them better without losing your temper
Doctor :   3) count upto ten slowly taking deep breaths whenever faced withthese situations
Doctor :  
4) go for walk, speak to a friend, listen to your favourite music
Doctor :  
to releive
Doctor :  
5)take a hot shower or relax in a bath tub listening to music
Doctor :  
6)wear shades of blue rather than yelow, orange or red, they can aggravte stress
User :   ok that all seems easy. With the exception of exercise because the headaches freak me out now. So you say do this for the next month? and go to my doctor if I don't see an improvement?
Doctor :  
7)Certain scents have been found to have a calming, relaxing effect on the human body. One of those scents is lavender. so try aroma therapy
Doctor :  
yes, do all these for a month
Doctor :  
if you do not see any improvement
Doctor :  
go for the Hp kit treatment
Doctor :  
and aslo the brain MRI if headaches dont seem to respond well
Doctor :  
Is there any thing else I can help you with?
Doctor :   have you followed what i have said?
User :   I am fine with the headaches they only come if I go and exercise. If it was a brain tumor would I see things in other places than just exercise headaches?
User :   I am following what you are saying.
User :   Wouldn't the headache last longer than just that day?
Doctor :  
it could be lasting longer as you said
Doctor :  
but with other symptoms of rapid weigt loss, repeated frequent headaches
Doctor :  
anorexia, pressure symptoms
Doctor :  
like uncontrolled vomiting
Doctor :  
and also visual disturbacnes in some people
User :   my weightloss was due to all the vomiting and I was afraid to eat. Other than that I do not really have any of those problems anymore. My weight has evened out now and I have not lost anymore weight in about a month now. So that doesn't sound like anything I have or am dealing with now.
Doctor :  
so in all probability you will not have any tumor
Doctor :  
relax yourself, do not ponder over your past symptoms,
Doctor :  
concentrate on what needs to be done
Doctor :  
to smoothen out your present problems
User :   So I will try all that you have said for the next month and if there are still any remaining problems then I will get it all checked by my dr.
Doctor :  
sure.
Doctor :  
is there anything else i can help you with?
User :   that is it for now. Thank you.
User :   I am feeling better about it all right now.
Doctor :  
Please fill the feedback form once again, and say done when done.
User :   Thank you very much for all your help.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
Doctor :   please feel free to consult us anytime
Doctor :  
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