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Heart burn problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1716 Questions
User :   Hi, may I answer your health queries right no
User :   please
Doctor :   Hi,
User :   i was prescribed hyoscyamine for trouble swallowing as a result of GERD/acid reflux. took my first pill this evening
Doctor :   ok,
User :   1. Is this a normal use of this drug? and 2. I swallowed it whole instead of letting it disvolve under tongue. should i be concerned i took it the wrong way?
Doctor :   yes, it is the drug which can help
User :   ok, what about me taking it he wrong way?
Doctor :   and no worries the drug is absorbed in the stomach so swallowing does not affect the action
User :   ok, so i should be alright the way i took it?
Doctor :   yes,. no probelm
User :   ok. thanks. any ideas on what else may help my trouble swallowing?
Doctor :   You can take LIGNOCAIN viscus gargles they are the best momentary relief before food
Doctor :   and have you tried antacids like Proton pump blockers ?
User :   yes. on prilosec
Doctor :   ok , thats fine
User :   is lignocain over the counter
User :   ?
Doctor :   yes, it is
User :   ok, thanks
Doctor :   and if prilosec not working go for esomereprazole
Doctor :   a little bit more active derivative of prilosec ( omeraprazole )
User :   ok, will do. my heartburn/acid last for weeks, then goes away, then returns. why?
Doctor :   stress could be a chance for such a cyclic presentation
User :   that is what my wife says. ha
Doctor :   oh , good
User :   can gerd/acid cause heart papilutations?
Doctor :   yes,
Doctor :   also can cause headache , breathlessness , agitation etc
User :   sounds familiar. anything to be concerned about or just have to deal with the effects of real bad heartburn/gerd?
Doctor :   if you feel pain after eating food
Doctor :   then it could be a ulcer
Doctor :   stretched by food
Doctor :   the it has to be watched by an endoscopy
User :   how do i get checked for ulcers?
User :   oh, endoscopy. ok
Doctor :   upper G I endoscopy
User :   is trouble swallowing a serious concern?
Doctor :   no , it s a common symptom in GERD
User :   ok. good.
User :   does GERD last a lifetime or can it "go away"
Doctor :   it can go away in 60 % of ppl , but in rest who do not follow regularities in food timings it may be recurring frequently
User :   food timings? please explain
Doctor :   i mean , exact and same timing of the breakfast lunch and dinner every day
Doctor :   not missing the meal no eating in wrong timings
Doctor :   no junk foods
User :   interesting. so stick to a strict eating schedule helps?
Doctor :   no spicy and hot foods
Doctor :   yes, you got it right
User :   ok. sometimes i dont feel like eating at all, havent eaten for like 14 hours, wake up, and still have horrible burps and pain. why if i havent eaten anything?
Doctor :   the burps are due to decomposition of the stomach acid which is either not used or which is excess
Doctor :   do not starve , it very against in management of GERD and APD
Doctor :   the pain will be due to contractions of the stomach
User :   ok, so again, i should eat at same times every day and make sure i do eat.
Doctor :   which will be vigorous if no food in stomach
Doctor :   yes,
User :   is is ok to dring carbonated drinks (like ginger ale) to burb and release pressure or does that make things worse?
Doctor :   no , there would be no harm but for sure no help at al
User :   ok
User :   thanks doc for your time and answers
Doctor :   you are welcome
Doctor :   thanks for consulting me , kindly provide your feedback
Doctor :   Bye for now
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