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Pain while swallowing, burning tongue with bitter taste in the mouth - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3394 Questions
User :   since 3 months i have been having pain while swallowing, burning pain, bitterness in mouth and burning tongue.
medications taken: aciphex 2 weeks. stopped due to side effects.
ranitidine- didnt work
omeprazole -didnt work
finally : only burning tongue and bitterness in mouth left. burning pain gone and pain while swallowing gone.
tests done: gall stones ruled out, no hiatal hernia, no ulcer, no infection, no vit b 12 deficiency, liver pancreas normal.
present medicaion: kapidex 60 mg, librax.
symptoms have rediuced but not gone yet. i recently started librax 4 days ago.
Doctor :   Hi
Doctor :   let me read
Doctor :   was an endoscopy performed ?
User :   yes
Doctor :   what did it say ?
User :   funny it said mild chronic gastritis and acid reflux
User :   but if its so mild y am i suffering so much
Doctor :   mild or moderate is not graded on the symptoms it is on the basis of the criteria as laid down.
Doctor :   yes you are suffering from acid reflux
User :   how can you say if i have bile reflux or not
Doctor :   what measures have been told to adopt to prevent acid reflux
User :   well see here is my food: fat free milk, 2 cups
User :   1/2 cup fat free yogurt
User :   2 roti with honey for breakfast, with pear
Doctor :   k
User :   banana apple. roti and daal for lunch
Doctor :   k
User :   dinner- roti and green veg.
Doctor :   k
User :   also prune juice and psyllium husk for constipation
Doctor :   h
User :   weight loss- i lost 6 pounds already
User :   i sleep elevated and 4 hours after i eat
Doctor :   ok
User :   medication kapidex and librax
Doctor :   ok
Doctor :   the endoscopy has shown the details the mild gastritis and acid reflux
User :   yes
Doctor :   acid reflux means
User :   btw how do we know if i am having bile reflux or not?
Doctor :   where has it been mentioned about bile reflux ?
User :   no where i am asking you how can we rule out bile reflux?
User :   coz i am concerned that the medication were not working
Doctor :   ok
Doctor :   you want to check for bile reflux
User :   yes
User :   how do we do that
Doctor :   do you have a green color vomiting ?
User :   no
Doctor :   aspirate the gastric content and can check for the presence of the bile in it
User :   ok
Doctor :   also the endoscopy would have showed the presence of bile reflux
User :   o ok
User :   do you think nexium is stronger than kapidex
Doctor :   nexium and kapidex they all belong to same group
Doctor :   no much difference in there efficacy
User :   i know yet some say kapidex is stronger than nexium. do you feel this is true
Doctor :   kapidex is more specific for reflux disease
Doctor :   and nexium for the hyper acidity
User :   what do you think is good for me
Doctor :   for the aliment you are suffering from
Doctor :   it takes time
Doctor :   only medications will not help much
User :   do you think anything is wrong with my food
Doctor :   along with medications you need to follow certain measures
Doctor :   bland and less fatty meal is sufficient
Doctor :   you need not have to go for a special food
User :   yes i do that an d 12 glasses water too
Doctor :   also do not consume full stomach at a time
User :   does psullium husk cause reflux
Doctor :   your reflux is because of the lax lower oesophageal sphinter
Doctor :   an disorder of the esophagus
Doctor :   to be simple
Doctor :   after the food enters the stomach the food pipe should close and should not allow the contents of the stomach come up the food pipe to mouth
Doctor :   in you case the muscles of the food pipe is allowing the acid in the stomach to reach your throat
Doctor :   so all the burning and pain problem
User :   whats you advise now
User :   again do you feel i should take kapidex or nexium.
Doctor :   continue the same medications and anti reflex measures you are on now
Doctor :   give some time for the esophagus muscles to strengthen
User :   should librax be taken for 2-4 weeks to show effect or should i show immediate effect
Doctor :   also do not over think and stress yourself it causes increase in the acid secretion and further worsen the condition
Doctor :   librax take time for the effect to occur
User :   i really understand you but you know when your mouth is burning you are not relaxed. i am a physical therapist and know imp or exercise yet i cant focus on yoga or exercise coz of all my burning in mouth
Doctor :   if you are not relaxed than increase acid secretion more reflex more burning pain. this is a viscous cycle
Doctor :   you need to break this cycle
User :   how will my LES get stronger
User :   is there anything i can do to make it stronger
Doctor :   follow the present medication
Doctor :   and give some time
User :   ok
Doctor :   it will by it self
Doctor :   there is nothing one can do for it
Doctor :   alternatively surgery can be done
Doctor :   which is a last resort
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