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Regurgitation and tongue burning - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi
3 months ago i was diagnosed with gastritis mild chronic.
ultrasound was done to rule gall stones, endoscopy was done- no ulcer, no infection, no hernia.
blood test for vit b12 def, folic acid deficiency done
celiac panel was negative.
Doctor :   Hi
Doctor :   I am Dr.XXXX
User :   hi
Doctor :   I read your query
User :   my present symptoms are either regurgitation or burning tongue
User :   if i have regurgitation i dont have burning tongue
User :   and if my tongue is burning i dont have regurgitation
User :   medication taken dexilant, and now i am on lexapro
Doctor :   Regurgitation and burning tongue can be related
Doctor :   If every test is proven normal
User :   i dont understand
User :   how can they be related
Doctor :   The regurgitation causes acid to come into the mouth
Doctor :   which causes the burningof the tongue
User :   well see if i get regurgitation i DONT have burning tongue
User :   when my tongue burns i dont have regurgitation
User :   its either one or other not both
User :   anyways my question is can my silver teeth fillings cause gastritis
Doctor :   When were they done?
User :   3 months ago
Doctor :   Did you take pain killers for long time?
User :   no
User :   no meds except levothyroxine
Doctor :   Are you taking Levothyroxine
Doctor :   What time each day?
User :   yes
User :   10.30am
Doctor :   Actually it should be taken immediately after your brushing teeth.
Doctor :   Did not the Doctor say that?
User :   he did but i take dexilant after brushing teeth
User :   so do you want me to take levothyroxine first then take dexilant
Doctor :   You can give a time gap of 30 minutes between
Doctor :   Dexilant should better be taken before breakfast , 30 min before
User :   ok so take levothy first then 30 mins later take dexilant
User :   correct
Doctor :   yes
User :   ok
User :   but do you feel my silver fillings have anything to do with this
Doctor :   No
Doctor :   Lift the head side part of your cot by 4 inches and sleep
User :   i do
User :   do you feel this could be due to anxiety
Doctor :   Do not have pepperiment, chocolate, diary products
Doctor :   Restrict them
User :   i have fat free milk
Doctor :   Do not wear tight clothes
Doctor :   Loosen them
User :   i do all these
User :   i only have fat free milk and yogurt
User :   is this ok or do you want me to stop these
Doctor :   If you do all these and still have regurgitation, yes I can relate to anxiety
Doctor :   Stop the fat free milk and yogurt for next 3 weeks
Doctor :   and see the chnage
Doctor :   Learn to meditate
Doctor :   Learn to meditate before food
Doctor :   Eat food very slowly by chewing 20 times for each chunk
User :   i am only concerned what source of protein will i consume
Doctor :   Soy
User :   should i drink soy milk n soy yogurt
Doctor :   No milk and yogurt
User :   ok
Doctor :   Soya bean
Doctor :   as a source of protein
User :   does soya cause or irritate gastritis
Doctor :   Usually not
Doctor :   Try it for few days and observe
User :   ok i will for 3 weeks you said
User :   my doctor started me on lexapro
User :   for anxiety
Doctor :   Ok
User :   how long do i have to take it before i see an effects
Doctor :   The results should be in a week or 10 days but that does not mean to stop if not seen in such time
Doctor :   You have to closely folloiw up with the Doctor for a change or addition or minus of medicines
Doctor :   A single drug shall not solve all the problems, a critical analysis is required for the Doctor and it takes some time. Believe in the Doctor and his treatment
Doctor :   and do your part
User :   i eat pear, roti, apple, banana, lentils, green veg
User :   are these ok
Doctor :   Yes
User :   n yes i take psyllium husk for constipation is this ok. does psyllium husk cause gastritis
Doctor :   Give a break to this for a week
User :   why
Doctor :   I just want you to try all the possible reasons for regurgitation
Doctor :   If some of them help, that could be an irritant
Doctor :   To some extent you have to do the home work and the Doctor shall help in that
Doctor :   Try removing yogurt and milk for 2 to 3 weeks
Doctor :   first
Doctor :   and get back to me
User :   till now we found milk n psyllium husk as irritants may be
User :   anything else you want me to remove
Doctor :   They are not irritants for many, but can be for other few
User :   ok
Doctor :   You may be one of the few
User :   i never had reactions to milk my entire life
User :   but psyllium husk is something i started 3 months before gastritis
User :   after anal fissure operation
Doctor :   Ok do one thing, remove only Psyllium
Doctor :   and see if it helps
Doctor :   Try for 10 days
Doctor :   Mean time, try to cook yourself with more greens in your diet
User :   ok i will
User :   i tried all that but you know only psyllium husk works unfortunately
User :   but i will take it out for 2 weeks
Doctor :   Ok if you do not want to bear the consequences, try only for a week
User :   ok
Doctor :   It is still a good time to know
User :   yes
Doctor :   Change the way you take the medications
User :   ok
Doctor :   What about exercise
User :   i exercise
Doctor :   How many minutes are you walking
User :   atleat 45 mins
Doctor :   Ok
Doctor :   Fine
Doctor :   Continue the same
Doctor :   Do not sleep after the food
Doctor :   or lie down after food
User :   yes
Doctor :   Try eat less quantity and multiple meals
User :   yes
Doctor :   I think we shall end here and see how this responds
Doctor :   Let us try only one thing each time
Doctor :   Please make a note of them in a Diary
User :   ok thanks but you reaally feel my silver fillings are not causing it right
Doctor :   so that you do not miss
User :   i will note them
Doctor :   Silver fillings can probably cause a tongue burning
Doctor :   I am not really sure about regurgitation though
User :   ok thanks
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