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Severe case of gastric reflux - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Each morning when I get out of bed, I start coughing. I have found that inorder to stop coughing I force myself to vomit. The fluid I throw-up half the time is a clear thick liquid and sometimes it is a light yellow color. After I vomit I stop coughing and I feel perfectly fine. What do you think is the cause of the coughing and my need to vomit to stop coughing? What medication should I take to resolve the problem? Thank you,
Doctor :   Hi
Doctor :   Dr
Doctor :   let me read your query
Doctor :   It seems that you might be having Gastric reflux disorder
Doctor :   acid from your stomach must be irritating your throat causing you to cough in that way
Doctor :   a relaxed lower esophageal end, causes stomach acid contents to enter the food pipe and reach the throat , when you sleep
Doctor :   and this causes irritation and cough
Doctor :   to avoid this , you can follow a few steps as follows
Doctor :   1. sleep with head end elevation (1 or 2 pillows behind your upper chest)
Doctor :   2. take omeprazole tablets 20 mg twice daily to reduce the acid secretion
Doctor :   avoid smoking or alcohol intake if you do
Doctor :   and physical exercise to strengthen the abdominal musculature
Doctor :   Are u there ?
Doctor :   have you followed my comments
Doctor :   Are u there ?
User :   I have been taking Prosilex to resolve the acid problem but it does not seem to be helping.
Doctor :   you mean prilosec ?
User :   Yes.
Doctor :   may i know the dosage you have been taking ?
Doctor :   also can you mention your age and weight ?
User :   I believe it's 20mg
Doctor :   do u have any issues or trouble sleeping ?
Doctor :   and when do u take them ?
User :   I have tried taking the pill after I vomit in the morning also before I go to bed.
Doctor :   taking the pill after having the episode does not help
User :   Correct
Doctor :   instead you can take soime antacids like mylanta, and tums to neutralise the acid secreted
Doctor :   in addition, you can take better medications like nexium, and pantoprazole, which may need prescripotions
User :   I have also tried Tums with no improvement.
Doctor :   jkbv
Doctor :   can u mention your weight and height ?
User :   I am 220 lbs and 5 foot 8 inches.
Doctor :   have you had this issue for a long time ?
User :   I've had it for several months. It use to happen only 2 or 3 times a month but lately it's been happening 4 or 5 times a week.
Doctor :   it seems that you might have a severe case of gastric reflux ,
Doctor :   you might get a barium swallow study to estimate the degree of reflux
Doctor :   if the condition is severe, a sling procedure, to tighten the lower end of stomach may be needed
Doctor :   also weight loss of about 30-40 pounds will help to get the muscles tightened as well
Doctor :   are u there ?
Doctor :   Have you followed my advice ?
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