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What Causes Vomiting Tendency In The Morning?

Posted on Sat, 5 Jul 2014

Question: I am 29 yrs old guy. I get vomiting tendency in the morning regularly but no vomiting at all. Sometimes I also get sever chest pain which keeps wandering around the lower and middle chest area.this pain is always after few hours of having food. Most of the times this pain has occurred at the night. During such pains I also feel like a lump in my throat. Lying down or sitting does not help. How ever standing helps.

Answered by Dr. Ashish Verma (1 hour later)

Brief Answer:
looks like gerd

Detailed Answer:
Hi XXXXXXX

Welcome to HCM.

Your symptoms looks like that of GERD (Gastro Esophageal Reflux Disease).

Its generally due to lax lower esophageal sphincter. This causes reflux of gastric acids from the stomach into the esophagus up to the throat.

For my patients with gerd i generally start them on a ppi tablet like pantaprazole or omeprazole along with a bowel motility enhancer like levosulpride.

These will reduce the gastric acid production and help in early evacuation of gastric contents thus preventing reflux.

Apart from this you need to adopt to a few lifestyle modifications like-
No tea, coffee, soft drinks.
No spicy foods.
No chocolates and fatty foods.
Eat 3/4 stomach full.
Don't lie down for two hours after food.
Put two pillows below your head while sleeping.

You can also get an endoscopy done to rule out an hiatus hernia which can sometimes be present with this.

Hope i have been helpful.

Regards
Dr. Ashish Verma

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Ashish Verma (24 hours later)

Hello Doctor XXXXXXX

Thank you for your help.I can understand what you are telling.How ever the medicines you suggested, how do i take them and dosages and strength of these medicines.

Am I allowed to have soaked soyabean seeds in this condition. I have them before going to the gym.Will having these seeds be harnful??

Thanks in advance

Answered by Dr. Ashish Verma (4 hours later)

Brief Answer:
yes you can take soyabean

Detailed Answer:
Hi XXXXXXX

Pantaprazole is 40 mg, levosulpride is 25 mg.

These are available in combination drugs at the pharmacy store. You can easily get them there.

You need to take it on empty stomach, one hour before your soyabeans.

Initially you may take it twice a day for two weeks then if your symptoms are controlled then you may make it once daily in the morning.

Regards
Dr. Ashish Verma

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ashish Verma (2 hours later)

Thank You Doctor for your valuable diagnosis..

Will surely follow your instructions..

Regards,
XXXX

Answered by Dr. Ashish Verma (6 hours later)

Brief Answer:
You are welcome

Detailed Answer:
Hi XXXXXXX

I am glad that i have been of some help to you. If you don't have further queries, you may close this discussion and rate the response.

Regards,
Dr. Ashish Verma

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T