Brief Answer: may be sinus infection Detailed Answer: Hello sir, In the nose and throat normal respiratory mucosa produces secretions. In the lying down position these secretions tend to collect at the back side of the nose. On standing up they get dislodged and move down into the throat. Sinusitis can also produce similar symptoms but if you have no other symptoms like congested nose, post nasal drip, pain and pressure over the forehead and cheeks then you can ignore this symptom. If you do then please pay a visit to the ENT to rule out sinusitis. Phlegm in throat does not cause nausea. Nausea in the morning is probabaly because of the reflux. Yellowish gunk is again possibly respiratory secretions that has dried up on your tongue during the night. This happens more often in mouth breathers. Drink plenty of water to keep yourself well hydrated. Heartburn is not related to your current problem. PPIs do not cause diaarhoea. Its a misconception. Ask your doctor to add a prokinetic drug along with PPI to control reflux. These drugs hasten emptying of the stomach thereby reduce the chances of reflux. Follow some simple measures along with PPIs to control heartburn. 1) Do not sleep for 2 hours after having food. 2) Eat small meals frequently. 3) Practice simple breathing exercises. They help to build tone of the sphincter in the lower end of the food pipe. Laxity of this sphincter causes reflux. 4) Drink lots of water. Regards, Dr Rajkishori Godhi.

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Brief Answer: does not change the diagnosis. Detailed Answer: Hello and thanks for the details. It does not change the diagnosis. Yes Heartburn is usually worse on lying down. I would suggest you to meet with a gastroenterologist and get an upper GI endoscopy done. It is a very simple procedure wherein a tube is inserted into your food pipe. A camera is present at the tip of the tube. The images of the food pipe and the stomach are seen on the monitor. This is the best way to visualise your food pipe and the stomach and know the exact pathology. We can detect reflux disease, any ulcers and hiatus hernia. Presence of the Hpylori bacteria that causes acidity can also be detected. I do not think you should worry about the white phlegm that you are having. It is just excess secretion Since it is white in colour. Do regular steam inhalation 3 times daily to keep the secretion thin. Regards, Dr Rajkishori Godhi.

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Brief Answer: can cause pale stools. Detailed Answer: Hello sir, In the previous answer i wrote that PPis do not cause diarrhoea. I am wrong, I meant to say that prokinetics do not cause diarrhoea. PPIs can cause both diarrhoea and pale stools as a side effcet but nothing to worry about. If the diarrhoea is too much then meet your doctor, you may need a change of drugs. I strongly suggest you to undergo endoscopy. Regards, Dr Rajkishori Godhi.

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