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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Burning Sensation, Pain In Lower Abdomen, Excessive Belching, Random Episodes Of Pain. Cure?

what in the space between the rib cage. somewhere in there I have experienced symptons such as a burning, sometimes pain in that area early in the morning that usually does not go away unless I lay on my stomach for a little while, I belch alot when I experience this discomfort, and sometime this goes away so long that I forget that I have ever felt this pain until it returns out of the blue
Thu, 14 Feb 2013
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General & Family Physician,  's  Response
Hello dear...
The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.

Medical management consist of taking Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach)
Metoclopramide can also be used but it has some side effects on long term usage.

Surgical treatment includes Fundoplication, in which the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux.

Also avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
Try to sleep on the left side, or with your upper body raised.
If symptoms still persist, it will be better to consult a Gastroenterologist.

There is no need to worry...you will be fine.
Wish you a good health & speedy recovery.
Thanks & Take care.
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Burning Sensation, Pain In Lower Abdomen, Excessive Belching, Random Episodes Of Pain. Cure?

Hello dear... The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Medical management consist of taking Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage. Surgical treatment includes Fundoplication, in which the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux. Also avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. Try to sleep on the left side, or with your upper body raised. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care.