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Chest burn due to acidity. Throat irritation. Permanent solution?

Hi I am suffering from chest burn due to acidity from past 2 years. Most of the day time i am all right with no problems, but after having dinner, and during sleep, i get lot of chest burn and if i sit for some dissappears. I would like to know the reason for this. Due to this problem, im having throat irritation as well..I am eating lot of cucumber, papaya..but the problem still persists. I have taken lots of tablets..but its has not cured. I dont drink alcohol nor smoke . I would want to know a permanent solution
Asked On : Sat, 10 Nov 2012
Answers:  2 Views:  160
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General Surgeon 's  Response

Thank you for the query.

Such symptoms may be caused by acid reflux disease, peptic ulcer or gastritis. Chest pain should be also ruled out with heart diseases. Moreover, acid reflux disease very often is associated with asthma. It is advisable for you to have upper GI endoscopy. During this test, Helicobacter Pylori infection will be checked. It is extremely important as without this bacteria eradication, other treatment is pointless. Abdominal ultrasound and full blood work is also advisable.
Heart ECG, chest X-ray and blow test (spirometry) should be performed as well.
To prevent acid reflux you should avoid coffee, chocolate, soft drinks, fatty foods, fruit juices. Mineral water intake might be helpful.

Hope this will help.
Answered: Sat, 10 Nov 2012
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General & Family Physician Dr. Aniruddha Panja's  Response
Thanks for your query.
Your words suggest you are suffering from acidity and may have gastro esophageal reflux disease too.

The following may help you :
Take proton pump inhibitors like pantoprazole or rabeprazole an hour before having food.
Take a easily digestable healthy diet.Avoid too much of rich spicy food.Eat smaller meals.
Avoid sleeping immediately after having food.
Sleeping on the left side has been shown to reduce nighttime reflux episodes in patients.
Lose weight if you are obese.
Get a check up from a gastroenterologist . He may ask for some investigations like 24 hours Esophageal pH Monitoring, barium swallow X-rays, esophageal manometry, and Esophagogastroduodenoscopy for diagnosis of GERD.

If you are having GERD then the standard surgical treatment is the Nissen fundoplication. In this procedure the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux and to repair a hiatal hernia .

Update here how you stay.

Take care.

Disclaimer: The Expert’s advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place.Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Answered: Sun, 11 Nov 2012
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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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