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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Heartburn And Reflux Be A Result Of Vomiting?

I was violently ill on a flight coming home from the States and vomited quite badly. A couple of days later, I experienced a lump feeling at the back of my throat which to date has not gone away. I have tried several OTC remedies for heartburn, reflux etc... but all to no avail. Is this a result of vomiting as it seems too coincidental to only have had these symptoms after I vomited. What can I do to get rid of this feeling?? Any advice would be gratefully appreciated. Regards, Janet.
Mon, 13 Jul 2015
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Cardiologist,  's  Response
Hello. Thank you for your question. Welcome to HCM.

Well, it could result on these symptoms, but only if you previously had, even mild, gastritis or gastro-oesophageal reflux. After vomiting and in inflammatory states that include the oesophagus and/or the stomach, there is a drop of pressure in the lower oesophageal sphincter (a "lock" that normally does not allow the acid content of the stomach to go "backwards" to oesophagus). I recommend you to have a trial with anti-histamine H2 receptor drugs (ranitidine 150 mg x 2 tb/d for a month) or with a protein pomp inhibitor drug (PPI: omeprazole 20 mg x 2 tb/d for two weeks and x1 tb/d for two more weeks). Also, you should refrain from using certain food and beveragea: coffee, chocolate, alcohol, tobacco, spicy and grilled food, pickles. You should stand or sit up, not lie down, for at least 90 minutes after you have had your last meal.

I hope I was helpful. Best regards.
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Could Heartburn And Reflux Be A Result Of Vomiting?

Hello. Thank you for your question. Welcome to HCM. Well, it could result on these symptoms, but only if you previously had, even mild, gastritis or gastro-oesophageal reflux. After vomiting and in inflammatory states that include the oesophagus and/or the stomach, there is a drop of pressure in the lower oesophageal sphincter (a lock that normally does not allow the acid content of the stomach to go backwards to oesophagus). I recommend you to have a trial with anti-histamine H2 receptor drugs (ranitidine 150 mg x 2 tb/d for a month) or with a protein pomp inhibitor drug (PPI: omeprazole 20 mg x 2 tb/d for two weeks and x1 tb/d for two more weeks). Also, you should refrain from using certain food and beveragea: coffee, chocolate, alcohol, tobacco, spicy and grilled food, pickles. You should stand or sit up, not lie down, for at least 90 minutes after you have had your last meal. I hope I was helpful. Best regards.