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Have acid reflux, coarse throat, duodenum. What is the cause?

age 45, male, Indian. Having acid reflux problem in the night during sleep. after I wake up in the morning my throat will become coarse. 2 years back I consulted a doc and after taking acid inhibiting drugs for some time and getting a slped mattress the problem seemed to have dissappeared. But again now voice is craoking in the morning and looks like my mattress has sagged and that may be the reason. But what is the root cause? how to rectify the underlying cause? could it be the sphincter not working probably or a problem with deodenum? what speaciality doctor should I consult? a gastro?
Asked On : Tue, 9 Apr 2013
Answers:  2 Views:  89
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ENT Specialist 's  Response
hello ganesh

The problem can be recurring again and again because of bad dietary habbits.

This includes eating junk food,binge eating,spicy food ,excessive tea, coffee, late nigght coffee, smoking alcohol etc----u must avoid them.

u Can take Tab. RT Dom Two times a day half hour before meals.

This problem is because of Lower esophageal sphinter which is not able to close tightly which causes reflux and burning sensation in chest.

the medicine i have given to u will help in tightening it .

u can consult Gastroenterologist doctor for this problem.
and also u can do brisk walking daily in morning or go for walk after dinner
Answered: Tue, 9 Apr 2013
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General & Family Physician Dr. Himaja Bai Kethavath's  Response
Hi and welcome to HCM!
Thanks for posting your query here.

The oesophagus is connected to the upper end of the stomach and is regulated by oesophogo-gastric sphincter. It stops the acid produced in the stomach to come into the oesophagus. HCl-Hydrochloric acid is produced by the stomach to facilitate the digestion of the food. The gastric/stomach lining is protective to the acid released. But oesophagus dont have that mucosal lining.
If the sphincter is not tight it results in the reflux of the acid into the oeso. This causes a burning sensation in the epigastric/middle of the chest area. And in some patients if the disease is severe it results in coarsening of the voice and cough. This disease is called Gastro-oesophageal Reflux Disease-GERD.
The diagnosis is by upper GI/gastrointestinal endoscopy. This can be done by a gastroenterologist as a day procedure. They will insert a scope into the oeso and will check the acid reflux.
This can be treated by two methods-
1.Conservative-medical drugs like omeprazole, pantoprazole, lansoprazole will help in reducing the acid production. Some other drugs like domperidone, perinorm will help in reducing the nausea-vomiting sensation associated with the reflux. Antacids like Digene, Gelusil will help in neutralizing the acid secretion.
2.Surgical methods- surgery is indicated in severe cases. It is called as fundoplication-In this surgery they will tight the gastro-oesophageal sphincter permanently so that there will not be any reflux. The pros and conns of the surgery can be discussed with the surgeon.
Elevating the head end while sleeping, walking after lunch or dinner will reduce the reflux.

Hope this is helpful to you.
Answered: Tue, 9 Apr 2013
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