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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nausea, Stomach Pain, Burping Foam, Bloating. Taking Ambien For Sleep Disturbances. Treatment For Symptoms?

I have had heartburn for the past several years and every month or so I am going thru nasuea, stomach pains and burping up foam. I am also feeling bloated and full, then in about an hour I feel really hungry and dizzy. I feel weak and the need to eat right away. I am not overweight and exercise regularly. I have had sleeping promblems most of my life and take ambien at night. However lately I been feeling as though my ambien has not been digesting in my stomach b/c I feel the effects of it all day. I am not sure what is going on with my stomach. Can you help?
Tue, 12 Mar 2019
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General Surgeon,  's  Response
Hi.

Heartburn for several years is indicative of a condition called GERD and intermittent episodes of nausea, stomach pains and burping up foam can be due to additional problems like intestinal infection, small intestinal pathology and so on.
Gallbladder disease should also be considered in such cases.
Hence I would advise you the following:
Consult a General Surgeon for clinical evaluation, clinical examination and relevant investigations to know the exact cause so that a proper diagnosis can be made.
Also take a second opinion of a Gastroenterologist.
You need the following:
Upper GI Endoscopy.
Barium contrast studies with CT scan.
Tests of blood, stool and urine.
All these will lead to a proper diagnosis.
A PPI like Pantoprazole and Domperidone for motility regulation may be required.
Further management as per the diagnosis made can help you to get a relief and possible cure.
Also needed are lifestyle changes.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Nausea, Stomach Pain, Burping Foam, Bloating. Taking Ambien For Sleep Disturbances. Treatment For Symptoms?

Hi. Heartburn for several years is indicative of a condition called GERD and intermittent episodes of nausea, stomach pains and burping up foam can be due to additional problems like intestinal infection, small intestinal pathology and so on. Gallbladder disease should also be considered in such cases. Hence I would advise you the following: Consult a General Surgeon for clinical evaluation, clinical examination and relevant investigations to know the exact cause so that a proper diagnosis can be made. Also take a second opinion of a Gastroenterologist. You need the following: Upper GI Endoscopy. Barium contrast studies with CT scan. Tests of blood, stool and urine. All these will lead to a proper diagnosis. A PPI like Pantoprazole and Domperidone for motility regulation may be required. Further management as per the diagnosis made can help you to get a relief and possible cure. Also needed are lifestyle changes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon