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Unable to sleep, confusion, fear, breathlessness due to severe acidity, on pylokit and antacids, treatment options ?

sir, i have severe acidity, and due to that get sleepless at nights specially, as soon as lie down.also exactly when i am about to fall asleeep , i feel sudden shocks in my head, and confusion, fear,and breaathless for a shortwhile. as soon as i stand up, i feel bit better. doctor gave me pylokit, 7 days course recently. iam on aantacids, from almost 4 months, ie,, omeprazole . i am vexed. i was a strong man . this problem is irritating me a lot, i have this problem more when i am in cold and hilly advice i want to be normal.
Asked On : Fri, 20 Apr 2012
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Dentist 's  Response
Hello sir,
Welcome to HCM.
Ok, first af all, please understand that being physically strong doesn't mean at all that one is also physiologically strong and completely immune to every disease.
Having said that, you present with a clear history of three distinct pathologies, which can be inter-related.
1. Incase you have "water-brash" (increased salivation), and "acidic eruccation" as part of your acidity, then you have GERD (Gastro-Esophageal Reflux Disease), which in 80% can lead to Asthma, and vice-versa.
2. Worsening of your respiratory symptoms in cold and high-altitude (hilly) regions is indicative of Asthma, where there is a development of a few anatomical anomalies of the upper respiratory tract, leading to an Interstitial Lung Disease, which can inturn lead to a decrease in arterial oxygen tention and PND (Paroxysmal Nocturnal Dyspnoea).
3. Mild to severe Respiratory dystress on lying down, which is relieved upon getting up (such as yours) is known a symptom known as PND (Paroxysmal Nocturnal Dyspnoea), which is an indication of Congestive Heart Failure, which can also be brought about by an Interstitial Lung Disease, & th symptoms for which can very easily be confused with GERD.
Now, since antacids have had no effect for 4 months, then clearly the root cause for your distress does not seem to be your acidity alone. You may need to undergo cardiac and respiratory function tests as well (like ECG, ECHO, Respirometry e.t.c) to find out the actual cause/causes.
Please consult your treating doctor for the same, and for further advice.
in the meantime, please refrain from alcohols, smoking, and all fried foods.
Wish you all the best, and hope for a speedy recovery
Answered: Fri, 20 Apr 2012
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