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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Discomfort In Rib Cage With GERD?

Yes please I would like to know if there are complications - I have been diagnosed with GERD and it has been going on for 5 weeks now despite medication. I now have discomfort in my left rib cage area and I am worried I have some infection. I am away from my country or origin and don't know whether to head back home or not. Oh and my stools are floating but look OK in color.
Mon, 20 Oct 2014
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General Surgeon 's  Response
Hi ! Good afternoon. I am Dr Shareef answering your query.

If I were your doctor, I would first advise you to stop eating from outside if you do to avoid infections from unhygienic-ally cooked food which might cause all the discomfort you have got by now. I would also go for a routine and microscopic examination of your stool for ova cyst and treat it if positive. This would relive your pain abdomen.

For the GERD aspect of yours, the following might prove to be beneficial :

) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.
2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food
3) Regular routine exercises like morning walk depending on your medical fitness.
4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.


I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.






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What Causes Discomfort In Rib Cage With GERD?

Hi ! Good afternoon. I am Dr Shareef answering your query. If I were your doctor, I would first advise you to stop eating from outside if you do to avoid infections from unhygienic-ally cooked food which might cause all the discomfort you have got by now. I would also go for a routine and microscopic examination of your stool for ova cyst and treat it if positive. This would relive your pain abdomen. For the GERD aspect of yours, the following might prove to be beneficial : ) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.