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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea And Heartburn?

I have been having nausea for over a month. I have been taking a ppi, which helped a little bit, but still nauseous most of the time. And now starting to get heartburn, since starting the ppi. Had an abdominal ultrasound, it was unremarkable, what could it be?? Other than this I ve been very healthy.
Sat, 19 Apr 2014
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General & Family Physician,  's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to GERD, which is caused due to reflux of acid from stomach due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole (which prevent acid formation in stomach)+ Domperidone preparations (strengthens the sphincter & prevents reflux)

So, it will be better to consult your treating Doctor/ Gastroenterologist.
Investigation like Upper GI endoscopy will be helpful in clinching the diagnosis.

Wish you a good health.
Take care.
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What Causes Nausea And Heartburn?

Hello dear, The symptoms as mentioned in your post can be attributed to GERD, which is caused due to reflux of acid from stomach due to relaxation of the sphincter at the lower part of esophagus. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole (which prevent acid formation in stomach)+ Domperidone preparations (strengthens the sphincter & prevents reflux) So, it will be better to consult your treating Doctor/ Gastroenterologist. Investigation like Upper GI endoscopy will be helpful in clinching the diagnosis. Wish you a good health. Take care.