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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Bitterness In Mouth And Cramping Under Breast Bone ?

I I started all of a sudden feeling a bitter taste in my mouth with some cramps under my breastbone , also having a dry mouth with the feeling of something stuck in my throat.I ve been under great stress for the past two years lost my mum my brother had a car accident and was in a coma I have three kids and my baby girl is 1 year and I m nursing her. The doctor gave me zantac . 150 once at night for one week yet I still had the dry mouth and sometimes the bitter taste he gave me yesterday controloc 20 once a day with the zantac .I m so worried will it go away is it serious anf for how long to go on with the medication
Fri, 4 May 2012
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  User's Response
Hi
All of your symptoms are due to acid reflux. Your stress may be related to this.
Be assured it is not a serious condition as it is.
The lower end of food pipe called cardia remains normally closed by a string of muscles around it. It opens only when food passes down. Once food passes it closes and prevents anything going back to food pipe.
In your case that cardia opens when it normally should not. This is most probably due to the stressed condition. Due to this contents of stomach including acid there spills over to food pipe. When it reaches throat it may give a bitter taste. Because of inflammation produced due to acid you feel something stuck in your throat.
Cramps under your breast bone is due to strong contractions of food pipe either secondary to acid itself or nerve regulated due to your stressed situation or both.
Your doctor gave you the right medicines. No problem to breastfeed with that. If your condition does not respond well the dose of medications may have to be increased
Domperidone taken before food is likely to control the condition better.
Try to take frequent small meals and avoid spicy food
You may have to continue the medication till your stress is managed well. Usually acid reflux needs treatment for about 2 months.
For management of stress, take regular exercise (such as half an hour of brisk walk daily) and meditation. If the stress is severe you may need to take the help of Psychiatrist as well.
Wish you good health.
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What Is The Cause Of Bitterness In Mouth And Cramping Under Breast Bone ?

Hi All of your symptoms are due to acid reflux. Your stress may be related to this. Be assured it is not a serious condition as it is. The lower end of food pipe called cardia remains normally closed by a string of muscles around it. It opens only when food passes down. Once food passes it closes and prevents anything going back to food pipe. In your case that cardia opens when it normally should not. This is most probably due to the stressed condition. Due to this contents of stomach including acid there spills over to food pipe. When it reaches throat it may give a bitter taste. Because of inflammation produced due to acid you feel something stuck in your throat. Cramps under your breast bone is due to strong contractions of food pipe either secondary to acid itself or nerve regulated due to your stressed situation or both. Your doctor gave you the right medicines. No problem to breastfeed with that. If your condition does not respond well the dose of medications may have to be increased Domperidone taken before food is likely to control the condition better. Try to take frequent small meals and avoid spicy food You may have to continue the medication till your stress is managed well. Usually acid reflux needs treatment for about 2 months. For management of stress, take regular exercise (such as half an hour of brisk walk daily) and meditation. If the stress is severe you may need to take the help of Psychiatrist as well. Wish you good health.