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Chest congestion, burning sensation in stomach, Barrett's esophagus, diet advice - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   HI Doctor,Heart Pain,congestion,Burning senstation of ailementary canal and stomache..Sensitive to soar and chilli ,lemon ,tamarind,nausea and vomitting sensation..Performed endoscopy by doctor
Doctor :   pleasant coincidence
User :   Yes ,My Mother is suffering sever pain in Stomache for the last 2 years ..
Doctor :   go on with your query
User :   i typed her symptoms
Doctor :   yes i see them
User :   recently we have done Endoscopy and results are
User :   as below
User :   ormed endoscopy by doctor Pathological Diagnosis: HISTOLOGICAL FEATURES ARE SUGGESTIVE OF BARRETTS'S OESSOPHAGUS
User :   what does it mean ??
User :   and why it happens, what is the severity and consequences ..
Doctor :   Whats the age of your mother?
User :   what is the solutiuon ??
User :   60
Doctor :   ok i will explain in detail about the condition
Doctor :   give me a min
User :   thanks ..
Doctor :   Barrets esophagus is a disease of the inner lining of the esophagus
User :   okk .. what does it mean ??
Doctor :   it is caused by the acidic damage by the gastric acid
User :   okk is it danger ??
Doctor :   danger in sense repeated damage can be very distressing to the patient.
User :   a u there doctor ??
User :   okk
User :   what does it mean ??
Doctor :   gastric reflux can be very problematic symptom
User :   okk ..what is the cure for this ??
Doctor :   it means the tissue has been damaged.
User :   okk what is the solution for this or cure ?
Doctor :   is your mother having acid reflux symptoms
Doctor :   ?
User :   any kind of operation/surgey needed ??
User :   what does it mean ?
User :   acid reflux ??
Doctor :   burning sensation in her chest.
User :   Yes she has ???
User :   very much
Doctor :   ok
User :   repetaedly..
Doctor :   there is lifestyle approach and medical approach
Doctor :   to treat the condition.
User :   what is medical apprach ??
User :   lifestyple apprach already she is doing ..
Doctor :   what is she following can you dscribe them to me?
User :   and what is lifestyle approach ??
Doctor :   ok cut back coffee, tea and dietary fat intake.
User :   means she is avoiding spicy items
Doctor :   avoid lying flat after meals.
Doctor :   sleep with bed elevated on head end side.
User :   u mean sleep ??
Doctor :   take all medications with plenty of water.
Doctor :   yes normally people tend to sleep flat after a meal she needs to avoid it so as to not to have the reflux of acid.
User :   she is consumung the below medicines
User :   nexpro 40 mg
Doctor :   what is her weight?
User :   72 Kg
Doctor :   her height?
User :   nexpro (Esomeprozol Magnesium) 40 MG
User :   cintapro tablests
User :   and diavol syrup
Doctor :   yes her medication is to decrease the acid reflux symptoms.
User :   what else she has to avoid in food
User :   what lifesytyle she has to change ??
Doctor :   if she has any habit of taking tobacco or alcohol in any form it has to be avoided.
User :   No
Doctor :   does she take any pain medication?
User :   she uses Nice ,bescopan
User :   she was adviced ultracet
User :   for pain relief
Doctor :   was nice a prescription?
User :   Nice is Nimusulide
User :   a painkiller
User :   she was using so regularly ealrier ,not now .,.
Doctor :   i know what nice is I am asking was that a prescription? You have to stop using it right away.
User :   sorry i thought this drug was local to us ,that is why i mentioned that drug name
Doctor :   It has been banned in USA and UK for its side effects.
User :   okk ,she stopped long back ..
User :   w
User :   what about milk usage
User :   coffer and tea
Doctor :   coffe and tea must be cut down as much as possible
User :   Milk ?
User :   boost ,bouravita,horlicks ??
Doctor :   these are gastric irritants and will increase her symptoms.
User :   salt and spice ??
User :   u mean boost and etc ?
User :   what is the Medical approach doctor ??
User :   any operation/Surgery ?
Doctor :   I meant tea and coffee.
User :   ok
Doctor :   Salt and spice must also be avoided.
User :   for permanent cure ??
User :   she had histatomy and tubectamy ..
Doctor :   she doesnt need any surgery.
Doctor :   medical approach is the medication she is having right now.
User :   i mean what is the permaneny cure from medical side apart from lifestyle change ??
Doctor :   life style changes and medical approach should solve her problem.
User :   she had urinary infections and went through medications
User :   whether that had any impact ?
Doctor :   no
User :   for pain relief as emergency ultracet is adviced ,but gettign nauces and vomiting after use
User :   what is alternative u suggest instead of ultracet?>
Doctor :   ultracet has been advised by her doctor, it is a good medicine and to have an alternative to it your moms doctor will be in a better position.
User :   what vegetables to be avoided ??
User :   what about milk and curd ,butter milk
User :   cereals ..
Doctor :   she can have them with out problem.
User :   and how longg she has to continue like this ?
Doctor :   Your time is running short if you want more information you can always put your query on forum or come back for chat.
Doctor :   she has to continue to as lon as she has symptoms.
Doctor :   thanks for consulting me.
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