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Heartburn and acid reflux since few weeks - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   I have been having heart burn and acid reflux for almost 3 1/2 weeks now. I've taken Prevacid for almost the whole 14 days (2 days left) I still have heartburn, it doesn't bother me when I sleep, but not I feel a burning sensation in my back. Could it be an ulcer or if not that what could it be?
Doctor :   Hi
User :   helli
User :   Hello*
Doctor :   let me read ur query
Doctor :   do u have any issues like change in appetite ?
User :   yes my appetite has decreased
Doctor :   does the pain change with food ?
Doctor :   does having food aggravate it ?
User :   sometimes food aggrivates it it just depends on what I eat
Doctor :   so u mean a specific foods can aggravate you ?
Doctor :   your pain ** ?
User :   yes but it doesn't even take for me to eat for it to start, it usually starts first thing in the morning and doesn't stop at all until I go to bed, ice cream helps it sometimes
Doctor :   ok, it seems that you may be having excess acid production in the stomach
User :   my pain right now a 7 Im not sure if I should go to my doctor I only go ifI think I need to I'm just scared and now theres a burning sensation in my back as well
User :   I've taken prevacid tums zantac nothing helps
Doctor :   this could be gastritis or peptic ulcer disease
Doctor :   You may benefit by taking a course of omeprazole 20 mg twice daily
Doctor :   this is a acid reducing medication available OTC
User :   Im taking that now its the walmart version I've been taking it for 13 days and its not working
Doctor :   IS it prilosec ?
User :   no its actually called omeprazole acid reducer equate version 20 mg once a day though
Doctor :   may i know the dosage you take ?
Doctor :   no that is the wrong dosage
Doctor :   you need to take 20 mg twice daily
User :   okay
Doctor :   this tab needs to be taken 30 min before meals to be effective
Doctor :   also once you have your meals try taking 2-3 tabs of tums
User :   so should I still set up an appt to go see my doctor?
User :   okay
Doctor :   you can do that too
User :   alright
Doctor :   OR you can choose to wait to see if prilosec with the correct dosage helps
User :   alright but even on the box it says don't exceed one tablet if I take more than one tablet it will be alright?
Doctor :   in case this does not help, u can see your doctor, and he can decide if you need better medications like nexium
Doctor :   it means 1 tab at one time
Doctor :   is that so ?
User :   no it dsays once a day
Doctor :   no the correct dosage is twice a day
User :   alright
Doctor :   you can take the dosage i mentioned without fear
Doctor :   this is a very safe medication without any side effects
User :   ;) okay good
Doctor :   FYI, tests to check for H pylori infection, like a breath test or a blood test can be done
Doctor :   this infection in the stomach cause persistant chronic gastritis and severe ulcers on the long run
User :   I do this a the doctor right?
Doctor :   early treatment will help
Doctor :   yeah, your doctor will do them, for you
Doctor :   but you can ask him, if u need them
User :   okay thats good
User :   this information has helped
Doctor :   you are welcome
Doctor :   In case, your condition is not helped , a Upper GI Endoscopy may be done to check for ulcers in the stomach
Doctor :   this will be adviced by your doctor , with consultation with a gastroenterologist
User :   ok Im writing this stuff down so thank you
Doctor :   this will help to form a definitive diagnosis and specific treatment to be initiated
Doctor :   ok, you are welcome
Doctor :   You can also get a copy of this chat transcript on your mail,
Doctor :   you can mail it youself
User :   alright...thanks doc
Doctor :   you r welcome
Doctor :   please leave your feedback as u log out
User :   have a nice evening
Doctor :   take care
Doctor :   you too
Doctor :   bye for now
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