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Treatment for reflux disease - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions

Doctor :   Hi
User :   I see numbness in my hands and legs when I sit or stand for long time
User :   what could be the problem
Doctor :   Ho long do you have this problem?
Doctor :   *How
Doctor :   How old are you?
Doctor :   DO you have any medical problems?
User :   I see this problem for more then 2 years now
User :   I am 35 years old
User :   so far I do not have any medical problem
Doctor :   OK
Doctor :   Have you checked blood sugar, thyroid function tests
User :   I check blood sugar its normal...
User :   thyroid function is not checked
Doctor :   Ok
Doctor :   May I know your weight and height? As Over weight can cause the problem
Doctor :   Get the TSH and Free3 and Free4 tests done
User :   My weight is around 60kgs and my height is 5'8"
Doctor :   That is normal weight
Doctor :   I recommend X ray of back and nerve conduction studies of both upper and lower limbs to look for any pinched nerves
User :   I recently got neck X ray and nerve functional test and its looks normal
Doctor :   Did you consult the doctor and if so which specialty?
User :   yes it was
Doctor :   Can I know what specialist? What was the doctors; opinion?
User :   Neuro
User :   neuro physician
Doctor :   What was the doctors"s opinion?
User :   He says there is no issue and he does not see any major problem
User :   He suggested to take B12 Vitaman injections for a week
Doctor :   That is good treatment
User :   but even after taking this B12 vitaman I do not see any improvment
Doctor :   I too recommend the same
Doctor :   Also get the ANA, Rheumatoid Factor
Doctor :   ESR
User :   Sure I will get these done
User :   what do you think the problem is?
Doctor :   The major reasons for such symptoms are nerve entrapment, nutritional deficiency and stress with anxiety
Doctor :   Since the nerve entrapment is virually rule out
Doctor :   and you are taking the Vitamin Supplements
Doctor :   This should help
Doctor :   THe other thing of stress with anxiety should also be answered with yoga and relaxation techniques
User :   I have also started takiing subrux XT which was suggetsed by one of my friend... do you see any issue taking this tablet..
Doctor :   Is it herbal?
Doctor :   It is vitamin supplement and you can take it
User :   Not sure...
User :   I have one more problem seen for past 2 years
Doctor :   Go ahead..
User :   every once in 3 to 4 moths I get a lot of cough and cold
User :   even now I have cough for past 3 to 4 weeks
Doctor :   DO you have nay weight loss/fever/ phlegm with cough/ wheezing?
User :   I have no weight loss or fever
User :   what is phlegm
Doctor :   sputum -yellow or green
User :   yes I do get
User :   wheezing only some times
Doctor :   Do you get these cough seasonally?
User :   no
Doctor :   Are you allergic to any thing?
User :   no
Doctor :   Get the PPD/TB test, Chest X-ray
Doctor :   Do you have heartburn? burning sensation after eating ?
User :   I do get chest pain some times if I do not have food for long time
Doctor :   So there could be gastritis or acid problem
Doctor :   Have you ever consulted ENT
User :   after eating some times I get back hard stuff like fiber content back after few minutes
User :   No I have not consulted ENT
Doctor :   Do you get it into your mouth
User :   yes
User :   some small partials
Doctor :   Does it increase on lying down or during sleep?
User :   No
Doctor :   It seems you have moderate to severe Gastro Esophageal Reflux Disease
Doctor :   You need to use Pantop 1 tab daily
User :   what is this cant this be avoided
Doctor :   This is from acid rflex from stomach to mouth
Doctor :   The tablet will reduce the acid in the stomach
Doctor :   You need to avoid spicy foods
Doctor :   Also avoid smoking or drinking alcohol i f you have these habist
User :   can this cause the cough problems
User :   No I do not take alcohol or nor I smoke
Doctor :   Yes , acid reflux can cause the chronic cough
Doctor :   But simultaneously, you need to get the X ray chest and TV test to rule out TB
User :   I also remember that at the age of 13 to 14 (I do not remember exact age) I had TB trace and I had taken medicen for more then 2 months... will this cause an issue
Doctor :   Unless we prove the cause, I cannot comment on it
Doctor :   TB medications usually are for 6 months
Doctor :   and if you have used it only for 2 months, I want to know if it is completely cured
User :   No I am not sure for how log did I take this medicain.. may be I have taken for 6 months
User :   this is 20 year ago...
Doctor :   Yes
Doctor :   I think you should again get tested for TB
User :   will do
Doctor :   As said, Chest Xray and Sputum culture
Doctor :   and AFB
Doctor :   The latent infection may be active now
Doctor :   You may need to restart the medicine again
Doctor :   Please get the tests done first
User :   can you please give me the complete list what tests I to get done for all my problems
Doctor :   ok
Doctor :   CBC
Doctor :   BUN/ Cr
Doctor :   Chest X ray
Doctor :   Chest CT if required
Doctor :   TB skin
Doctor :   test
Doctor :   Sputun for AFB three times
Doctor :   Sputum culture for TB
Doctor :   lIver function tests
Doctor :   TSH , Free T3 and T4
Doctor :   ANA , RF
Doctor :   These is whole is list for lungs and nerves
Doctor :   Are you with me?
User :   what do you mean by are you with me?
User :   I am on chat?
Doctor :   Re you following me?
User :   yes
Doctor :   I could not see the messages for a while , That is why I asked you.
Doctor :   Can I get your email?
User :   I was looking for your test details that the reson I did not type
User :   sure... YYYY@YYYY
Doctor :   Ok
Doctor :   That is fine
Doctor :   You can chat with us after you get the results of all these tests.
User :   Yes I will get all these test done in next one or two weeks and get back to you..
Doctor :   You can scan the results and send to YYYY@YYYY
User :   how should I send you the reports
Doctor :   I will review and give you my cal or email
User :   sure I will main you
User :   please get me your email
Doctor :   You can type the results or scan them attach in meail
Doctor :   YYYY@YYYY is the email Id
User :   sure
Doctor :   Can I get ur phone number?
User :   If I just address as Dr.Jagdish is sufficient
Doctor :   Yes, just mention ,
User :   sure..
Doctor :   Can I get ur phone number?
User :   yes...
Doctor :   Ok
Doctor :   DO you have any other questions?
User :   No... thanks
Doctor :   In summary, you have 3 problems
Doctor :   1 nerve problem
Doctor :   2. possible TB
Doctor :   3. Acid reflux
Doctor :   For1, u r getting B12
User :   4. regular cough and cold
Doctor :   For 2 Acid refulx med like Gelusil
Doctor :   3 for cough and cold may from acid reflux or TB
Doctor :   We r working on that
Doctor :   If it is from Acid Reflux after taking one moth of acid reflux medicine it will stop
Doctor :   if it does not stop means there are different reasons , possibly TB
Doctor :   Please be in touch after the results
Doctor :   Thank you for consulting us
User :   Thanks
Doctor :   Thank you
Doctor :   Bye
User :   bye
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