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Burp white foamy phlegm, no relief with antacids. Suggestion?

Jan 2013
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Internal Medicine Specialist
Practicing since : 2003
Answered : 1658 Questions
I am burping up white foamy phlegm which I have to spit out. No food is coming up and it isn't acidic. Antacids don't seem to help.
Posted Wed, 22 May 2013 in Digestion and Bowels
Answered by Dr. Mayank Bhargava 40 minutes later
Welcome to XXXXXXX forum.

Let me know your other associated symptoms along with mentioned.
Do you have acidic belching/ abdominal discomfort/ gargling sound in abdomen/ abdominal bloating after taking meals?
Do you have fever/ chest pain/ running nose or blockage of nose?
Are you a smoker or past history of smoking?
Do you have some sort of anxiety

Exact diagnosis could be made on the basis of your supportive symptoms.
With the available described symptoms, there could be possibility of GERD (gastro-esophageal reflux disease).
Irritation of lower esophagus by refluxed acid may cause excessive saliva production as a protective mechanism.
As such there appears to be least correlation between gall stones and present symptoms.

You should consult with XXXXXXX medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, ultrasound imaging, thyroid profile, blood sugar, x XXXXXXX abdomen and serum electrolytes.
You should also go for endoscopy along with biopsy.

You should also go for urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria.

Meanwhile, you should also take proton pump inhibitors along with prokinetics.

You should follow the mentioned changes:
1) Don't take tomatoes, and citrus fruits.
2) Avoid onion, garlic, excessive tea and coffee, chocolates,
3) Avoid oily and spicy food, non veg.
4) Take soft diet along with yogurt.
5) Keep difference of 3 hours between meals and sleep.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava
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