Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suffering from hyper acidity, indigestion and noticed white specks in bowel movement. Treatment?

Answered by
Dr. Charles S Narasi


Practicing since :1962

Answered : 693 Questions

Posted on Thu, 7 Feb 2013 in Digestion and Bowels
Question: Hyper acidity,Can have only have food with very less oil,no non veg,no spicy.

Symptoms are like indigestion,uneasy,white kind of spit comes once in the morning.

Answered by Dr. Charles S Narasi 3 hours later
From your notes, I understand that you have had this problem
for a long time. I am glad that you are avoiding spicy or oily,greasy
foods. I see you are taking Pantoprazole .
I would like to know whether you had x-rays and endoscopic
studies done recently to check for ulcers in the esophagus or stomach
and also a biopsy to look for H.Pylori infection. There is a breath test
to detect this and it is very important to treat this if present.
H.Pylori causes duodenal ulcers and chronic inflammation of the
lining of the stomach and in some cases tied to stomach cancer.
You do seem to have GERD symptoms and that is the reason
for your morning spit problem. Especially during the night when
you are flat in bed , acid can back up into the esophagus and cause
irritation. Some people will have sore throat, hoarseness, cough,
sinus problems etc. It is very important that you take your PPI,
Pantakind twice a day , about one hour to one and one half hour
before your main meals for it to be effective. If you have been
on this drug for a long time and still have symptoms , perhaps
changing it Esomeprazole (Nexium) may be worth a try.
Avoid excess caffeine, citrus and tomato based products.
Try not to eat or drink 2 hours before you go to bed.
If after 4-8 weeks of this regimen, if you still have problems,
you may need additional tests such as ambulatory pH monitoring
to check the level of acidity and the frequency of reflux.
Depending on that , you may need surgery or other newer
endoscopic methods to strengthen the sphincter muscle between
the esophagus and stomach.
I hope this addresses your concerns.
I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Charles S Narasi 9 minutes later
Thanks a lot doctor.
My mom is the one having this problem.
She has not done any x rays of that sort yet.
What all tests do you suggest that she should go for??
Please suggest those tests such as breath test??.

Also, I will make the diet strict for her to Avoid excess caffeine, citrus and tomato based products.Not to eat or drink anything prior two hours before going to bed.

Thanks a lot again.
Answered by Dr. Charles S Narasi 5 hours later
I did not realize that you were asking about your mother.
She should first get the X-ray of the esophagus and stomach
also have the breath test for H.Pylori and an endoscopic
evaluation to look for any signs of inflammation of the
lower esophagus or the stomach.
I think I have mentioned the rest of treatment in my prior
note to you.
I am sure she will do fine if you follow the instructions.
I wish her well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,  
Drug/Medication ,   ,  
Lab Tests
Medical Topics ,  

Recent questions on  X ray

doctor1 MD

A 5 6 , 210 lb., 64-year-old male business executive had a physical exam prior to his retirement from corporate work. His blood pressure was 180/115 on three separate days. Further examination showed normal to low plasma renin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, x-ray evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy was weight reduction to his ideal level, a low-salt diet ( 2 gm/day sodium), prudent exercise, and a reduction in alcohol consumption ( 3 oz whiskey/day). This change in lifestyle did little to change the condition. Medication was initiated in the form of an oral diuretic and progressed to a beta-blocker; eventually a vasodilator was included to reduce the blood pressure to 140/90. 1. What is the diagnosis for this individual?

doctor1 MD

I am not even sure how to pose this question. I have pain sporadic pain and what seems like swelling in neck around C4-C5. When it gets bad, my shoulder becomes elevated and a strange tingling, muscle weakness happens in side of head and continues down to under backside of ribcage. I have had blood work, MRI, X-ray which doctors claim cannot substantiate what I am feeling. This all began out of blue 3 years ago July, and headaches were the first symptom. It has progressed since then. Any ideas?? Thanking you in advance

doctor1 MD

My dad broke his femur a couple of weeks ago (he s hospitalized oversees), the surgeon did not want to operate probptly because he was taking blood thinners. After 4 days, he did the surgery. His doctor installed a rod in his leg. 3 days later, my dad started to run high fevers (102.2). his doctors cultured his blood, urine, stool, took an x-ray of his lungs, x-ray of his wound. Nothing is shown. Not sure what they tested him for. After the fever was notices, his doctors has been giving him antibiatics to try to remedy the problem. Nothing is working. yesterday, his doctor seem puss coming out of the wound. The doctor said that he s never experienced puss that looks like the one my dad has. Any thoughts/advise will be greatly appreciated

doctor1 MD

Had surgery on right long finger @ dip joint to reduce osteoarthritis pain. Earlier procedure on left index finger was successful (bones fused). This time bones did not fuse so a bone graft was done. Follow-up x-ray showed bone was a casualty of infection. At no time was the infection visible or painful. Third procedure was done to take out pins, debride area, and take samples for culturing. Results showed staph (not mrsa) infection and fungal infection. Immediately went on fuconazole by mouth and cefazolin infusion. Infections are gone but so is the pin that supported tip of finger. Tip of finger is unstable and requires a splint most of the time. On three-week hiatus. What are options aside from amputation?

doctor1 MD

I am having a frozen left shoulder kind of symptoms for last couple of months. My left shoulder doesnt rotate as smoothly as the right one. My second problem is I have constipation atleast few days a month and suffer from piles as a consequence

doctor1 MD

I have very shortness of breath will divan help this ?

doctor1 MD

I have to urinate often ..... if I stand up from sitting position or sleep position. And I empty out every time. My family Dr. thinks my bladder has fallen and there by impairing the normal muscle function that holds the urine until some normal...