Suggest Treatment For Symptoms Of GERD
Could be due to GERD
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. Your son's problem seems to be due to gastritis or gastroesophageal reflux (GERD). I do not think that it is due to a pinched nerve. GERD could give rise to the strangling and suffocating presentation.
In order to relieve himself, he needs to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of his habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase his our dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Yoga and meditation should help.
Hope that helps.
Let me know if I could help further.
Secondly is there a reasonable alternative to Zopiclone. Its pushed in the UK as though no other sleeping tablet exists.
Thank you Doctor
Can be taken safely
Thanks for writing back.
Prilosec can be taken along with the mentioned medicines. A good alternative for Zopiclone is Zolpidem (prescription medicine). An average level alternative would be clonazepam or alprazolam (prescription medicines).
Furthermore he says these terrible sensations do not affect his breathing in any way, but even so these feelings are extremely distressing and caused him extreme suffering.
So Im wondering about POTS.
What do you think Doctor?
Pleurisy seems to be a more likely possibility. Clinical correlation needed
Thanks for writing back.
Cannot really comment on the possibility of Pot's without proper clinical correlation. However, another possibility to consider is pleurisy. The lungs are lined by pleura which also lines the inner aspect of the chest wall. During the respiration, as the lungs move, the two layers of pleura rub against one another. If a portion is inflammed as in pleurisy, it could give a strangling sensation and could make respiration painful.
Clinical examination essential.
Thanks for writing back. Looking from a broad perspective pleurisy is a possibility. But it is very hard to comment definitively without a thorough clinical examination. A neurological evaluation is also needed in order to assess if the symptoms could be due to some lesion in the spinal cord.