Brief Answer:
Gastro esophageal reflux disease most likely.

Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query,

Your symptoms are suggestive of Gastroesophageal Reflux Disease. It is a form of digestive disorder, which affects the muscle ring present between the stomach and the food pipe. It causes the return of the contents of the stomach back to the food pipe. The functioning of the lower oesophageal(food pipe) sphincter is disrupted.

In young patients, most common cause is Hiatal hernia. A sedentary/unhealthy lifestyle and diet may also lead to GERD. Intake of an excess amount of chocolates, fried/junk foods, coffee or alcohol triggers the chance of a reflux.

Heartburn is the primary symptom of GERD which causes a feeling like burning chest pain which starts from behind the breastbone and reaches up to the throat. Usually defined by patient as food coming back to the throat with a bitter, acidic taste.

Tests advised -

An X-Ray of the upper part of the digestive system.
Endoscopy to examine the inner part of the oesophagus.

Ambulatory acid test for monitoring the amount of acid within the oesophagus.
E.K.G To rule out any cardiac involvement(Heart flutter)

Treatment-

You have to make several changes to your daily lifestyle and diet plan for controlling symptoms of GERD.

Food and beverages like chocolates, fatty food, coffee, alcohol and peppermint should be avoided in order to reduce the weakening of the lower oesophageal sphincter. Several food items irritate the damaged oesophageal lining and should also be avoided. They include citrus fruits, tomato and pepper.

Smoking cigarettes results in weakening of the lower oesophageal sphincter and should be stopped to reduce GERD.

Elevate the head of the bed on which you sleep on blocks measuring 6 inches. This reduces the heartburn as gravity minimizes stomach reflux to return to the oesophagus.

Take Neksium(Esomeprazole) 40mg twice daily in place of Omeprazole. Antacids(Mucaine gel) can be taken to neutralize the acid in the oesophagus and stomach.

I hope i have answered your query in details. In case you need any other professional advice; I would be glad to help.

Regards

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