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Suggest treatment for symptoms of gastroesophageal reflux disease and achalasia

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Posted on Wed, 20 May 2015
Question: Hi, for the past week I have been waking up every hour with vomit coming out of my nose. I have tried to sleep with my head elevated and have taken medicine before bed, and taken tums but it has not been helping. Please let me know if there is any other thing I can do
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Answered by Dr. Riyanka Chail (1 hour later)
Brief Answer:
consult a gastroentrologist as an endoscopy may be required.

Detailed Answer:
Hello madam,
Thanks for writing in to us at hcm.
I understand your anxiousness regarding your health problem.

Your symptoms point towards Gastroesophageal reflux disease and Achalasia.

Kindly consult a gastroenterologist regarding this for specific treatment.
Since you are already taking a proton pump inhibitor like omeprazole , probably its doesage should be increased to 40mg in the morning half an hour before having breakfast.

Treatment for Achalasia focuses on relaxing lower esophageal sphincterso that food and liquid matter can move more easily through your digestive tract without any reflux.

Treatment depends on age and seriousness of the problem.
Medical treatment - botulinum toxin injection to relax the sphincter.
Surgical treatment -fundoplication.
Balloon dilatation

GERD treatment includes antaacids, H2 receptor blockers and proton pump inhibitors.
Also donot lie down after meals . Walk around or sit for minimum 2 hours after meals. have a bland diet. kepp propped up position.

The biggest problem with such diseases is choking ones own vomitus which can lead to aspiration pneumonia . Hence consult a gastroentrologist and a surgeon regarding your problem.

An endoscopy may be required.

Hope this answers your query. Don't worry .
Do write back if you have any further doubts.

Get well soon.
Dr.Riyanka


Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Riyanka Chail

General & Family Physician

Practicing since :2009

Answered : 818 Questions

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Suggest treatment for symptoms of gastroesophageal reflux disease and achalasia

Brief Answer: consult a gastroentrologist as an endoscopy may be required. Detailed Answer: Hello madam, Thanks for writing in to us at hcm. I understand your anxiousness regarding your health problem. Your symptoms point towards Gastroesophageal reflux disease and Achalasia. Kindly consult a gastroenterologist regarding this for specific treatment. Since you are already taking a proton pump inhibitor like omeprazole , probably its doesage should be increased to 40mg in the morning half an hour before having breakfast. Treatment for Achalasia focuses on relaxing lower esophageal sphincterso that food and liquid matter can move more easily through your digestive tract without any reflux. Treatment depends on age and seriousness of the problem. Medical treatment - botulinum toxin injection to relax the sphincter. Surgical treatment -fundoplication. Balloon dilatation GERD treatment includes antaacids, H2 receptor blockers and proton pump inhibitors. Also donot lie down after meals . Walk around or sit for minimum 2 hours after meals. have a bland diet. kepp propped up position. The biggest problem with such diseases is choking ones own vomitus which can lead to aspiration pneumonia . Hence consult a gastroentrologist and a surgeon regarding your problem. An endoscopy may be required. Hope this answers your query. Don't worry . Do write back if you have any further doubts. Get well soon. Dr.Riyanka