What causes severe heartburn?

Posted on Tue, 15 Jul 2014 in Digestion and Bowels
Question: I woke up yesterday morning, sick on my stomach and diarrhea. Tonight I woke up at 1:00 am with severe heartburn, Sick on my stomach and diarrhea. Should I be concerned?

Answered by Dr. T Shobha Deepak 2 hours later
Brief Answer:
Could be due to acid peptic disease

Detailed Answer:
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms,

Presence of severe heartburn is possibly due to Gastro-oesophageal reflux.
If the following criteria are fulfilled there is no cause for concern

1. No distension of abdomen
2. No blood in stools
3. No persistent vomiting

I would suggest you the following which will definitely be helpful

1. Continue Mylanta
2. Proton pump inhibitor like Pantoprozole and Prokinetic like Domperidone will be helpful in relieving symptoms
3. Soft diet
4. Probiotics
5. Consider addition of yoghurt or curd in your diet
6. Avoid Caffeinated/alcoholic/carbonated beverages: They will increase the reflux

Do keep me updated about your progress.

Take Care

Best Regards
Dr T Shobha Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics

Recent questions on  Proton pump

doctor1 MD

What is h-pyloric? I think that's what the doctor mentioned as a possibility about my stomach and intestinal problems.

doctor1 MD

Hi doctor, I am 36 years of age with 71 kg as weight and 5 ft 8 inch height. since last 1 year at times I feel burning sensation around heart area...

doctor1 MD

hi, I have had a constant and increasing pain behind my left breast for almost 2 weeks now. I don't know if it is related, but I have also had 2...

doctor1 MD

Dear Doctor,

Recently, 3 different nights, I have been awakened with discomfort in my rib cage, like a balloon being blown up inside me. I can't...

doctor1 MD


I'm on my 2nd day of having chest pains in the middle of my chest. Almost a burning sensation but it can hurt with sharp movement or rolling...

doctor1 MD

my brother 25 years old was diagnosed with a mild case of OCD and was given lustral as the primary treatment, a month later he started complaining...

doctor1 MD

Dear Sir,
I have so much gastric problems with headeque & bloating & constipation for last 5-6 years, Doctor has adviced me to take adiza tablet...

Get personalised answers from verified doctor in minutes across 80+ specialties

150 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction