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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Acid Reflux?

My name is David. Lately I ve been getting heartburn, from what I think is from a prescribe prescription.. So I stopped taking it. No heartburn, but the other day I had to walk maybe 2tenths of a mile to get picked up. I was in now hurry but I started to feel like the heartburn came back. After I stopped walking the pain went away.. No pain this past weekend but today after work I had really bad heartburn. I had a burger at McDonald s. I took a heartburn pill to relieve the pain and the pain did subside. I ve had problems with my heart in the past and I have stents. So I took my blood pressure while I was going through the pain and the reading was high. But since after taking my first reading, my BP has gone down. And no more pain.. The pain that I m having is in the upper part the chest close to the throat. No other symptoms. What do you think?
Mon, 9 Jul 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Acid reflux is caused when acid present in the stomach flows up into the oesophagus which causes burn in the lower chest resulting in heart burn. possible causes may be hiatal hernia, chronic smoking, and obesity, stress levels, spicy meals at irregular times. Some drugs also cause this- antihistamines, calcium channel blockers, painkillers, sedatives, and antibiotics when taken on a empty stomach. Pregnancy also causes this condition. Follow these below instructions:
1. Avoid caffeine, alcohol, tobacco for the time being.
2. Take small bland meals with high fiber content.
3. Avoid spicy foods, carbonated drinks, and pickles.
4. Don't lie down immediately after eating take 2-3 hours gap.
5. Take plain Pantoprazole daily for 2 weeks twice on empty stomach in the morning and at night.
If the symptoms persist after all these, consult a gastroenterologist to have an endoscopy and have conclusive treatment.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Penchila Prasad Kandikattu
I find this answer helpful
Internal Medicine Specialist Dr. Dr. Penchila Prasad Kandikattu's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Acid reflux is caused when contents of the stomach are regurgitated into the oesophagus. Possible causes may be GERD, sedentary lifestyle, alcohol, smoking, caffeine, hiatal hernia, increased stress levels. Don't take food before going to bed. Eat light bland meals small portions. Remain sitting for at least 2-3 hours before lying down. Avoid caffeine, alcohol, tobacco, spicy foods, sour foods. Eat at regular intervals, don't skip any meals. Always have an antacid by your hand. Take Pantoprazole twice daily for 2 weeks morning on empty stomach and at night after food. If the condition doesn't subside even after, consult a gastroenterologist for further examination and treatment.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Penchila Prasad Kandikattu
I find this answer helpful

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What Causes Acid Reflux?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Acid reflux is caused when acid present in the stomach flows up into the oesophagus which causes burn in the lower chest resulting in heart burn. possible causes may be hiatal hernia, chronic smoking, and obesity, stress levels, spicy meals at irregular times. Some drugs also cause this- antihistamines, calcium channel blockers, painkillers, sedatives, and antibiotics when taken on a empty stomach. Pregnancy also causes this condition. Follow these below instructions: 1. Avoid caffeine, alcohol, tobacco for the time being. 2. Take small bland meals with high fiber content. 3. Avoid spicy foods, carbonated drinks, and pickles. 4. Don t lie down immediately after eating take 2-3 hours gap. 5. Take plain Pantoprazole daily for 2 weeks twice on empty stomach in the morning and at night. If the symptoms persist after all these, consult a gastroenterologist to have an endoscopy and have conclusive treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu