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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes heartburn, bloating and stomach pain?

I've been experiencing a lot of heartburn lately. Never had heartburn this much ever. My stomach seems bloated as well, and I constantly suffer from stomach aches. I have noticed if I drink coffee in the morning (2 cups), it tears my stomach apart, and I have diarhea, but after that I seem to feel better, except now for the heartburn. Haven't changed my diet any (should probably do that however), but my stomach feels so bloated like I'm pregnant.
Mon, 11 Sep 2017
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Diseases and Conditions ,  
General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Bloating to the extent of feeling pregnant, morning enhancement of symptoms after coffee, heartburn, and pain in abdomen indicate that you are most probably suffering from Gastritis with reflux called GERD that is gastroesophageal reflux disease.
Diarrhea after coffee also indicate that there may be an element of intolerance to coffee and anything that contains caffeine.
Hence I would advise you the following:
Stop coffee and any food or beverages that cause symptoms.
Take a PPI like Omeprazole.
Antacid every three hourly.
Domperidone as motility regulator.
Go for an Upper GI Endoscopy examination for further evaluation and continuation or addition of medications.
Control of stress and anxiety is the mainstay of management.
No alcohol, no smoking.
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