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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Remedy For Acid Reflux?

Dear dr.

lately i have had a lot of gas and some acid reflux. i noticed i have a small pouch in the middle of my stomach i can push on it and it is not a hard lump just soft but sometimes its noticeable. could this be a gas/air pocket or something else? i have been taking gax x and pepto bismo. please advice.
Fri, 28 Feb 2014
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General & Family Physician 's  Response
Hello dear,

The symptoms suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.
The lump in the stomach as mentioned in your post is Hiatal hernia.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole (which prevent acid formation in stomach)
4. The Hiatal hernia needs to be managed surgically.

So, it will be better to consult your treating Doctor/ Gastroenterologist.
Investigation like Ultrasound scan of abdomen & Upper GI endoscopy will be helpful in clinching the diagnosis.

Wish you a good health.
Take care.
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What Is The Remedy For Acid Reflux?

Hello dear, The symptoms suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. The lump in the stomach as mentioned in your post is Hiatal hernia. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole (which prevent acid formation in stomach) 4. The Hiatal hernia needs to be managed surgically. So, it will be better to consult your treating Doctor/ Gastroenterologist. Investigation like Ultrasound scan of abdomen & Upper GI endoscopy will be helpful in clinching the diagnosis. Wish you a good health. Take care.