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I'm Having What I Think Is Very Persistent Heartburn .

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Posted on Wed, 17 Jun 2020
Question: I'm having what I think is very persistent heartburn. It's a dull pain (not sharp or hot) right in the middle of my chest. I did take tums overnight but it's still there. I'm not sure, my boss said to ask about it.
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Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Gastritis

Detailed Answer:
Hi,
Thanks for choosing "Ask A Doctor" service for your query,
Your symptoms are suggestive of GERD and Gastritis.It is a form of digestive disorder, which affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe. GERD incorporates the return of the contents of the stomach back to the oesophagus. .Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning in the throat. The feeling can be defined as throat with a bitter, acidic taste or may have chest pain/heaviness. The burning sensation may last as long as two hours.
Tums will not help.

Test suggested-
Endoscopy to examine the inner part of the oesophagus.

An oesophageal impedance test to measure substance movement inside the oesophagus.

Take a proton pump inhibitor like Esomeprazole 40 mg twice daily along with a prokinetic drug (eg.Domperidone) for 3 days. This will provide you symptomatic relief from symptoms.
Antacid like Pepto bismol can be taken for few days along with it.


Apart from this, some dietary restrictions are to be followed-

- Avoid alcohol or smoking.
- No aerated beverages.
- Take light non spicy easily digestible food for few days.
- No Fast food like pizza or burger should be taken.
- Drink a cup of cold milk daily.
- Avoid fatty foods.

Hope i was helpful.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2909 Questions

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I'm Having What I Think Is Very Persistent Heartburn .

Brief Answer: Gastritis Detailed Answer: Hi, Thanks for choosing "Ask A Doctor" service for your query, Your symptoms are suggestive of GERD and Gastritis.It is a form of digestive disorder, which affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe. GERD incorporates the return of the contents of the stomach back to the oesophagus. .Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning in the throat. The feeling can be defined as throat with a bitter, acidic taste or may have chest pain/heaviness. The burning sensation may last as long as two hours. Tums will not help. Test suggested- Endoscopy to examine the inner part of the oesophagus. An oesophageal impedance test to measure substance movement inside the oesophagus. Take a proton pump inhibitor like Esomeprazole 40 mg twice daily along with a prokinetic drug (eg.Domperidone) for 3 days. This will provide you symptomatic relief from symptoms. Antacid like Pepto bismol can be taken for few days along with it. Apart from this, some dietary restrictions are to be followed- - Avoid alcohol or smoking. - No aerated beverages. - Take light non spicy easily digestible food for few days. - No Fast food like pizza or burger should be taken. - Drink a cup of cold milk daily. - Avoid fatty foods. Hope i was helpful.