Suggest Treatment For Severe Acid Reflux While On Zantac And Propranolol

Posted on Wed, 6 Jan 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 6 Jan 2016 Answered on

Thu, 4 Feb 2016 Last reviewed on

Question : Every time I eat about an hour after I start to feel very sick but also feel acid but I'm on every thing protonics and Zantac. Plus now I'm on rums too. I'm on propranolol but it's not working any more. My heart become rapid 110-115 I call my doc and they want me to wait til next week for a normal appt. I've lost 12 lbs already what should I do?

Answered by Dr. Dr. Klerida Shehu (3 hours later)

Brief Answer:
Please follow...

Detailed Answer:
Hi and thank you for asking!
You are reporting to have fast heart rate, acidity and feel sick 1 hour after meal.
Your symptoms may be related with :
- acid reflux
- gastritis/stomach ulcer
If I were your treating doctor I would recommend to do :
- upper endoscopy as soos as possible
- abdominal ultrasound
Acid reflux can cause fast heart rate. You can start to use atenolol instead of propranolol.
The reason why I recommend to do upper endoscopy as soon as possible is the fact that you have lost 12 lbs recently. This sing need to be evaluated together with other your symptoms.
Meantime I suggest to :
- use protonix up to 80 mg per day
- use zantac 300 mg at bed time
- eat often and small amount of meal
- eat 3-4 hours before going to bed
- avoid spicy and chilly foods
- use two pillows when you lay down
Hope it was helpful to you!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (2 hours later)

Im pretty taking all those meds now but still in alot pain. It is getting diffcult to even eat toast. After eating toast my stomach was in total pain first hour and half. And now it just painful and feels bloated. How am i going to even get in enough calories today? Plus i was using carafate. I called my local gi doc he wants to scope me friday but what do i do if i cant intake fluids or food anymore (too painful). I dont think its safe to stave for 2 days and then go under anesthesia without knowing what my electrolytes are. Thank you for taking the time to answer my questions.

Answered by Dr. Dr. Klerida Shehu (11 hours later)

Brief Answer:
Please follow..

Detailed Answer:
Hi back

With regards to anesthesia don't worry because it is not an anesthesia but a mild sedation and the doctor will help you with IV fluids and electrolytes if it will be necessary.

If I were your treating doctor i would recommend to take care of your diet these two days like:
- use fresh fruits
- use soap
- eat often and small amount of meal
- avoid fried foods
- use liquids with electrolytes
To my opinion it's great that you will meet Gi doctor on Friday. I am waiting news from you.

Hope it was helpful to.
Dr.Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar