question-icon

Suggest Treatment For Symptoms Of Acidity And GERD

default
Posted on Wed, 16 Dec 2015
Twitter Wed, 16 Dec 2015 Answered on
Twitter Wed, 6 Jan 2016 Last reviewed on
Question : I think I am severly suffering from Gas problems.. I do get hungry in every 2 to 2.5 hr and there is some amount of acidity which gets accumulated in stomach and it starts paining my lower chest Area. I am little overweight. My height is 5.6 and weight is 76 kg. Is it because of my obesity or I am suffering from Sugar problem (As my both the parents are diabetic). Please suggest what should be the cause of all this problem and what could be the solution. Around 15 days back Dr. Arpan from Healthcare suggested me to take ESMOPRAZOLE 40MG tablets on a daily basis. It worked for me due to this I didnt starved after every 2 hours or 3 hours. And even I also stopped urinating frequently. But ever since I stopped taking this medicine I have been again facing similar issues. Do let me know I need to continue taking this medicine. Is there any permanent solution to my acidity problem? I tested my sugar level before fasting and after fasting. They were like : before BF: 93 and 2 hours after breakfast : 76. Not sure if these numbers are fine for me. Please confirm this also.
doctor
Answered by Dr. T Chandrakant (7 hours later)
Brief Answer:
All points to be followed.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate salient points: Male/33 - gas - hungry 2-2.5 hourly - acidity - pain lower chest - BMI 27+ *overweight (25-29.9) - took Esomoprazole and worked as no hungry after 2 -3 hours and stopped urinary *frequency - stopped the med and problems recurred - Sugar levels look OK - also noted cervical problems and allergy to dust problems..Wants to know further

Thanks again for an elucidate history which shows the following problems and I would first answer your queries:
- Yes, overweight adds to the acidity and reflux problems.
- In spite your parents are diabetic, your sugar looks OK.
- Overweight and family history of diabetes increases your risk of getting diabetes, this means that you have to reduce your weight to the BMI of 25 or still below which will help to reduce your acidity and reflux problems.
- Since Esomoprazole helped your, continue for at least 45 days on daily basis without missing a single dose.
- Now your last and the most important question: Permanent solution for to your acidity problem:

* You have basically a problem of acidity that is also causing pain in the lower chest. This indicate that your have GERD meaning gastroesophageal reflux disease. This is due to lax (loose) lower esophageal sphincter. (needs additional medicines)
* Frequency of urination with acidity and reflux indicates that you have a lot of stress and/or anxiety. And this may be the most important reasons, which if you can get a control with will give your cure.
* Weight reduction by means a combination of reduced intake under the guidance of a Dietitian and increase the output means exercises under the guidance of a Gym trainer will help reduce your overweight, risk of diabetes and help cure the acidity problems.
* Additional medicines needs a prescription from your local Doctor, these are Domperidone at 8 hourly interval and antacid liquid at 3-4 hourly interval and particularly when you have not taken your food or breakfast (on empty stomach). Medicines for reducing the stress and/or anxiety if your treating Doctor thinks so.
* Preliminary upper GI endoscopy will help to confirm the diagnosis and to know the degree of disease and helps in planning the further management.
* Soft bland diet.
* 8 hours sound sleep.

Follow this advise and your problem will be cured.
This helps all my patients and will help you too.


Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19776 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Gastroenterologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Suggest Treatment For Symptoms Of Acidity And GERD

Brief Answer: All points to be followed. Detailed Answer: Hi. Thanks for your query and an elucidate history. To recapitulate salient points: Male/33 - gas - hungry 2-2.5 hourly - acidity - pain lower chest - BMI 27+ *overweight (25-29.9) - took Esomoprazole and worked as no hungry after 2 -3 hours and stopped urinary *frequency - stopped the med and problems recurred - Sugar levels look OK - also noted cervical problems and allergy to dust problems..Wants to know further Thanks again for an elucidate history which shows the following problems and I would first answer your queries: - Yes, overweight adds to the acidity and reflux problems. - In spite your parents are diabetic, your sugar looks OK. - Overweight and family history of diabetes increases your risk of getting diabetes, this means that you have to reduce your weight to the BMI of 25 or still below which will help to reduce your acidity and reflux problems. - Since Esomoprazole helped your, continue for at least 45 days on daily basis without missing a single dose. - Now your last and the most important question: Permanent solution for to your acidity problem: * You have basically a problem of acidity that is also causing pain in the lower chest. This indicate that your have GERD meaning gastroesophageal reflux disease. This is due to lax (loose) lower esophageal sphincter. (needs additional medicines) * Frequency of urination with acidity and reflux indicates that you have a lot of stress and/or anxiety. And this may be the most important reasons, which if you can get a control with will give your cure. * Weight reduction by means a combination of reduced intake under the guidance of a Dietitian and increase the output means exercises under the guidance of a Gym trainer will help reduce your overweight, risk of diabetes and help cure the acidity problems. * Additional medicines needs a prescription from your local Doctor, these are Domperidone at 8 hourly interval and antacid liquid at 3-4 hourly interval and particularly when you have not taken your food or breakfast (on empty stomach). Medicines for reducing the stress and/or anxiety if your treating Doctor thinks so. * Preliminary upper GI endoscopy will help to confirm the diagnosis and to know the degree of disease and helps in planning the further management. * Soft bland diet. * 8 hours sound sleep. Follow this advise and your problem will be cured. This helps all my patients and will help you too.