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For The Past Few Years On And Off I Have

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Posted on Tue, 2 Feb 2021
Question: For the past few years on and off I have experienced a strange empty/hollow feeling in my stomach even after eating. When I first began feeling this sensation I had an upper endoscopy which showed GERD. It also seems as though this sensation returns following times of increased stress. What could be the cause?
doctor
Answered by Dr. Ramesh Kumar (9 hours later)
Brief Answer:
Inflammation of gastroesophageal wall.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details,
Stress and anxiety causes vagal stimulation which worsens up the symptoms of GERD.
The strange feeling is because of inflammation on gastro esophageal tract.
Suggestion-
Tab Nexium 40 mg two time a day 9a.m -9p.m
Tab Domperidon (need prescription) 30 mg once daily for 5 days and follow up after that.
Smoking and alcohol should be stopped if present.
Light home cooked food should be taken.
Thank you!
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (10 hours later)
Thanks for the response. I am currently taking 10 mg of omezeraporole once a day should I take it both at night as well as in the morning. Also is it normal foe such irritation to come and go. I usually experience episodes one or two time per year which lasts roughly about two weeks. Is this all caused by acid?
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Follow up: Dr. Ramesh Kumar (10 minutes later)
A sliding haitial hernia was also seen during endoscopy can this contribute
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hi again,
Yes sliding hiatal hernia is one of the most common cause of gastritis.
Omeprazole 10 mg is a suboptimal dose and therefore is not helping much.
If you have Omeprazole take 20 mg in morning and 20 in evening ...During flares doses could be increased to 40-20mg or 40-40mg.
Thank you!
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
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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For The Past Few Years On And Off I Have

Brief Answer: Inflammation of gastroesophageal wall. Detailed Answer: Hello and thank you for choosing "Ask a Doctor" service for your query, Have seen your details, Stress and anxiety causes vagal stimulation which worsens up the symptoms of GERD. The strange feeling is because of inflammation on gastro esophageal tract. Suggestion- Tab Nexium 40 mg two time a day 9a.m -9p.m Tab Domperidon (need prescription) 30 mg once daily for 5 days and follow up after that. Smoking and alcohol should be stopped if present. Light home cooked food should be taken. Thank you!