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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Over Active Gag Reflex While Brushing Is A Sign Of GERD?

Hi, I tend to gag whenever I drink room temperature home made coffee. I usually don't have this issue with store bought, only sometimes. I also have an overactive gag reflex when brushing my teeth in the morning. I've never had these issues before, could it be related to GERD?
Fri, 29 Jan 2016
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General Surgeon,  's  Response

Hi Dear !! Thanks for your query to HCM.
Read and reviewed query.
Based on facts of your query, You seem to suffer from-
HGR,which could be from many reasons.
In your case this is from Acid reflux post- chronic coffee drinking.
Severe Gastritis with accompanied severe Acid relflux, is the cause of HGR -hyperactive Gag Reflux- in your case.

Treats-
Assess from Ent / and Physician to rule out Ent and Upper / Lower GI causes of this HGR.
Avoid Coffee / Spicy meals x 2 weeks.
PPI like Pantoparzole Domeperidone- x 2 weeks
Tab B12 1000 mcmg with Folic Acid -50 mgm- to recover accompanied mucosal inflammation.
Bland Diet x 3-4 weeks.
No alcohol/ tea/ coffee -x 6 weeks.
Don't worry for all this. Act like suggested.
Hope this would resolve your health issues early.
Welcome for any further query in this regard.

Good Day !!

Dr.Savaskar M.N.

Senior Surgical Specialist and Thorasic / Chest Surgeon
M.S.Genl-CVTS
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Is Over Active Gag Reflex While Brushing Is A Sign Of GERD?

Hi Dear !! Thanks for your query to HCM. Read and reviewed query. Based on facts of your query, You seem to suffer from- HGR,which could be from many reasons. In your case this is from Acid reflux post- chronic coffee drinking. Severe Gastritis with accompanied severe Acid relflux, is the cause of HGR -hyperactive Gag Reflux- in your case. Treats- Assess from Ent / and Physician to rule out Ent and Upper / Lower GI causes of this HGR. Avoid Coffee / Spicy meals x 2 weeks. PPI like Pantoparzole Domeperidone- x 2 weeks Tab B12 1000 mcmg with Folic Acid -50 mgm- to recover accompanied mucosal inflammation. Bland Diet x 3-4 weeks. No alcohol/ tea/ coffee -x 6 weeks. Don t worry for all this. Act like suggested. Hope this would resolve your health issues early. Welcome for any further query in this regard. Good Day !! Dr.Savaskar M.N. Senior Surgical Specialist and Thorasic / Chest Surgeon M.S.Genl-CVTS