GERD causes & treatment
38 years/m Complaint of regurgitation of food since 2 months Patient eats and vomits after some time There is excessive flatulence burning in chest The food regurgitates after some time Patient is afraid to eat food after that The complaint is more if the patient lies down after food, more with solid food Better by standing Appetite, thirst- decreased Stool, urine- normal Desire- no Aversion- hot food thermals- hot How can we help the patient doctors P/D- GERD
Yes According to Complications More Possiblity of Gastroesophageal reflux disease. ???? ACID PEPTIC ULCER. RX:------ strength H-2-receptor blockers. These include prescription-strength famotidine (Pepcid), nizatidine and ranitidine. Prescription-strength proton pump inhibitors Medication to strengthen the lower esophageal sphincter Adv:- Don't Move fast. Eat Sparingly and slowly. Avoid Certain food Stay up after eating.
SUGGESTIVE OF G. E. R. D .. ADVISABLE... 1. ANTACID. GEL 2. PENTAPRAZOLE. DSR 3. TAB. TRAMADOL +. DYCLOMINE. 4. INJ. RANITIDINE 5. RANITIDINE +. DOMPERIDONE
IT'S A..CASE OF.. ? ACID PEPTIC DISORDER.. ? UPPER G I ..PATHOLOGY.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. * UPPER G I ENDOSCOPY.. * BARIUM MEAL STUDY.. * EXPERTS OPINION..
Liv 52 Kamadugha rasa Sutashekhar rasa Madiphala rasayan Avipattikar churna at bedtime. Advice laghu ahara and yogasana.
Avipittikar churna Triphla churna Arogyavardhani Agnitundi vati Llv-52syrup Avoid spicy food and pack food Do yoga
Avipattikar churna Sutasekhar rasa Praval pishti
Gerd 1): Avipattikara+Trisidhha+sankhpushpaydi+praval pisti+tumbarvadi+sankh bhasma: 2 tsp BD A/F with warm water. 2: Kamdugdha Rasa+ suthashekar rasa+ mahasankh vati: 1 each BD B/F with warm water. Ask patient to follow pathya and apthya strictly.
Amalpitta mishran 2 tid Kamdudha ras moti yukat 1 bid Sankh vati 2 bid Avipatikar churan 3gm + Triphala churan 2gm bid Syp amlycure ds 2 bid
Avoid spicy, fermented and packed food. Erandbhrushta haritaki with lukeworm water at bedtime. Tab.Vomitab 2-2-2 Cap.Zulcer 2-0-2
Syp Liv 52 DS 5 ml bd syp aristozyme 10 ml after meals fibrous diet avoid sedentary life
Cases that would interest you
40 years male patient c/o-retrosternal chest pain since4 to 5 days.. please make diagnosis?Dr. Ansari Mukhtar0 Like8 Answers
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Friends today I am discussing about Heartburn. What is heartburn? Despite its name, heartburn doesn’t affect the heart. Heartburn is a burning feeling in the lower chest, along with a sour or bitter taste in the throat and mouth. It usually occurs after eating a big meal or while lying down. The feeling can last for a few minutes or a few hours. Symptoms of heartburn Heartburn symptoms vary. They may be slight or extreme. The severity of heartburn may depend on what you have eaten and how much you have eaten. The main symptom of heartburn is a burning feeling in your throat and chest. This happens when when the acidic liquid from your food or drink comes back up into your esophagus. You may have difficulty swallowing or choke on this acid. It may even make you hoarse or cough. What causes heartburn? When you eat, food passes from your mouth down a tube called the esophagus. The esophagus is about 10 inches long in most people. To enter the stomach, the food must pass through an opening between the esophagus and stomach. This opening acts like a gate to allow food to pass into the stomach. Usually, this opening closes as soon as food passes through. But if it doesn’t close all the way, acid from your stomach can get through the opening and into your esophagus. This is called reflux. Stomach acid can irritate the esophagus and cause heartburn. Hiatal hernia can also cause heartburn. Hiatal hernia is a condition in which part of the stomach is pushed up through the diaphragm (the muscle wall between the stomach and chest) and into the chest. Sometimes this causes heartburn. How is heartburn diagnosed? You probably do not need a doctor to diagnose heartburn. Heartburn symptoms are easy to recognize. And there are many over-the-counter medicines to help manage symptoms. If you are questioning whether you have heartburn, you should ask your doctor. He or she will likely be able to diagnose you based on your symptoms. Can heartburn be prevented or avoided? You might be able to avoid heartburn by making some changes in your lifestyle. Tips for preventing heartburn include: Place 6- to 9-inch blocks under the legs at the head of your bed to raise it. Try to eat at least 2 to 3 hours before lying down. If you take naps, try sleeping in a chair. If you smoke, quit. Lose weight if you’re overweight. Don’t overeat. Eat high-protein, low-fat meals. Avoid tight clothes and tight belts. Avoid foods and other things that give you heartburn. Things that can make heartburn worse Many things can make heartburn worse. Heartburn is most common after overeating, when bending over or when lying down. Pregnancy, stress, and certain foods can also make heartburn worse. Things that can make heartburn worse: Cigarette smoking. Coffee (both regular and decaffeinated) and other drinks that contain caffeine. Alcohol. Carbonated drinks. Citrus fruits. Tomato products. Chocolate, mints, or peppermints. Fatty foods or spicy foods (such as pizza, chili, and curry). Onions. Lying down too soon after eating. Being overweight or obese. Aspirin or ibuprofen (one brand name: Motrin). Certain medicines (such as sedatives and some medicines for high blood pressure). Heartburn treatment If lifestyle changes and antacids don’t help your symptoms, talk with your doctor. Your doctor may want you to take prescription medicine. Or he or she may schedule you for some tests. Tests might include: pH test to check for acid in the esophagus. Endoscopy to check for other conditions. During an endoscopy, your doctor looks into your stomach through a long, thin tube. This tube is inserted down your esophagus. Your doctor may also check for pylori, bacteria that can cause ulcers. What about medicines for heartburn? Several kinds of medicine can be used to treat heartburn. Antacids neutralize the acid that your stomach makes. For most people, antacids that you can get without a prescription (over-the-counter) give fast, short-term relief. However, if you use antacids too much, they can cause diarrhea or constipation. Look for antacids that contain both magnesium hydroxide and aluminum hydroxide. One causes constipation while the other causes diarrhea. So they counteract each other. Some brands of antacids include Maalox, Mylanta, and Riopan. Follow the directions on the package. H2 blockers (some brand names: Pepcid, Tagamet, Zantac) reduce the amount of acid your stomach makes. Several are available without a prescription. Other medicines, such as omeprazole (brand name: Prilosec) and lansoprazole (brand name: Prevacid), also reduce how much acid the stomach makes. Metoclopramide (brand name: Reglan) reduces acid reflux. To find out what medicine is right for you, talk with your doctor. Can heartburn be serious? If you have heartburn only now and then, it’s probably not serious. However, if you have heartburn frequently, it can lead to esophagitis (an inflamed lining of the esophagus). If esophagitis becomes severe, your esophagus might narrow. This can cause bleeding or trouble swallowing. If you get more than occasional heartburn, it may be a symptom of something more serious. It could mean that you have: acid reflux disease gastroesophageal reflux disease (GERD) an inflamed stomach lining (gastritis) hiatal hernia peptic ulcer. Living with heartburn Sometimes pain in the chest may be mistaken for heartburn when it’s really a sign of heart disease. If you have any of the symptoms below, call your doctor. You have trouble swallowing or pain when swallowing. You’re vomiting blood. Your stools are bloody or black. You’re short of breath. You’re dizzy or lightheaded. You have pain going into your neck and shoulder. You break out in a sweat when you have pain in your chest. You have pain when you exercise. You have heartburn often (more than 3 times a week) for more than 2 weeks. Primary Homoeopathic Remedies Carbo vegetabilis This remedy relieves bloating and gas in the stomach, with belching. Lycopodium This remedy relieves discomfort and indigestion, with bloating around the waist and gas, especially after eating onions or garlic. Natrum carbonicum This remedy can be helpful to mild people who have trouble digesting and assimilating many foods and have to stay on restricted diets. Indigestion, heartburn, and ulcers can occur if offending foods are eaten. Milk or dairy products can lead to flatulence or sputtery diarrhea that leaves an empty feeling in the stomach. Cravings for potatoes and sweets are common; also milk, but it makes these people sick, so they have usually learned to avoid it. Nux vomica This homeopathic remedy relieves nausea and cramps from indigestion, especially after excessive eating of spicy foods or drinking of alcohol. Pulsatilla This helps relieve gastric discomfort caused by eating too much fatty food, cakes and ice cream, with bloating, belching and slow digestion. Other Remedies Antimonium crudum This relieves indigestion from eating too much, especially rich or acidic foods or cured meat. Symptoms are relieved by applying heat to the abdomen. Arsenicum album This remedy may be indicated if a person feels anxious, restless yet exhausted, and is worse from the smell and sight of food. Burning pain is felt in the stomach and esophagus, which often is relieved by warmth and sitting up. Vomiting and diarrhea are possible. Upsets from spoiled food or from eating too much fruit often respond to this remedy. Bryonia When this remedy is indicated, the stomach feels heavy, with rising acid and a bitter or sour taste. Pain and nausea are worse from motion of any kind. The person may have a dry mouth and be thirsty for long drinks, which may increase discomfort. Bryonia is strongly suggested if a person is grumpy and wants to stay completely still and not be touched or talked to. Cinchona officinalis This remedy relieves bloating of the abdomen and foul-smelling gas, sometimes with painless, but exhausting, diarrhea. Colocynthis This relieves abdominal cramps improved by bending over, with strong pressure and heat. Magnesia phosphorica This remedy relieves abdominal cramps improved by heat and bending over. Natrum phosphoricum A sour taste in the mouth, an acid or burning sensation in the stomach, sour vomiting, regurgitated bits of food, and a yellow coating on the tongue are all indications for this remedy. The person may have problems after consuming dairy products or too much sugar. Another indication for Natrum phos is a craving for fried eggs. Phosphorus Burning pain in the stomach that feels better from eating ice cream or other cold, refreshing foods suggests a need for this remedy. The person is usually thirsty for cold drinks, but often feels nauseous or vomits once liquids warm up in the stomach. People needing Phosphorus may have a tendency toward easy bleeding and sometimes develop stomach ulcers.Dr. Rajesh Gupta3 Likes2 Answers
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A 29 yr old female presented with persistent sinus tachycardia, HR of > 140/min. She has a strange history of palpitation more on taking food and after meals. Thyroid, echo, holters,CXR PA view,CBC and all other routine investigations - within normal limits. She also has h/o 2-3 cardiologists consultations and was placed on either b- blockers or ivabradine to control the heart rate. Attached below are her investigations and ECG. Kindly give your valuable opinions and comments.Dr. Shigil Mathew2 Likes16 Answers
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19 year male came with sudden chest pain that awakened him from sleep at 3 AM. The pain is located in the midsubsternal region and radiates to the neck. The patient describes it as a sharp pain. The pain worsens with inspiration and is associated with shortness of breath. The patient denies having any fevers, chills, cough, hemoptysis, nausea, or vomiting.The patient has an 8–pack-year history of smoking cigarettes. He denies any alcohol use. Chest radioghaphs are attached. Share your views on diagnosis and management.Dr. Gopal Arora0 Like17 Answers
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39 yr old male patient came with chief complaints of pain in epigastric region and breathlessness since 2 days No h/0 burning chest sensation no H/0 vomiting ,nausea No H/0 oedema over feet on examination - BP -140/100 pulse rate 80 /min kindly correlate with ECG findings and give appropriate diagnosis and managementSuyog Bhutada1 Like15 Answers