How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 42822
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

Iam having severe acid reflux and indigestion for 3 weeks,went

Customer Question

Iam having severe acid reflux and indigestion for 3 weeks,went to my GP gave me omeprazole and gaviscon without any relief,always woke up at night with the same symptoms,constipated and can not eat properly.I need an advise please.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry you are having bad acid reflux.

Dr. David :

you need to avoid eating 30 minutes before and after the omeprazole.

Dr. David :

also you need to change your diet to avoid large meals, spicy foods, fatty foods, alcohol, sodas, fried foods, oily foods, tomato sauce.

Dr. David :

you need to stop apple cider vinegar. this just adds more acid to your stomach.

Dr. David :

you need to stop aloe vera juice as well since this is acidic.

JACUSTOMER-ol3yoi4z- :

What type of food do i need to eat

Dr. David :

avoid fruit juices which are acid as well.

Dr. David :

oatmeal is good.

Dr. David :

more bland food

JACUSTOMER-ol3yoi4z- :

Is this curable disease

Dr. David :

yes, this is curable, but you have to get on the right diet.

Dr. David :

cooked vegetables.

Dr. David :

lean meats,

Dr. David :

egg whites, greek yogurt.

Dr. David :

whole grains are good for you.

Dr. David :

if your symptoms continue, you need to ask your doctor for testing for H Pylori in your stomach

Dr. David :

which is a bacteria which can worsen stomach acid production.

JACUSTOMER-ol3yoi4z- :

Will you help me what to do to heal my symptoms

Dr. David :

change your diet. stop the vinegar, stop the aloe vera juice.

Dr. David :

and all acidic juices.

Dr. David :

no grapefruit juice, no orange juice, no tomato juice.

JACUSTOMER-ol3yoi4z- :

Please give some information what to eat and what dietary plan i need to do

Dr. David :

bland diet for now. and continue the omeprazole and gaviscon.

Dr. David :

oatmeal and whole oat cereals are fine.

Dr. David :

eggs and whole wheat toast is fine.

Dr. David :

whole wheat pasta and complex carbs is fine

Dr. David :

avoid spicy foods.

Dr. David :

avoid black pepper.

Dr. David :

avoid fried foods.

Dr. David :

lean meats and chicken and fish are good.

Dr. David :

by doing this, you should get better.

Dr. David :

if you don't get better, you need to follow up with your doctor and ask for an upper endoscopy scope procedure down into your stomach and testing for H Pylori bacteria in your stomach.

Dr. David :

you can salt your foods. salt is not bad for your stomach

Dr. David :

just not too much salt.

Dr. David :

does this help?

Dr. David :

do you have other questions?

JACUSTOMER-ol3yoi4z- :

Why i can not sleep flat in bed

Dr. David :

because when you sleep flat, your stomach is producing too much acid and the acid is coming up the esophagus and is burning the esophagus and the back of your throat.

Dr. David :

you need to change your diet and start to improve your stomach core strength.

Dr. David :

this will help increase your GE sphincter muscle strength to help keep acid in your stomach.

Dr. David :

if you are overweight, loosing weight can help as well.

JACUSTOMER-ol3yoi4z- :

What drink is appropriate

JACUSTOMER-ol3yoi4z- :

Im negative with H pylori test

JACUSTOMER-ol3yoi4z- :

Im still constipated

Dr. David :

water is best.

Dr. David :

I'm glad you are H Pylori negative.

Dr. David :

have you tried to use stool softeners and laxatives to help your constipation?

Dr. David :

how about eating prunes and raisin bran.

JACUSTOMER-ol3yoi4z- :

What vegetable shoul i eat?

Dr. David :

you can eat these and these won't worsen your stomach acid.

Dr. David :

cooked green vegetables.

Dr. David :

I eat cooked broccholi in olive oil with a bit of salt on them almost 3-5 times a week.

Dr. David :

broccholi has lots of fiber and nutrients and vitamin C and is not acidic on your stomach.

Dr. David :

the key is not to over look the broccoli.

Dr. David :

do you have other questions?

Dr. David :

let me know if you have other questions.

if done for now, please leave positive rating below the chat box so I can get credit for helping you today

you can always reach me with "a question for Dr. David" if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-dr-david/

Thanks for using JustAnswers.com

Dr. David :

hello?

JACUSTOMER-ol3yoi4z- :

I can not sleep what do i need to do

Dr. David :

you need to see if you can sleep sitting up in a recliner chair.

Dr. David :

this way can help keep the acid down

Dr. David :

or you can try putting cinder blocks at the head of the bed to incline the head of the bed

Dr. David :

or you need to prop your head up on lots of pillows.

Dr. David :

or they sell an incline wedge that you can sleep on.

Dr. David :

like this

Dr. David :

http://www.bedbathandbeyond.com/store/product/visco-elastic-foam-bed-wedge-100-cotton-cover/1018945649?device=c&network=g&matchtype=&mcid=PS_googlepla_nonbrand_bedding_&gclid=CMrH4baZmLwCFU7xOgod1hAAsg

Dr. David :

that can incline your head up to help keep the acid down until you get your acid under better control.

Dr. David :

does this make sense?

JACUSTOMER-ol3yoi4z- :

What else i need to do apart from my diet

Dr. David :

loose weight

Dr. David :

exercise and strengthen your core muscles.

Dr. David :

you can start by walking daily.

Dr. David :

drink plenty of water .

Dr. David :

avoid alcohol and sodas

Dr. David :

do you drink alcohol or sodas.

Dr. David :

does this help?

JACUSTOMER-ol3yoi4z- :

What supplements should i take?

Dr. David :

no supplements right now.

Dr. David :

if you eat a good diet, you don't need supplements.

Dr. David :

and supplements don't make your diet good. or don't improve a bad diet.

Dr. David :

supplements with iron can also upset your stomach as well.

Dr. David :

so no supplements.

Dr. David :

supplements are not the answer.

JACUSTOMER-ol3yoi4z- :

How long will it take to stop the acid reflux?

Dr. David :

it could take several days to several weeks.

Dr. David :

it varies from patient to patient.

Dr. David :

do you have other questions?

Dr. David :

hello?

Dr. David :

Just a reminder, when you are done, please leave +++ positive feedback below the chat box

Dr. David :

that is how we get credit for helping clients

JACUSTOMER-ol3yoi4z- :

Is siberian pine nut oil will help?

Dr. David :

no.

Dr. David :

oils will cause your stomach to produce extra acid.

Dr. David :

only use olive oil to cook with

Dr. David :

that's it.

Dr. David :

don't take more oils than that.

JACUSTOMER-ol3yoi4z- :

Is milk or soya drinks okey?

Dr. David :

yes

Dr. David :

milk is a base

Dr. David :

soy milk is fine as well.

Dr. David :

I like almond milk.

JACUSTOMER-ol3yoi4z- :

Why am constipated?

Dr. David :

because you are not drinking enough water and not enough fiber in your diet and not enough exercise.

JACUSTOMER-ol3yoi4z- :

Im afraid to go to work i can not eat well,do i need to rest more?

JACUSTOMER-ol3yoi4z- :

Work is so stressful as a nurse

Dr. David :

you need to do the things I have mentioned.

JACUSTOMER-ol3yoi4z- :

Is the acid causing indigestion thats why i can not eat other food?

Dr. David :

yes

JACUSTOMER-ol3yoi4z- :

Why the acid keep coming back?

Dr. David :

because you are using oils, vinegar, aloe juice, fruit juices.

Dr. David :

all bad things for your stomach acid.

JACUSTOMER-ol3yoi4z- :

What fruit juice should i drink?

JACUSTOMER-ol3yoi4z- :

Is cucumber n lemon ok?

Dr. David :

no fruit juices.

Dr. David :

no lemon.

Dr. David :

lemon is acidic.

Dr. David :

orange is acidic.

Dr. David :

no lime, no lemon.

Dr. David :

no citris.

JACUSTOMER-ol3yoi4z- :

What fruits should i eat

JACUSTOMER-ol3yoi4z- :

Is carrot and sweet potatoe ok?

Dr. David :

carrots and sweet potatoe ok.

Dr. David :

low acid fruits. apples.

Dr. David :

no pineapples.

Dr. David :

avacados are good.

JACUSTOMER-ol3yoi4z- :

Banana?

Dr. David :

bananas are ok, but these can constipate.

JACUSTOMER-ol3yoi4z- :

Is omeprazole20 mg twice a day ok?is senna and gaviscon alright to take together?

Dr. David :

yes.

Dr. David :

make sure you don't eat 20 minutes before and after the omeprazole

JACUSTOMER-ol3yoi4z- :

I felt depress and uncomfortable right now,hope i will feel better after your advis

Dr. David :

yes, I hope you feel better as well

Dr. David :

best of luck to you

JACUSTOMER-ol3yoi4z- :

Advise,im scared of the acid keep coming back

Dr. David :

don't forget to leave +++ positive feedback below.

Dr. David :

I can understand you are scared.

JACUSTOMER-ol3yoi4z- :

What else need doing?

Dr. David :

but I think we have found some of the reasons why you are having acid coming back.

Dr. David :

so hopefully if you change your ways and your diet and cut out the things I suggested, you will get better

Dr. David :

i bet you will get better with time.

JACUSTOMER-ol3yoi4z- :

Do you have a lot of patient with this symptoms?

Dr. David :

yes.

JACUSTOMER-ol3yoi4z- :

I really miss eating this few days but im scared to eat cause of constipation

Dr. David :

eating does not cause constipation.

JACUSTOMER-ol3yoi4z- :

Plus the acid so irritating

Dr. David :

eating more fiber, oat meal, prunes, no bananas, apples, can all help with constipation.

Dr. David :

eating oat bran can help with constipation.

JACUSTOMER-ol3yoi4z- :

My heartburn is better ,still burping when i ate,is this normal?

Dr. David :

burping is from acid.

Dr. David :

once the acid is better controlled, the burping will get better.

JACUSTOMER-ol3yoi4z- :

How many times is allowed to eat per day,how many water should i drink,quiet difficult sometimes ?

Dr. David :

you should eat 5 small meals throughout the day.

JACUSTOMER-ol3yoi4z- :

Im constipated and burping thats why im scared to eat and drink.

Dr. David :

you should be drinking 8-16 oz of water 4-5 times a day.

Dr. David :

you need to eat and drink to get nutrients and hydration.

Dr. David :

if you don't drink water, you will not fix your constipation.

Dr. David :

water can cause burping when your stomach is filled with acid.

Dr. David :

so you should eat some food first before drinking water.

Dr. David :

and none of the foods that I have recommended against.

JACUSTOMER-ol3yoi4z- :

Is raw foods like salad is ok to eat?

Dr. David :

that is fine.

Dr. David :

but some oil and vinegar is bad for your stomach.

Dr. David :

sometimes creamy dressings might be better.

JACUSTOMER-ol3yoi4z- :

When is the lapse of our communication will be expired?

JACUSTOMER-ol3yoi4z- :

Do i need to pay you if i end up this chat?

Dr. David :

you have already set the price.

JACUSTOMER-ol3yoi4z- :

Is white rice alright to eat

Dr. David :

I just get credit for helping you when you leave +++ positive feedback

Dr. David :

yes, white rice is fine.

Dr. David :

but that can constipate as well.

Dr. David :

you need more cooked vegetables in your diet.

JACUSTOMER-ol3yoi4z- :

Mash potatoe is better?beans and lentil?carrots?

Dr. David :

beans and lentils and carrots are good.

Dr. David :

mashed can constipate and often have lots of butter in them and this causes weight gain and constipation and can worsen acid.

JACUSTOMER-ol3yoi4z- :

What is the natural cure you can suggest for acid reflux ? Cause i thought aloe vera juice and apple cider vinegar is contraindicated?

Dr. David :

1 tsp of sodium bicarbonate is a natural acid neutralizer.

Dr. David :

but you have to be careful with this.

Dr. David :

and let your doctor know you are using it.

JACUSTOMER-ol3yoi4z- :

Do i need to put it in water and boil it?

Dr. David :

too much can cause metabolic alkalosis.

Dr. David :

no boiling.

Dr. David :

just put in water.

JACUSTOMER-ol3yoi4z- :

Can i use the water filter ,i always boil the water as my daily drink,i dont trust the water from the tap so acudic,how often should i take the sodium bicarbonate with water,is before or after food?

Dr. David :

you can used boiled water.

Dr. David :

just make sure the water is cooled.

Dr. David :

you can use it after meals.

Dr. David :

at most twice a day.

JACUSTOMER-ol3yoi4z- :

What tea is suitable

Dr. David :

I drink earl gray.

JACUSTOMER-ol3yoi4z- :

Never heard about that tea

Dr. David :

http://en.wikipedia.org/wiki/Earl_Grey_tea

JACUSTOMER-ol3yoi4z- :

Sushi or japanese noodles ok?

Dr. David :

yes

Dr. David :

but wasabi can be spicy and irritate the stomach.

Dr. David :

and avoid the spicy tuna

Dr. David :

and again, rice can constipate you.

Dr. David :

do you have any other questions?

JACUSTOMER-ol3yoi4z- :

What type of noodle can eat?

Dr. David :

any types.

Dr. David :

just not spicy.

Dr. David :

no spicy korean noodle soups.

JACUSTOMER-ol3yoi4z- :

How about the drinks from the pharmacy like ensure or enlive juice,probiotic drinks?

Dr. David :

probably not the enlive juice at this point.

Dr. David :

no juices.

Dr. David :

probiotics are ok.

Dr. David :

those tend to be like yogurt drinks.

JACUSTOMER-ol3yoi4z- :

How about nuts ,biscuit or prawn crackers?

JACUSTOMER-ol3yoi4z- :

Is mushroom ok to eat?

JACUSTOMER-ol3yoi4z- :

Bean n toast is it ok?

Dr. David :

yes.

Dr. David :

those are all ok.

JACUSTOMER-ol3yoi4z- :

Seafood like prawn,oyster,squid and crab are they alright?

Dr. David :

yes, they should be ok.

Dr. David :

if not cooked in too much butter or oil.

JACUSTOMER-ol3yoi4z- :

If with olive oil any fry food is it ok?

Dr. David :

no fried foods.

Dr. David :

that worsens stomach acid.

JACUSTOMER-ol3yoi4z- :

Cheese spread or olive spread,jam?

Dr. David :

ok.

JACUSTOMER-ol3yoi4z- :

Calcium n vit D supplements,paracetamol?

Dr. David :

these are fine to take.

JACUSTOMER-ol3yoi4z- :

Before i leave this page what is the important advice you can give me?what dessert can i eat? General health? Precautions?

Dr. David :

you can eat ice cream for a dessert.

Dr. David :

in small amounts.

Dr. David :

pudding is good as well for dessert

Dr. David :

eat more vegetables and less fatty and fried foods.

Dr. David :

try to walk and exercise every other day.

Dr. David :

avoid juices and acidic vinegar and sodas.

Dr. David :

best of luck to you

Dr. David :

please leave +++ positive feedback when done.

Dr. David :

thanks for using justanswer.com

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my webpage if you need to reach me again.

Dr. David :

do you see the ratings area below?

Dr. David :

hello?

JACUSTOMER-ol3yoi4z- :

Is can goods like sardines in brine are alright to eat ,how about turmeric or jinger?

Dr. David :

these are fine.

JACUSTOMER-ol3yoi4z- :

Is there any surgey to correct acid reflux?

Dr. David :

yes,

Dr. David :

but I would try changing your diet first.

Dr. David :

hello?

Dr. David :

do you have any other questions?

Dr. David :

if done, please leave +++ positive feedback below the chat box.

Dr. David :

thanks for using JustAnswer.com

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions