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Hi...Welcome to Just Answer. I am Dr. Sumanth Amperayani. I have 16 years of experience in the field of Medicine at a tertiary care referral hospital. I am currently reviewing your question.
Kind regards ***** ***** Sumanth Amperayani
Are you having any burning pain radiating in the central part of the chest and how long have you had this for?
Is this associated with any hot and spicy or exotic food?
Did this start after any street food or unhygienic food?
Is there any personal or family history of gastritis or gastroesophageal reflux?
Are you feeling bloated even after small amount of food?
Has there been any alternating diarrhea and constipation?
Hello, the premium request of phone call was a system generated prompt and was not initiated by me. I am sorry for the inconvenience. I would be glad to continue here texting please.
Thank you for the information.
From your symptom analysis and correlating it with the medical history that I have gathered from you I feel that the possibilities are -
Acute gastritis - Probably food related.
Irritable Bowel syndrome.
I suggest -
Tablet Famotidine 20mg (available as over the counter) twice a day for 3 - 7 days depending on the symptom abatement.
Head end of the bed elevation.
Do not skip breakfast.
Rather than two or three heavy meals, take small aliquots of four to five meals a day.
Avoid eating 3 hours before going to bed.
Avoid certain foods which can increase the the reflux like whole milk, dairy products, caffeine, chocolate, alcohol, hot tomato sauces, onions, spicy food, citrus fruits, grapefruits and peppermint.
If you are already on - you can take proton pump inhibitors 30 minutes before food, preferably on empty stomach in the morning or before dinner.
Stop medications like nonsteroidal anti-inflammatory drugs including Motrin, Advil and also vitamin C.
Do not don tight stomach compressing clothing.
Home therapy - you can do one tablespoon of of baking soda in 1 cup of warm water, gargling several times a day.
If you are not better with these measures we need to consider either IBS or prescription grade medications like proton pump inhibitors which can be very effective.
I sincerely ***** ***** I have helped you today!
Is there anything else where I can be of assistance to you in this regard please. We can continue here until you are satisfied, simply use the reply box and let me know.
The best diagnostic test is CT scan of the abdomen with and without contrast.
Gastroenterologist would be the best.