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Excessive acid reflux and body pain
I am 64 years old and have been suffering from severe acid reflux for the past many months. Even though I am eating non-spicy food, the reflux continues. About two weeks ago I changed my diet to include more vegetables and fruits, but the symptoms have not improved.
I am a heart patient and currently taking the following medicines:
Clopilet 75 mg
Thyronorm 75 mcg for thyroid
Telma 40 mg for blood pressure
Gluconorm 500 mg for diabetes
Fexuclue 40 mg for acid reflux
Two years ago I had Helicobacter pylori infection twice and was treated with antibiotics. I have also undergone 4–5 endoscopies in the past.
Along with reflux, I sometimes experience severe body pain.
My recent blood test results showed:
Hemoglobin: 10.6 g/dL
PCV: 32.9%
ESR: 48 mm/hr
Eosinophils: 6.88%
Other findings were normal:
Kidney function (creatinine),
Liver tests (AST, ALT, bilirubin),
Uric acid, CRP - normal
What tests would you suggest to identify the cause and control the reflux and pain.
Answers (15)
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Reflux with normal endoscopy for some is due to bile acid reflux.
Try Sucralfate or Udiliv 300 for at least two weeks course and if it helps then continue them.
If any weight loss then get a CT scan of abdomen and pancreas.
All the best.
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Hello.
Based on what you described, persistent acid reflux for many months along with body pain can sometimes happen due to stomach irritation, previous infection, food habits, or effects of long-term medicines.
Even if you are eating non-spicy food, reflux can continue if the stomach lining is irritated or if acid control medicines need adjustment. Since you had H. pylori infection earlier, doctors sometimes check again to make sure it has not returned.
In the meantime you may consider:
• Eating smaller meals and avoiding very late dinners
• Avoiding triggers such as tea/coffee, fried foods, citrus fruits, and lying down right after meals
• Keeping the head slightly elevated while sleeping and staying well hydrated
To understand the cause better, doctors usually suggest tests such as repeat H. pylori test, endoscopy if needed, and basic blood tests to check anemia and inflammation.
Since treatment depends on the exact report values and symptoms, a detailed review would be helpful. You may book an online consultation for proper evaluation and personalized treatment guidance.
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Your reflux needs proper reassessment, especially because it is persistent despite PPI, you are 64 years old, on Clopilet, and also have anemia (Hb 10.6). In such a case, I would advise Gastroenterology review rather than changing medicines repeatedly on your own.
The most useful next tests would be:
1. Upper GI endoscopy if not done recently, with biopsy if needed
2. Iron studies (serum ferritin, iron, TIBC), B12, stool occult blood
3. Repeat CBC with indices/peripheral smear
4. TSH, because thyroid imbalance can affect symptoms
5. If endoscopy is normal but reflux persists: 24-hour pH study / esophageal manometry may be needed
6. For body pain: Vitamin D, B12, calcium, and clinical review for musculoskeletal causes
Also note that some fruits can actually worsen reflux, so “healthy diet” alone may not help if trigger foods are continuing.
Till review: take the reflux medicine 30–40 min before breakfast, avoid late meals, tea/coffee, citrus, tomato, fried food, and do not lie down for 2–3 hours after meals.
Because of persistent reflux + anemia, please do not ignore this and get evaluated in person.
Next Steps
Take the reflux medicine 30–40 min before breakfast, avoid late meals, tea/coffee, citrus, tomato, fried food, and do not lie down for 2–3 hours after meals.
Because of persistent reflux + anemia, please do not ignore this and get evaluated in person.
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As per your history you are having Diabetes , hypertension and hypothyroid beside heart problem and you are presently suffering from acid reflux though your liver function is normal and you have history of Halicobactor pylori two times treated
You have not menstioned the report of endoscopy
You should go for USG abdomen too to check in fatty liver
You should follow-up with gastroenterologist and endocrinologist regularly
Some times drug’s for diabetes to can cause gastritis along with Halicobactor infection
Treatment for gastritis you should take regularly for few months to get relief . You may be having fatty liver too
But need to do USG
Next Steps
Consult an endocrinologist and gastroenterologist
Health Tips
Non spicy and low fat diet
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Your blood report shows mild anemia (Hb 10.6 g/dL) and elevated ESR, which may indicate chronic inflammation or nutritional deficiency. The mild eosinophilia could also suggest an allergic component or parasitic cause. Your symptoms suggest chronic GERD (gastro-esophageal reflux disease) that is not fully controlled with current medication.
Next Steps
Add Sucralfate suspension 10 ml three times daily before meals for 2–3 weeks.
Recommended investigations:
• Upper GI endoscopy (repeat if last one >1 year)
• H. pylori stool antigen test
• Iron profile, Vitamin B12, and Vitamin D levels
• Ultrasound abdomen
• Stool examination for parasites (due to eosinophilia)
Health Tips
Avoid large meals, late-night eating, coffee, citrus fruits, fried foods, and lying down within 2–3 hours after meals. Elevating the head end of the bed and eating smaller frequent meals can reduce reflux symptoms.
Because you are taking Clopilet, avoid frequent painkillers like NSAIDs for body pain.
Contact me anytime on practo for further consultation
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