Acid Peptic Disease Treatment

Health Q&A
GERD , Sliding hiatal hernia

I have been suffering from GERD for approximately 10 years. My symptoms have been persistent and significantly affect my daily life. I experience severe heartburn and a constant sensation of breathlessness, even with minimal physical activity such as walking or slight body movements. The breathing difficulty is one of my most concerning symptoms. I did endoscopy 4 times so far , did 24h ph test and esophageal Manometry as well my demeester score is 17 and Acid exposure time is 4.2% and Manometry is normal I have tried multiple treatments over the years, including (PPIs, PCABs), and low-dose amitriptyline, but none have provided lasting or significant relief. Despite ongoing treatment, my symptoms continue to worsen or remain unchanged, and my quality of life is severely impacted. I would like to understand whether surgical options such as anti-reflux surgery could be effective in my case, and what evaluations or tests would be required to determine if I am a suitable candidate.

ECONORM PROBIOTIC

Is ECONORM probiotic taken before or after food ? I'm suffering from IBS with occasional loose motions and right rib pain below arm pit .

Frequent vomiting with mild stomach pain

My 5 year daughter has vomiting 3-4 times in the night with mild stomach pain,first 2 times normal vomit and then watery vomiting.please suggest medication.

Is this hernia issue

Hi My last cycle was on 27th Feb. I have been having pressure like pain in the right side pubic area since yesterday. It's like coming and going and not constant. Exactly below the lower abdomen. It hurts tender if I press. No swelling, fever or nausea. Never had this pain before. This pressure type pain hurts while walking, sitting, laying down, standing. It's like on the lower abdomen and below that. Marked on the image. I have an ovarian cyst on the left side and nothing on this side. What could be causing this type of pressing pressure like pain in the right pubic area and lower abdomen right side? I have a stress treadmill test tomorrow to evaluate my ankle swelling. I have had ankle swelling and stiffness since January. The rheumatologist said it's autoimmune arthritis. I have a high inflammation CRP and sediment rate. They sent me to cardiology to check for cardiac issues, so they ordered treadmill test. I have this pressure type pain right pubic area today. Is this hernia

Upper stomach pain

For the past 8 days I'm having pain on my stomach.. 10 days before I got pain on my right lower abdomen after 3 days that pain settled.. before 17 yrs appendix has been removed by laproscopy.. in that place only I got pain and after 3 days it's gone.. now for the past 8 days I'm getting pain on my left side upper stomach near belly button .. and stomach feel very heavy and tight.. if I bend I get pain and when walk I feel very heavy..feeling very uncomfortable..taking bifilac , drotin and maxodil semi tablet for the past two days.. but still I'm having pain..I feel stomach very heavy.. if I was in rest pain is slightly reducing .. but I have to take care of my kid and elderly in laws. Pls tell me what shall I do .. should I do ultrasound.. I'm very scared of this pain..

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Doctors
Dr. Gregory D Gibbons - Internal Medicine
Dr. Gregory D Gibbons Internal Medicine (Residency, Medical School, Medical degree, DO, Doctorate Of Medicine, Fellowship in Gastroenterology, Residency in Internal Medicine, Class of 1979) 47 years experience Ohio Gastroenterology Group Inc
Columbus 43202, COLUMBUS
Dr. Jeffrey S Sams - Internal Medicine
Dr. Jeffrey S Sams Internal Medicine (Medical School, Medical Education, Fellowship in Gastroenterology, Residency in Internal Medicine, Class of 1978) 48 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Hayat  Mousa - Pediatrician
Dr. Hayat Mousa Pediatrician (Medical School, Residency - ID, Fellowship 2, Fellowship in pediatric gastroenterology, hepatology, and nutrition, MD, Pediatric Residency, Physician Leadership Academy, Faculty Leadership Institute) 33 years experience Ohio State Harding Hospital
Fifth by Northwest, COLUMBUS
Dr. David Andrew Sabol - Internal Medicine
Dr. David Andrew Sabol Internal Medicine (Medical School, Fellowship, Internship, Medical Education, Fellowship in Gastroenterology, Residency in Internal Medicine) 28 years experience Central Ohio Endoscopy Center
Glen Echo, COLUMBUS
Dr. Ryan S D Carvalho - Pediatrician
Dr. Ryan S D Carvalho Pediatrician (Medical School, Medical Education) 27 years experience Pediatric Academic Association
Columbus 43205, COLUMBUS