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الدكتور ناصر عطالله

الدكتور ناصر عطالله

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الأسئلة المجابة 12733 | نسبة الرضا 98%

Doctor

i have been having a problem with my heart ,when i...

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i have been having a problem with my heart ,when i relax i feel my heart pounding hard especially during night time i feel it strong
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
i have not seen any doctor yet and no medication am taking
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
i quit smoking like 4 months ago and when i take tea or milk powder that when i feel it

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إجابة الخبير: الدكتور ناصر عطالله

الدكتور ناصر عطالله

الدكتور ناصر عطالله

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الأسئلة المجابة 12733 | نسبة الرضا 98%

presence of heart pounding when lying down and drinking milk or tea refere to the presence of esophageal reflux 

How to treat GERD


The treatment of esophageal reflux is by using drugs such as the drug Nexium or lansoprazole with  a dose of 30 milligrams half an hour before breakfast  and this medicine reduces the secretion of acid in the stomach and reduces the inflammation of the esophagus resulting from acid reflux from the stomach to the esophagus, and you should reduce  drinking coffee, stopping  smoking and reducing fried food and food Which contains many oils and chocolate, and the level of pillows must be raised to raise the level of the chest and head during sleep to prevent reflux from the stomach to the esophagus during sleep, and narrow clothes should be avoided. Baclofen can be used to strengthen the contraction of the muscle below the esophagus, and in cases that do not respond to treatment, a surgical intervention can be done with a process called A fundoplication or LINX device is used

How to diagnose GERD


A clinical examination is done by a gastroenterologist, and x rays may be done on the chest with the patient swallowing the barium swallow dye to diagnose GERD, and in some cases, an endoscopy may be made on the upper digestive system and the measurement of the strength of the esophageal muscle is done by manometry and the severity of inflammation in the esophagus and ECG should be done to diagnose any heart rate disturbance  

What are the causes of GERD


Obesity
Hiatus hernia
Delayed stomach emptying
Some medicines such as diclofen
Drinking coffee or alcohol
Smoking
Fatty foods
Eating right before bed

What are the symptoms of GERD


Pain in the mouth of the stomach, especially after eating meals and at bedtime
Difficulty swallowing
Reflux of fluids and food to the mouth
A feeling of a lump in the throat
Sore throat and chronic cough
Asthma and shortness of breath
Sleep disturbance

advise


follow up with gastoenterologist to provide the treatment
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الدكتور ناصر عطالله

الدكتور ناصر عطالله

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الأسئلة المجابة 12733 | نسبة الرضا 98%

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