إسأل طبيب الآن

الدكتور ناصر عطالله
طبيب
الأسئلة المجابة 12733 | نسبة الرضا 98%
Doctor
i have been having a problem with my heart ,when i...
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
إطرح سؤالك
إجابة الخبير: الدكتور ناصر عطالله

الدكتور ناصر عطالله
طبيب
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
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
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
Obesity
Hiatus hernia
Delayed stomach emptying
Some medicines such as diclofen
Drinking coffee or alcohol
Smoking
Fatty foods
Eating right before bed
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
follow up with gastoenterologist to provide the treatment
You can download the Jawab application to follow up your inquiry directly with the expert, and you can also communicate with experts in more than 16 fields. In addition to other daily topics by clicking on this link
download JawabAppHow 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
You can download the Jawab application to follow up your inquiry directly with the expert, and you can also communicate with experts in more than 16 fields. In addition to other daily topics by clicking on this link
إسأل طبيب

الدكتور ناصر عطالله
طبيب
الأسئلة المجابة 12733 | نسبة الرضا 98%
- 100% ضمان الرضا
- انضم الى 8 مليون من العملاء الراضين
المحادثات تتم ضمن هذه البنود