Hello, I'm a 26-year-old male who has been struggling with Gastroesophageal Reflux Disease (GERD) for the past three years. The severity of my symptoms has been significantly impacting my quality of life and my ability to exercise.
Current Symptoms:
Daily acidity/heartburn.
Constant feeling of a lump in the throat, occurring 1-2 times per week.
Vomiting food due to constant throat irritation, which happens about once a week.
Yellow fluid (bile or stomach fluid) expulsion after brushing my teeth in the morning.
Diagnosis and Current Treatment:
Recent Endoscopy results showed a Lax LES (Lower Esophageal Sphincter) - Hill's Grade 2.
Abdominal CT scan was reported as normal.
My doctor advised that everything is structurally normal and recommended lifestyle changes, stress management, and using PPIs (Proton Pump Inhibitors) only when necessary.
I am not aligned to take PPI regularly and i am having high acidity post taking h pylori medication.
Answers (1)
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It looks like u may be having either Acid/non-acid bile reflux.
Acid reflux- Two management options - longterm PPI or surgical correction.
Non- acid reflux - need further evaluation regarding the same.
Grade 2 Hills usually doesn't cause such significant symptoms.
Next Steps
24 hr pH and impedance study and Esophageal manometry
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Gastroenterology
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