is this Irritable bowel or acid reflux or both?

ive been treated for acid reflux for years i am now 75 but still very active,i started with tums and went through all meds  and now on 40 mil mexiun twice a day which controls heartburn if i miss a day i have bad presure in chest, i wonder if its to much since my food comes back, hours later  as if not chewed, by lunch even with a small meal i start bloating by night,no matter what i eat its so bad feels like i can breath good and , and it seems to effect  kidneys action, my stool is brightyellow, have hurting in lower back,cholestrol, ,too high triglcerides is higher cant find meds without side effects, if i get in sun  my face gets blood read,latly my blood presure is high 166-82, when im very active its 127-74 does this make since its hard to find a med that i can take, some make me feel like comming apart or they increase the bloating, i think some of these meds have run my blood presure up ive always had low  blood presure un till i started the meds for cholestrol, my friend takes lexapro, and it helps her,when i started to take it i had all kinds of pains all over my body, and started getting depressed, right now im supose to be onm zetia, could this cause bloating, i need help my dr retired and i have been going to clkinic untill i find anothe one

[Kevin Pho, MD]

You are noting bloating, a pressure in your chest and regurgitation of food amongst your other symptoms.

What I would do is to make sure that there is not some kind of blockage that is causing the food to return undigested.  There are various causes of this - including a mass, stricture or anatomical abnormality.  

The first thing I would do is some kind of imaging study - either an upper GI series or upper endoscopy.  The endoscopy would be the more comprehensive study to evaluate this.  

Regarding the bright yellow stool - you may want to make sure that there is no biliary obstruction.  Simple liver function tests can be the first test to evaluate for this.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.