why is this happening ?

[anxious09]

hello.

ever since 2 months ago i was diagnosed via gi series, barium swallow and egd with mild esophagitis
and erosive gastritis. was prescribed protonix 40 mg 1 x per day. well i have been doing everything right
i am slim to begin with but still i have cut out anything fried, fatty, sleep in a wedge, no drinks no sweets
nothing. bland bland and bland small meals, last one at least 5 hrs berore going to bed.

well 4 days ago i had some water about 1 hr before going to bed (last meal was 7 hrs prior) and i have been experiencing burning in throat since!!!! i can't understand it. i am afraid to eat or drink water .

what's going on ? should i get a 2nd opionion and a 2nd endoscope ?

i am scared this will never go away even though i am really really doing what i am supposed to.
my main symptom before diagnosis was mild nausea all day and some pain in throat.
i NEVER in my entire life experienced heartburn before not even when pregnant with my 3 kids.
i am 34 with hashimotos thyroiditis.





no hernia , no h.pylori.

[anxious09]

tks reply.

there is no hernia. i am already under protonix for the past 2 months.

i have a very very healthy lifestyle/diet and i have bought that wedge pillow.

i lie down 5-6 hrs after meal!!!

should i do another scope ?

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
The symptoms could be exacerbation of the GERD.  It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole (you are taking this) empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.
If all this does not help then food sensitivity, celiac disease and Crohn’s disease will need to be ruled out. Take care!