It Seems That My Husband Has Heartburn Every Night I Think He Should See A Doctor He Thinks He Should Just Continue Taking Antacids Who’s Right
Occasional heartburn is common and generally not serious. However, prolonged heartburn can be a symptom of a serious problem, such as esophagitis. Esophagitis is an inflammation of the lining of the esophagus, the food tube. Esophagitis occurs when stomach acid repeatedly comes into contact with the lining of the esophagus. If esophagitis is severe, the person can develop Barrett’s esophagus and even cancer. Over time, this condition can narrow the passageway from the esophagus to the stomach. Your husband should consult their doctor for further evaluation. When a person requires more than twice-weekly over-the-counter drugs for heartburn, a doctor should be consulted. An endoscopy to visualize their esophagus may also be recommended.
Milk Of Magnesia For Constipation
People of all ages should drink a full glass, or 8 ounces, of water with each dose of milk of magnesia. Use the 15 ml dosing cup or spoon provided for accuracy. It is best to take the medication at bedtime.
Using the original version of milk of magnesia for constipation, the dosage in milliliters varies depending on a persons age:
- adults can take 30 60 ml
- children aged 6 to 11 can take 15 30 ml
- ask a doctor before giving this medication to children under 6 years old
For the concentrated version of milk of magnesia, the dosage is lower:
- adults can take 15 30 ml
- ask a doctor before giving this medication to children under 12 years old
There are also chewable tablets for children. Children should drink a full glass of liquid with each dose. The dosage varies depending on age:
- children aged 6 to 13 can take 36 tablets per day
- children aged 2 to 6 can take 13 tablets per day
- ask a doctor before giving this medication to children under 2 years old
People should not take milk of magnesia as a laxative for more than 7 days in a row. Anyone who is still in need of a laxative or has persistent pain in their stomach area should talk to a doctor.
Milk of magnesia usually relieves constipation within 6 hours of taking it. If a person does not have a bowel movement after using milk of magnesia, they should stop using it and talk to a doctor. There may be another cause of constipation that doctors can treat.
Belching Bloating Or Fullness Constipation And Heartburn
- Medical Author: Melissa Conrad Stöppler, MD
Reviewed on 7/13/2021
These symptoms can all be linked to various conditions that involve the digestive system. Even dietary factors such as overeating may cause some of these symptoms. Irritable bowel syndrome if another common cause of bloating and constipation. Take note of all your symptoms and when they occur, and speak with your doctor any time you are concerned.
While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. There are many other medical conditions that also can be associated with your symptoms and signs. Here are a number of those from MedicineNet:
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Is It Another Condition
You may have something else going on thatâs slowing down your digestion. Several conditions are known to cause such problems:
Irritable bowel syndrome causes belly pain, gas, bloating, and a change in bathroom habits. If you have IBS with constipation , you may notice that your symptoms flare and then normal bowel habits return. Sometimes, bouts of diarrhea or loose stools happen, too.
Diabetes: Constipation is common for people with this condition. Itâs thought that diabetes may affect nerves in the colon, which can slow down the movement of stool.
Hypothyroidism: This happens when your thyroid gland doesnât make enough hormones. This can slow down many of your body functions, including your bowels.
Neurological diseases: Constipation is more common in people with multiple sclerosis, Parkinsonâs disease, spinal injuries, and the neuromuscular disease muscular dystrophy. People with these conditions can have problems relaxing muscles in the pelvic floor which makes it hard to push stool out. Or their colons may work more slowly, leading to fewer bowel movements.
Colon cancer: Constipation and/or a change in the color or shape of your stool can be a sign of this cancer. If itâs red, maroon, or very dark, you could have blood in your stool.
Crohnâs disease: This causes irritation and swelling in any part of the digestive tract. If it happens in your rectum, you may get constipated.
How Is Obstipation Diagnosed
At the appointment, your doctor will start by taking a medical history. They will ask about any medical conditions and symptoms you have and medications youve taken.
A doctor may also perform a digital examination of the rectum to ensure there is no hard, collected stool known as an impaction. If a doctor does not identify an immediate impaction, they will likely order other diagnostic tests. These can include:
- Blood testing. This is done to check for signs of inflammation or infection.
- Imaging. Imaging tests, such as an X-ray or CT scan, are used to identify areas where the intestines may be obstructed or enlarged or have any abnormalities.
- Colonoscopy. This procedure involves using a thin, lighted scope inserted into the rectum to visualize the lining of the intestine and check for abnormalities.
- Barium enema. A barium enema involves administering contrast through the rectum to visualize any anatomical abnormalities or obstruction of the colon.
- Bowel function testing. These tests may check the muscle tone of the rectum and the nerve functioning of the intestines. If these are affected, a person may not be able to sense and pass stool as well.
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I Have Heartburn Sometimes At Night When I Go To Bed And My Husband Has It Often What Should We Do About It We Can’t Eat In The Evening Or We Get It For Sure Are There Any Natural Remedies For Heartburn That Dont Require Medication
I think lifestyle modifications should be tried first. These would include weight loss , smoking cession, avoidance of meals within three hours of bedtime, avoidance of tight-fitting clothing, and some elevation of the head of the bed. Try to decrease consumption of alcohol, caffeine and aggravating foods, such as fried food, onions, and citrus- and tomato-based foods. In addition to these lifestyle modifications, over-the-counter medications for reflux, such as Prilosec OTC, are available.
In cases like these, if the symptoms don’t abate after lifestyle modifications, I would suggest a physician visit for further investigation. If you have any alarming symptoms, such as difficulty with swallowing, unexplained weight loss or anemia due to painful swallowing, you should see your doctor immediately for a referral to a specialist.
When Should I Call A Doctor For Indigestion
Indigestion symptoms are signs of other medical conditions or problems.
If indigestion symptoms are mild or resolve in a short time, talk to your doctor about how to treat it.
If you have any of the following symptoms of severe indigestion, if your symptoms last more than a few days, or if they worsen noticeably, seek medical care immediately:
- Vomiting or blood in vomit
- Loss of appetite
- Black, tarry stools or visible blood in stools
- Severe pain in the upper right abdomen
- Sudden, severe pain in the abdomen, particularly on the right side
- Yellow coloring of the skin and eyes
- Discomfort unrelated to eating
- Lightheadedness, dizziness, or fainting due to symptoms
Heart attacks may cause symptoms often are mistaken for indigestion. If indigestion is accompanied by shortness of breath, sweating, chest pain, or pain radiating to the jaw, back, neck or arm, seek medical attention immediately.
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Your Stomach And Digestive System Issues Answered
This month’s Ask the Doctor series features INTEGRIS gastroenterologist Dr. Abbas Raza, an expert in advanced interventional gastroenterology. Do you suffer from heartburn, gas, abdominal pain or irritable bowel syndrome? Does your esophagus burn from acid reflux? Do you have rectal bleeding or diarrhea? Do you have questions about getting a colonoscopy? Do you have other stomach and digestive system issues not listed here? Then a gastroenterologist is just the doctor for you!
Here are the questions submitted by our readers to Dr. Raza throughout the month.
How Long Will I Need To Take Laxatives For
If you’ve had constipation for a short time, your pharmacist will usually advise you to stop taking the laxative once your stools are soft and easily passed.
However, if your constipation is caused by an underlying medical condition or a medicine you’re taking, your GP may advise you to take laxatives for much longer, possibly many months or even years.
If you’ve been taking laxatives for some time, you may have to gradually reduce your dose, rather than coming off them straight away. If you have been prescribed a combination of laxatives, you’ll normally have to reduce the dosage of each laxative, one at a time, before you can stop taking them. This can take several months.
Your GP will advise you about when it’s best to stop taking long-term laxatives.
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How Is The Cause Of Indigestion Diagnosed
In addition to a physical exam and questions about your symptoms, a doctor may perform the following tests:
- Blood tests
Some of the above medications are available in over-the-counter strengths.
A combination of antibiotics and acid blockers may be prescribed for up to several months if the underlying cause is related to Helicobacter pylori .
If the underlying cause is found to be gastroparesis, pro-motility drugs such as metoclopramide may be prescribed.
If the underlying cause is found to be a medication you are currently taking, do not abruptly stop the medication. Work with your health-care professional to find alternatives that will not worsen your indigestion.
It the underlying cause is caused entirely or partially by lifestyle, medications listed above may help reduce symptoms, but changes in lifestyle will produce the best results .
Can Too Many Tums Make You Constipated
As it turns out, too much calcium in your diet can lead to some serious consequences, including constipation.
Many OTC heartburn remedies rely on calcium carbonate as their active ingredient, so Tums and other antacids could lead to constipation.
It doesnt affect everyone who uses antacids, but you may be overusing them if you suffer from heartburn a lot.
Thus, your constipation chances are higher.
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Elevate Your Upper Body During Sleep
Sleeping on an incline can help eliminate GERD.
When you are overweight, the muscles and abdominal structure that help keep the lower esophageal sphincter closed become spread apart. This allows the sphincter muscle to open more easily, leading to acid reflux.
If youre overweight or obese, losing weight can help reduce reflux.
Prescription medications may irritate the stomach or relax the esophageal sphincter, including:
- calcium channel blockers
- birth control pills
- oral antibiotics
In some instances, taking medication with a large glass of water or with food may be enough to reduce irritation. In others, switching to a prescription with coated pills may help.
Carefully monitor side effects of any medication you take regularly, and talk to your doctor about alternative treatments.
If lifestyle changes and over-the-counter medications arent enough to eliminate acid reflux and headache, your doctor may prescribe medications, such as:
- H-2 receptor blockers
While limited, several studies have noted the link between headaches and heartburn.
A literature review of scientific studies conducted from 1997 to 2015 noted a connection between headache and acid reflux.
These symptoms also appeared to occur at the same rate in people with migraines as in those with non-migraine headaches.
Diarrhea At The Other End Of The Scale
If stomach acid levels are low, some bacteria might survive in the stomach and make it to the small intestine.
Bad bacteria might start to grow in the small intestine, causing all kinds of health issues, like stomach pain, nausea, bloating, etc.
This condition is called small intestinal bacterial overgrowth .
Your body is trying to get rid of the bacteria like there is no tomorrow, and you have diarrhea.
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What Other Drugs Interact With Omeprazole
If your doctor has directed you to use this prescription medication, your doctor or pharmacist may already be aware of any possible drug interactions, health risks, and side effects, and may be monitoring you for them. Do not start, stop, or change the dosage of this drug or any medicine before checking with your doctor, health care provider, or pharmacist first.
Severe Interactions of omeprazole include:
Drug Interaction with omeprazole are:
- Omeprazole has serious interactions with at least 22 different drugs.
- Omeprazole has moderate interactions with at least 75 different drugs.
- Omeprazole has minor interactions with at least 52 different drugs.
This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Check with your doctor if you have health questions or concerns.
What Exactly Is An Adenomatous Polyp Should I Be Worried If My Mother Has Them Starting In Her 60s I Am 45 Years Old Do You Recommend A Colonoscopy For Me
Adenomatous polyps are precursors to colorectal cancer. These polyps are believed to develop in a stepwise fashion as a result of a series of genetic mutations. It is widely accepted in the medical community that adenomatous polyps lead to colon cancer. This is supported by several studies, including the National Polyp Study, which found that removal of adenomatous polyps resulted in significantly lower incidence of colon cancer.
In individuals with one first-degree relative with colon cancer or tubular adenoma diagnosed before the age of 60, the risk of developing colon cancer is increased to twice that of the general population. Therefore, in cases like this, I would be in favor of a patient having a colonoscopy at age 45 rather than waiting to turn 50 . However, please know that opinions and insurance coverage may vary, so be sure to check with your primary care provider to obtain authorization from your insurance company to have a colonoscopy at age 45.
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How Long Does Indigestion Last
Because indigestion is a symptom and not a cause, the outlook depends upon resolving the underlying cause.
If indigestion is caused by lifestyle habits, the prognosis is good. Prevention of the lifestyle cause can often resolve the symptoms and cure your indigestion.
If indigestion is caused by medications, talk to your health-care professional about changing medications to ones that do not cause indigestion. Never stop taking a medication without the advice of your doctor.
If indigestion is caused by a disease or medical condition, the prognosis is varied and dependent upon the resolution of that condition. Some conditions such as ulcers, GERD, and gastritis respond readily to medications. Conditions such as food poisoning or pregnancy are self-limited and symptoms should decrease over time. Hernias and gallstones, for example, usually require surgery, and the associated indigestion should resolve post-operatively.
Other conditions are difficult to treat or do not respond well to medication such as pancreatitis, gastroparesis, depression, and cancer. Treatment of these conditions may involve several methods including lifestyle changes, medications, specialist care and/or surgery.
Can Constipation Lead To Acid Reflux
Constipation may lead to acid reflux but there is not enough scientific evidence to prove it. As we all know by now that improper functioning and widening of the LES causes acid reflux and its symptoms so there is a reason to believe that chronic constipation problem can actually strain the LES or lower esophageal sphincter and widens it. Thus we may say that constipation might lead to acid reflux.
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Cause #: Gerd Or Acid Reflux
Another possible cause for experiencing both heartburn and constipation is acid reflux or GERD.
If you have acid reflux, likely, the link between the heartburn and constipation is not the condition, but the way that you are treating it.
Many people who suffer from GERD, a condition where stomach acid can get into the esophagus and cause a burning sensation, are taking some type of medication to ease the symptoms.
If you look at the details on many of those medications, you will see that the side effects often include constipation.
That is because many medications dehydrate the body or change the way that certain nutritional aspects are absorbed and processed in the body.
To combat this issue, youll have to make some changes focused on preventing and relieving constipation since the medicine should eventually help the heartburn.
Plus, all of these constipation solutions often help people feel heartburn less frequently.
The main goal here should be to counteract what the medication is doing to your body, so you will want to give what it is taking away: water and fiber.
Water and fiber uptake are two of the things that are most affected by medicines that treat GERD, so you should increase how much water you drink and also improve your diet.
Your diet should include some fiber supplements such as Mucinex as well as a lot of fruits and vegetables that are high in fiber.