[19F] Experiencing persistent GERD symptoms

What might be happening

Based on the information you've provided, the most likely diagnosis is:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus. Your symptoms of constant acid reflux, nausea, burping, and the taste of perfume in your mouth are common symptoms of GERD.

  • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.

• Peptic Ulcer Disease: These are sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain. However, a burning sensation in the gut, nausea, and unintentional weight loss are also common symptoms.

  • Treatment usually involves medications to decrease stomach acid. If an H. pylori infection is present, antibiotics will also be needed.

What you can do

You should consult with a healthcare provider for a formal diagnosis and treatment plan. In the meantime, here are some things you can do to help manage your symptoms:

1. Avoid foods and drinks that trigger heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Eat smaller meals. Avoid overeating by eating smaller meals.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.

What you should look out for

Seek immediate medical attention if you:

• Experience severe chest pain or pressure, especially if it's accompanied by pain in the arm, jaw, or neck, as well as sweating, dizziness, and nausea. These could be symptoms of a heart attack.
• Have difficulty swallowing.
• Have persistent nausea or vomiting.
• See blood in your vomit or stool. This may appear red or black and tarry.

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.