[43F] Experiencing acid reflux and muscle contractions

Patient Description

A 43-year-old female presents with symptoms of acid reflux, including a sensation of stomach bubbling and a sore esophagus, which have been occurring intermittently over the last 3 days. The severity of the acid reflux is rated as moderate, with a score of 5 out of 10. Additionally, the patient reports mild to moderate muscle contractions that are believed to be related to esophageal inflammation or contractions. These symptoms have also been present for the same duration. There is no specific time of day, food, or drink that exacerbates or alleviates the acid reflux. The patient has not experienced any recent injuries, severe chest pain, difficulty swallowing, or weight loss. No specific triggers for the acid reflux have been identified.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This could explain your acid reflux and the feeling of muscle contraction in your esophagus.

    • Treatment typically includes lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.
  • Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Gastritis can lead to acid reflux and nausea.

    • Treatment typically involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.
  • Peptic Ulcer: 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, but they can also cause acid reflux and nausea.

    • Treatment usually involves medications to decrease stomach acid. If an H. pylori infection is causing your peptic ulcers, you'll need to take antibiotics.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Avoid foods and drinks that can trigger reflux, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Eat smaller meals.
  3. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed.
  5. Don't smoke, and if you already do, try to quit. Smoking decreases the lower esophageal sphincter's ability to function properly.

What you should look out for

Reasons to see a doctor more urgently:

  • If you experience severe chest pain, especially if accompanied by pain in the arm or jaw, or difficulty breathing. These could be symptoms of a heart attack.
  • If you vomit blood or your stool is bloody or black.
  • If your symptoms persist despite over-the-counter treatments.
  • If you have difficulty swallowing.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What lifestyle changes can help manage acid reflux symptoms?

Lifestyle changes that can help manage acid reflux include avoiding trigger foods and drinks, eating smaller meals, waiting at least three hours after eating before lying down, elevating the head of your bed, and quitting smoking.


How can I differentiate between GERD and gastritis symptoms?

GERD typically involves chronic acid reflux and heartburn, while gastritis involves inflammation of the stomach lining and may cause nausea and a burning sensation in the stomach. A healthcare provider can help differentiate between the two through symptoms and diagnostic tests.


What are the potential complications if acid reflux is left untreated?

If left untreated, acid reflux can lead to complications such as esophagitis, esophageal strictures, Barrett's esophagus, and an increased risk of esophageal cancer.


When should I seek medical attention for acid reflux symptoms?

You should seek medical attention if you experience severe chest pain, difficulty swallowing, vomiting blood, black or bloody stools, or if your symptoms persist despite over-the-counter treatments.


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