Gastric Acid?

Illustration of Gastric Acid?
Illustration: Gastric Acid?

Good afternoon, I am Christin, so far I have an irregular eating and sleeping pattern then I rarely exercise, skip breakfast and usually eat when my stomach is very hungry and often eat midnight with oily, sweet and spicy foods such as nasgor, geprek, cake, a sweet snack when you stay up late. Well, a few days ago I experienced nausea and vomiting as well as pain in the gut until my chest was depressed after consuming spicy and oily foods. When I checked on the internet, it turned out that the symptoms were similar to stomach acid, so I went to the puskesmas for treatment. Two days later the symptoms of nausea and vomiting improved a little after I took drugs for stomach acid (antacids, domperidone, paracetamol) from the puskesmas, but the pain in my gut still persists today (7 days since I was given the medicine from the puskesmas), usually after eating, and it happens at the same time every day, like when I wake up at 7, and then it disappears until 6 in the afternoon then disappears for a while and appears again before bedtime, especially because I sleep on my back my stomach feels pulled, the feeling of a lump in my throat also appears again , my stomach is also still enlarged, feels tight and a lot of gas, feels lumpy and layered especially when sitting can feel a hot sensation in the back area. Are the habits and some of the symptoms I feel correct because of the acid reflux because the symptoms I have been feeling for a long time (a week)? Or are there side effects from the medicines I am taking? Now that I have changed my diet and sleep patterns, can this help the healing process even if it has to take a long time?

1 Answer:

Hi Christina,

Thank you for asking

A set of symptoms that arise due to increased stomach acid in the medical realm is called dyspepsia syndrome. This condition can cover a wide spectrum of symptoms, such as pain, nausea, vomiting, spasms, phlegm, lumps, bloating, surgery, and so on which generally feel dominant in the epigastric area (gut, middle chest, upper abdomen), but can also spread to to the chest, other parts of the stomach, throat, to the back. Symptoms of dyspepsia will usually worsen when the stomach is empty, after consuming a lot of fatty foods or other foods and drinks that irritate the stomach, at bedtime, are stressed, are tired, are taking certain drugs (usually NSAIDs, aspirin, antibiotics), or also when experiencing hormonal changes (such as during menstruation or pregnancy).

In most cases, dyspepsia has no clear cause, or it is also called functional dyspepsia. However, in some rare conditions, there can also be an underlying organic disorder, for example GERD (gastroesophageal reflux disease), gastritis, gastric or diodenal ulcers, gastric cancer, pancreatitis, cholangitis, cholelithiasis, and so on. This condition clearly cannot be cured in a short time with medication alone, but must also be accompanied by changes in lifestyle and healthy eating patterns.

Not only dyspepsia syndrome, your complaints may also be exacerbated due to other factors, such as gastrointestinal infections, drug side effects (including nausea and vomiting drugs), colitis, obstructive ileus, other viral or bacterial infections, and so on.

We recommend that if you feel that there has been no significant improvement after undergoing the previous doctor's treatment, you should check your complaint again to an internal medicine specialist. Several types of examinations, for example ultrasound, endoscopy, x-rays, laboratory tests, etc. may be the doctor will do. to ensure the correct diagnosis as well as the best treatment. Optimizing your healing as well, in addition to taking medication from a doctor, by doing the following:

Eat 4 to 5 hours, small portions, regularly Reduce foods that have the potential to irritate the stomach, such as spicy, fried foods, coconut milk, caffeine, cabbage, mustard greens, soda, etc. Eat more foods that are easy to digest, such as porridge, soup, food berkuah Drink lots of water Make it a habit to give a break between sleeping and eating at least 2 to 3 hours (don't lie down immediately after eating) Avoid taking drugs carelessly, unless the doctor directly prescribes them Calm your mind and heart, don't stress too much, feel sad, or anxious Exercise regularly, do not smoke or consume alcohol. Minimize snacks carelessly Compress the uncomfortable stomach with warm water.

dr. Nadia Nurotul Fuadah

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