GERD Symptoms: Frequent Hiccups and Digestive Discomfort - Gastroenterology and Hepatology

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Gastroesophageal reflux disease (GERD) with persistent belching?


About the end of last year, I started experiencing discomfort in my stomach.
I went to see a traditional Chinese medicine practitioner who diagnosed me with gastroesophageal reflux disease (GERD), but I haven't taken medication for a long time.
Recently, I've started to burp frequently, and I feel bloated after eating.
In the past week or two, I've even felt discomfort in my stomach and a bit dizzy just from drinking milk (which never happened before).
However, I usually don't experience acid reflux or pain.
This morning, after having a bowel movement, I noticed light red mucus on the toilet paper, similar to what one might see at the start of menstruation, but my stool was only a small pellet, and I couldn't tell if there was blood.
Later, I went again and there was no blood.
Could this be related to my gastroesophageal reflux? Should I see a doctor? If so, should I start with a clinic or go to a hospital? Thank you for your help!

Niming, 10~19 year old female. Ask Date: 2022/07/29

Dr. Chen Shidian reply Gastroenterology and Hepatology


Reflux is unrelated to stool.
A light or low-dairy diet can be observed initially.

Reply Date: 2022/07/29

More Info


Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid flows back into the esophagus, leading to various symptoms. Your recent experiences, including frequent hiccups, digestive discomfort, and changes in bowel habits, warrant a closer examination.
The symptoms you describe, such as bloating after eating and discomfort after consuming milk, may indeed be related to GERD. However, they could also indicate other gastrointestinal issues, such as lactose intolerance or even gastritis. The presence of a reddish mucus on toilet paper after a bowel movement is concerning and should not be overlooked. While it may not be directly related to GERD, it could indicate an issue in the gastrointestinal tract, such as hemorrhoids, anal fissures, or even more serious conditions like inflammatory bowel disease (IBD) or colorectal issues.

It's essential to understand that GERD can manifest in various ways, and not all patients experience classic symptoms like heartburn or acid regurgitation. Some individuals may present with atypical symptoms, including respiratory issues, chronic cough, or even hiccups, as the esophagus and throat can be affected by acid exposure. The discomfort you feel after consuming certain foods, like milk, could suggest a sensitivity or intolerance, which is not uncommon in individuals with GERD.

Given the complexity of your symptoms, it is advisable to consult a healthcare professional. If you have not seen a doctor for your symptoms in a while, it would be prudent to schedule an appointment. You can start with a primary care physician or a gastroenterologist, depending on your access to healthcare. A gastroenterologist specializes in digestive disorders and can provide a more thorough evaluation, including diagnostic tests like an endoscopy or imaging studies if necessary.

In the meantime, consider keeping a food diary to track what you eat and any symptoms that arise. This information can be invaluable for your healthcare provider in determining the cause of your discomfort. Additionally, lifestyle modifications such as avoiding trigger foods (spicy, fatty, or acidic foods), eating smaller meals, and not lying down immediately after eating can help manage GERD symptoms.

As for the reddish mucus you observed, it is crucial to mention this to your doctor. While it may not be directly related to GERD, it could signify another underlying issue that needs to be addressed. Your healthcare provider may recommend further evaluation, such as a stool test or a colonoscopy, depending on your age, medical history, and the nature of your symptoms.

In summary, while your symptoms may be related to GERD, the presence of additional gastrointestinal discomfort and the unusual finding of reddish mucus necessitate a comprehensive evaluation by a healthcare professional. Early intervention can help prevent potential complications and improve your quality of life.

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