Patient's Query
Hello doctor,
Last night I was getting chills, feeling more cold than usual and lightheaded and a lot of burping. Maybe like every 30 minutes or less or so feel more chills running down my body and chest feeling bit weird like I am starting having trouble breathing then goes back to normal and repeats, with weird feeling like chills down my left and right lungs or left and right upper chest. Also, my heart was pumping fast. Also, some minor coughs were there since seven days ago, still here. I have white mucus and have not gotten yellow yet.
I took medicines yesterday but today I got severe cold and flu medicine with a pain reliever, the chills did not go away. Then today, I called the doctor on the phone and told him what happen last night and the same thing happened this morning too. I had minor coughs, feeling lightheaded, feel like maybe cannot breathe or something, and a lot of burping. I told him the burping issue was going on for at least two years, but somehow this time I am feeling lightheaded. He just gives Pepcid, a try maybe GERD. I ate that today still feeling chills now and still burping a lot.
Right now, still some chills on arms, with breathing issue or something makes my chest feel weird and arm sometimes. So, should I be worried?
I do not think I have a fever now but do not feel hot on the forehead. Was it GERD or flu, it is Coronavirus or something else? I hope it is not Coronavirus.
I am 21 years old and weigh around 110 to 115 kg.
Please help.
Hello,
Welcome to icliniq.com.
Please answer the following:
Revert with the answer to assist further.
Thank you and take care.
Regards.
Patient's Query
Thank you doctor,
I travel to school, nearby grocery stores in the bus. No airport exposure. I have not checked the temperature. I do not feel hot or anything. I have minor coughs and sore throat. Yes, I have mucus which seems white or clear for now.
During sleep, I do not have much aches. Last night I have not got much sleep, probably because I was thinking about stuff being worried, but got some sleep though.
Please help.
Hi,
Welcome back to icliniq.com.
Most probably with the history it does not appear like a severe problem or Coronavirus infection.
I am sure that will make you feel better.
Avoid exposure to smoke dust and cold winds. Keep the AC (air conditioner) to a minimum or use ceiling fan instead. Drink plenty of water and warm fluids. Avoid eating out, partying. Avoid unnecessary travel.
You need not quarantine yourself in the strictest manner but some amount of restrictions in interacting and meeting with the community is advised.
Lastly,
Revert with the answer to assist further.
Thank you and take care.
Regards.
Patient's Query
Thank you doctor,
I woke up this morning, I had trouble sleeping being worried, but I got some sleep then nearby phone ringing woke me up.
So far, seems no one got any severe coughs or pain so far. I only hear minor coughs the past week or so. Thanks for those medicine recommendations for sleep. I fall asleep quicker, usually, it takes me around one hour to fall asleep on most days.
I will try to avoid smoking as much as possible. Yes, I will be staying inside since many places are on lockdown. And school is online. I recently turned on the air purifier to clean up some air for allergies possible viruses but makes me cold. I might not need AC unless really hot.
I will be staying home for the next month at least. My chills right now are feeling a bit better, but a little sick only because maybe I did not get enough sleep.
I stay in a cold climate country, and there are close to 40 confirmed cases around here. No severe reports near my district, and have not heard anyone in serious condition.
So, last week I have a sore throat and tonsil pain while swallowing for a few days, then one day drank a lot of honey and water and some tea, then it got better. Not sure if it got smaller, but the pain was less now though. Between my tonsils in the middle (behind the tongue) looks like my throat, got some red stuff, maybe looks like inflamed or rashes.
Please help.
Hi,
Welcome back to icliniq.com.
You have got it right. Follow all the precautions. You will be alright soon. Try getting a good sleep tonight.
I heard about the cases in SF. My brother was supposed to fly there from India for work but his meeting got canceled in the wake of the virus.
Yes, your camera has not done a decent job this time around. It has not focussed on our area of interest. (attachment removed to protect patient identity). But yours has picked up the two big bumps in the back of the throat (enlarged tonsils).
The tonsils could be enlarged due to the current infection and sore throat problem you are having. Once the problem is resolved they should get back to their normal size, which I guess, in you, must be slightly big. The pharyngeal wall between the tonsils could be having some granular bumps which are quite common during an infection.
Now you do not worry, for most such infections are due to viruses (not Corona). They usually get better with time and supportive treatment. Traditional Indian forms of medicine advise honey and hot water. Tea makes a good addition I guess. Sudafed and Zyrtec appropriate for your weight will help additionally. Tylenol every time you got pain will help you tide over this period wonderfully.
Now watch for some warning symptoms fever, increased pain, thick mucus, thick postnasal drip, severe malaise, swelling in the neck, etc. In such cases promptly revert to me. You may need a Z pack (Azhithromycin) then.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Thank you doctor,
As of now, I have been experiencing harder-than-usual breathing for about 30 minutes. I only had breakfast and water.
Here is my history:
Previously, I had no major health issues except frequent burping, occasional bloating, and a history of enlarged tonsils. There were no breathing problems, cough, or lightheadedness.
One day, I woke up feeling unwell and became very lightheaded, almost fainting. I had stomach discomfort, difficulty eating, and vomited multiple times (mostly water or acid). I felt better later the same day.
Over the next few days, I experienced diarrhea, which then resolved.
For about a week afterward, I felt normal except for occasional burping and an enlarged tonsil, without cough or breathing difficulty.
Later, after eating a meal, I experienced frequent burping, stomach discomfort, chills in the hands and chest, and a sensation of difficulty breathing. I also felt lightheaded, as if I might faint. Symptoms improved slightly after resting and taking antacids and cold medication, but the breathing discomfort returned intermittently.
The following day, I again experienced breathing difficulty, chills, lightheadedness, chest discomfort, and frequent burping. A doctor suggested that symptoms might be related to acid reflux (GERD) and recommended trying an antacid medication such as famotidine.
After starting the medication, symptoms initially improved. Lightheadedness and chills reduced, though burping continued and mild cough and sore throat persisted.
Later, after taking the medication, I noticed an episode of rapid heart rate, which caused concern. The heart rate gradually improved after hydration and eating a small meal.
On another occasion, I woke with mild chest discomfort (upper abdominal region), cough, mild lightheadedness, faster heartbeat, and shortness of breath. Drinking water provided some relief. Symptoms fluctuated, with breathing sometimes feeling harder than usual, especially during movement, but improving with rest.
Currently, breathing still feels slightly more difficult than usual at times. I am unsure whether these symptoms are related to acid reflux, heart issues, respiratory causes, or esophageal problems.
Hello,
Welcome back to icliniq.com.
Always Protonix is better than Zantac (Ranitidine). Try using Protonix (Pantoprazole). Do not lie down immediately after consuming meals. Do not drink a lot of water after a meal. Avoid spicy and oily foods.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Thank you doctor,
I was unable to find one of the previously recommended medications at the store, so I consulted a pharmacist. I was informed that similar medications may help with symptoms related to chest tightness or acid reflux.
I tried taking Famotidine again. For the first few minutes, I felt slightly anxious or nervous, but my heart rate did not increase as much as before. I also noticed that sometimes even drinking water seems to make my heart beat slightly faster. Should I continue taking famotidine and complete the course?
I have a history of lying down soon after eating, especially at night, due to hunger before bedtime. At times, I have skipped meals, and occasionally I wake up with an acidic or bitter taste in my mouth.
Recently, I woke up with discomfort in the chest area located above the stomach, along with a feeling of difficulty breathing. I found it hard to eat breakfast initially, but symptoms improved after drinking warm water and eating slowly. The symptoms lasted for about 30 minutes before gradually improving.
I am concerned about the possible cause of these symptoms.
Hi,
Welcome back to icliniq.com.
You need to take Pantoprazole or any other proton pump inhibitor. Avoid heavy meals. The issue appears like a heartburn problem due to acidity only. It does not appear sinister.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Thank you doctor,
I was trying to finish the bowl of food in one hour. I was eating veggies and rice, halfway through felt something like acid may be some pain in chest and throat. Feeling lightheaded so ate some meat to then coughed after.
Please help.
Hi,
Welcome back to icliniq.com.
Do not worry about it. Drink plenty of water but not immediately after a meal. Eat well cooked meats.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Thank you doctor,
I really appreciate your help so much. I appreciate your time and effort to help me and give advice. Only thing I am worried is just the chest pains, breathing issues and esophagus and throat stuff. I will try to wait two to three hours after eating or drinking before bed now. I hope to get less chest issues when I wake up.
Please help.
Hi,
Welcome back to icliniq.com.
Do not worry so much. You will be absolutely alright. Give it some time. If you are not getting better we can do laryngoscopy and check if there is anything wrong with the larynx. Do you eat healthy food and do exercises?
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Thank you, doctor.
I understand that if symptoms do not improve, a laryngoscopy may be considered. I will monitor my symptoms for some time.
Regarding my lifestyle, I generally try to eat a balanced diet that includes vegetables, fruits, and different types of meat such as chicken, fish, pork, and beef. I usually avoid fried foods, soda, and fast food. In the past, I occasionally ate processed foods such as chicken patties with whole wheat bread due to convenience, but I have reduced this after experiencing acid-related symptoms.
I have not been exercising regularly in recent months, although I used to be more physically active in earlier years.
Since adolescence, I have noticed that during exercise, especially running, my throat or chest sometimes feels tight, and breathing feels restricted, as if air is not moving freely. Earlier in childhood, breathing during physical activity felt easier and more comfortable. Over time, it has felt as though I am not getting enough air, particularly during exertion.
Previous medical consultations included basic examination of heart and lungs using a stethoscope, but no specific diagnosis or detailed evaluation was performed.
Currently, I feel that my breathing sometimes seems limited even during normal breathing, which makes recent episodes of breathing discomfort more concerning.
I would like to understand whether these symptoms could be related to acid reflux, airway issues, throat tightness, anxiety, or another underlying condition, and whether further evaluation is needed.
Please help.
Hello,
Welcome back to icliniq.com.
I guess you are in the right track. With regards to food diet and exercise. Restart doing your exercise. Keep yourself active. Try having more than three meals a day but keep the quantity of each meal less than the usual. That way you eat more frequently but without putting weight or adding unnecessary calories.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
Sorry for asking many questions, and thank you for your help.
I noticed that I did not drink much water recently. I usually drink around 1 to 1.2 liters per day, and my urine is usually yellow. My food intake has also been lower than usual.
Today, I woke up without chest pain, which felt unusual compared to previous days. I had only mild breathing discomfort along with some cough and slight feeling of illness. My heart rate felt somewhat fast on waking, but not as fast as during previous episodes. I got up slowly and drank some water, which seemed to help. I did not feel very lightheaded, but felt slightly cold.
The night before, I ate a relatively larger meal late in the evening. Several hours later during the night, I felt hungry and somewhat cold, and possibly slightly lightheaded. I was unsure whether this was due to hunger or reduced calorie intake. I avoided eating again and only drank small amounts of water.
I also tried sleeping on my left side instead of my usual sleeping position on my back. I noticed mild acid sensation, slight cough with mucus, and minor stomach discomfort upon waking, but no chest pain.
I would like guidance regarding lifestyle measures that may help reduce symptoms:
I have also noticed some recent weight loss and reduced appetite, possibly related to these symptoms. I would like to know what lifestyle adjustments may help improve symptoms and whether these symptoms are likely related to acid reflux or another condition.
Hello,
Welcome back to icliniq.com.
It is generally recommended to drink about 1.5 to 2.5 liters of fluids daily, unless otherwise advised by a doctor. Pale yellow urine usually indicates adequate hydration. Try to avoid heavy meals late at night and maintain a gap of 2 to 3 hours between dinner and bedtime, as this may help reduce acid reflux symptoms.
Choosing a lighter dinner and having a balanced, nutritious breakfast and lunch may also help improve digestion and overall energy levels. Sleeping in a comfortable position, preferably on the left side or with the head slightly elevated, may reduce reflux symptoms in some individuals.
You may take small sips of water after meals, but avoid drinking large amounts immediately after eating. If you feel hungry before bedtime, a light snack such as fruit, yogurt (curd), or buttermilk may be easier to digest. Home remedies like honey mixed with warm water, optionally with a small amount of ginger or lemon, may help soothe throat irritation. Maintaining regular hydration throughout the day is important and does not need to be strictly linked to calorie intake.
Light physical activity such as indoor walking is generally beneficial. Exercise can usually be done about 1 to 2 hours after meals to help minimize reflux symptoms. If hunger occurs late at night, choosing light, easily digestible foods is preferable to going to bed very hungry.
Good sleep habits, including relaxation techniques or calming music, may help improve sleep quality. Drinking small amounts of water before bedtime is acceptable, but avoid consuming large quantities immediately before lying down. Waiting about 30 to 45 minutes after meals before drinking larger amounts of water may also help reduce discomfort related to acid reflux.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
Sounds good. I appreciate your time and effort in helping me; it means a lot. Thank you for being very patient and kind.
What does foamy urine indicate? I have noticed this for the past two years, and I also feel that I do not urinate as frequently as before. Could this be due to low water intake, kidney disease, liver problems, a urinary tract infection, or another cause?
Hello,
Welcome back to icliniq.com.
Foamy urine is mostly due to the speed of urination and concentrated urine. drink plenty of water and do not rush while peeing. just let it out normally without putting pressure. then it wont form foam.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
I do not rush while urinating, but I notice that the quantity of urine is usually low, and the frequency is also less than before. Even when I drink around 1000 ml or slightly more fluids, the urine output still seems low. The urine sometimes appears similar to the foamy urine images seen online. If I notice very foamy urine again, I will inform you. Please help.
Hello,
Welcome back to icliniq.com.
Alright. Please start increasing your water intake, and we can observe whether the symptoms improve.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
I am experiencing episodes where breathing feels more difficult, along with an unusual sensation in the chest and mild lightheadedness. These symptoms improve after some time. It feels similar to possible panic episodes, as there is a sudden uncomfortable chest sensation, difficulty breathing, and lightheadedness. However, previous episodes of lightheadedness associated with eating and burping did not feel like panic-related symptoms. At present, the symptoms have improved, but these recurring episodes are concerning.
Please help.
Hello,
Welcome back to icliniq.com.
These appear to be random episodes. It is important to sleep well every night.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
It could be the reason, though I am not sure why it is happening more frequently now. I feel more vulnerable to these episodes and wonder if they could be related to blood pressure, heart, or chest issues. I am also experiencing cold sensations and mild shivering. I felt warm while in bed but felt cold after getting up. I am trying to drink a mug of water in the morning.
Please help.
Hello,
Welcome back to icliniq.com.
You may drink water in the middle of the night if you wake up and feel thirsty. You can also try having tender coconut water once every few days to help replenish essential minerals in the body.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
Coconut water sounds like a good idea. I already have a few bottles but have not been drinking them. My appetite is low right now, and I feel like I am losing energy. I think I may need adequate vitamins, minerals, and protein to help improve my strength and overall health.
Please help.
Hello,
Welcome back to icliniq.com.
Absolutely. Coconut water and, occasionally, aloe vera juice may help support hydration and provide some essential nutrients.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello,
Welcome back to icliniq.com.
When swallowing food, I feel mild pain on both the left and right sides of the chest, along with slight coughing. I am unsure whether this could be related to the heart, throat, or another cause.
I hope this helps.
Thank you and take care.
Regards.
Hello,
Welcome back to icliniq.com.
This appears to be related to the esophagus. Make sure to chew the food thoroughly and take a few small sips of water between swallows.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
I am trying to chew food into smaller pieces, and I take small sips of water if swallowing feels uncomfortable. I will try taking small sips of water between swallows.
Sometimes, I feel slightly lightheaded after eating. Could this be due to changes in blood pressure after meals, eating larger portions at dinner compared to lunch, or irritation in the stomach or esophagus?
I came across information suggesting that postprandial hypotension may cause dizziness after eating due to increased blood flow to the digestive system. I would like to know if this could be related to my symptoms.
Please help.
Hello,
Welcome back to icliniq.com.
Postprandial hypo-tension will not be felt the way you are describing but. Do not worry about it. Its a normal phenomenon that after a meal the blood circulation increases to the intestines. Meanwhile have a light dinner and better lunch. As the day progresses the amount of food that goes inside should be less and less. You can eat slowly if you have enough time for the same.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
This lightheaded feeling reminds me of what happened a week ago, which makes me worried because I do not want it to happen again. It is not happening right now. I am trying to eat slowly.
Please help.
Hello,
Welcome back to icliniq.com.
It is unlikely to happen again. Just follow all the instructions we have been discussing, and you should be fine.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
Alright, I hope I get better, thank you. Is it okay to gradually increase how much I eat over time, as long as I do not feel overly full?
Please help.
Hello,
Welcome back to icliniq.com.
Yes, prefer smaller meals. You may eat more frequently if needed, but avoid overeating. I am praying for you. Take care.
Patient's Query
Hello doctor,
I feel like I am losing more and more weight.
How are you spending your time during the coronavirus outbreak? I am mostly staying at home, waiting for the acid reflux symptoms to improve, doing homework, using social media.
Please help.
Hello,
Welcome back to icliniq.com.
Same here, it feels very difficult.
I hope this helps.
Thank you and take care.
Regards.
Patient's Query
Hello doctor,
Yes, we may have to stay indoors for some time during this outbreak. I hope you are able to find some enjoyable activities to keep yourself engaged. It may take time, but things should improve gradually.
Hello,
Welcome back to icliniq.com.
yes. you take care too
Was this conversation helpful?
Answered byDr. Shyam Kalyan N
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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