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I always get acid coming up from stomach into my mouth and i have to spit it out. It happens suddenly and a lot. I know its not saliva because it is not slimy it is consistancy of water. I have never seen a doctor for this but have had it since i can remember. I get symptoms before or after eating and in the morning. Sometimes i also regergitate a littlebut i dont really get heartburn. Is this just bad acid reflux or is it gerd and what is the difference. Should i see a doctor or are tums ok?

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replied August 22nd, 2017
Acid Reflux Answer A62024
Welcome to e health forum.

It seems that you may be having a herniation at the gastroesophageal junction, which is also called a Hiatus hernia.

This condition occurs due to weakness or a tear in the diaphragm, a major muscle that separates the chest from the abdominal cavity. This herniation results in chronic gastric reflux, heartburn and esophagitis.

Symptoms due to hiatal hernia including nausea, vomiting, burning pain or discomfort arise due to GERD. The symptoms worsen in the recumbent position and can improve in the sitting position.

Adequate antacids (Tums, Mylanta, prevacid) and Omeprazole (Acid reducing medication) can help relieve the symptoms.

In case, they are not helping, you might benefit by consulting your doctor, who can prescribe you antiemetics and prokinetic medications (to increase the gastric motility) which may help you.

If such episodes are recurrent, you can undergo a Barium swallow study or a GI endoscopy, to check the severity of herniation and assess the need for any surgical treatment.

In cases of hiatus hernia with severe GERD, a surgical procedure called Nissen fundoplication can be done. Here, the upper part of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of gastric acid. The procedure commonly performed laparoscopically has a low complication rate and a quick recovery of 2 -3 weeks.

You may consult with your doctors or a gastroenterologist for additional information and proper help.

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