Question 1

I'm dealing with GERD issues and sometimes it feels like my breath gets stuck. To keep an eye on things, I've started using a pulse oximeter daily to check my oxygen level. But here's the thing, I'm getting some really weird readings. It starts at 98 or 99, but then after 20 to 30 seconds, it suddenly drops to numbers like 79, 89, or even 60, before going back up to 98 or 94. These abnormal readings only last for about 3 to 4 seconds. Other than this sensation like somethings stuck, I'm generally active and dont have other major issues. Should I be concerned about these fluctuating numbers, or is this normal with a pulse oximeter? What's going on?

Accepted Answer

Spirometry and pulmonary function tests is advised to the patient.

Question 2

I've been having some pain that's really bothering me, and I can't figure out if it's something serious. I'm 33, female, about 165 cm tall, and weigh 64 kg. Recently, I've been dealing with chest and upper back pain. It's weird because I feel really sharp pain when I lie down, but when I'm sitting up straight or walking, I don't notice it at all. It almost feels like there's something stuck in my throat, and when I swallow my saliva, the pain shoots to the center of my chest and then over to the right side and into my upper back. I also end up burping a lot and have the urge to pass stools when this pain kicks in. If I pay close attention, it seems like the pain starts on my back's right side and radiates to my chest. Is this something related to my heart?

Accepted Answer

It sounds like you may be experiencing symptoms of acid reflux or gastroesophageal reflux disease (GERD), rather than a heart-related issue. The sensation of something stuck in your throat, pain when swallowing saliva, chest pain that radiates to the right side, upper back pain, and frequent burping are all common symptoms of acid reflux. I recommend trying over-the-counter antacids such as Tums or Rolaids to help alleviate your symptoms. You can also try lifestyle modifications such as avoiding trigger foods (spicy, acidic, fatty foods), eating smaller meals, avoiding lying down immediately after eating, and raising the head of your bed. If your symptoms persist or worsen, it would be best to consult with a healthcare provider for further evaluation and management.

Question 3

My father has stage 2 internal hemorrhoids and keeps having heavy bleeding episodes. He takes Daflon when it happens, which stops the bleeding for about two months, but then it starts again. Is this cycle going to keep repeating, or is there a permanent fix? Would surgery help, or are there better medicines to stop the bleeding for good?

Accepted Answer

This condition may require clinical evaluation to determine the exact cause and treatment. Some cases can be managed conservatively, while others may need surgical intervention depending on size, symptoms, and severity. Regular follow-up is important to monitor progress.

Long-term PPI use is generally safe but may cause low magnesium, B12 deficiency, and gut flora changes. Surgery (like Nissen) may help if you're not responding. Share endoscopy for detailed advice.

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