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How to treat Low Stomach Acid Hypochlorhydria
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Digestive Health
Question #10101
142 days ago
359

How to treat Low Stomach Acid Hypochlorhydria - #10101

Monish Saifi

I'm suffering from indigestion, bloating, heaviness in upper abdomen, Lack of appetite, extreme fatigue And Some Weight Loose Also from 6 years. I have tried many doctors. They have prescribed prokinetic. But nothing helped. They have also prescribed PPI but usne bloating heaviness ki problem or jyada badh jati hai. Meri sabhi investigations normal hai like, endoscopy, ultrasound, CT scan, X RAY, And Some blood tests. Sabse jyada problem khana digest na hone ki hai. Kuch bhi kha lu vo pet me esa hi pada rahta hai. Muje lgta hai muje hypochlorhydria hai. Plz help me.

Age: 27
Chronic illnesses: Digestive Problems
Hypochlorhydria
Low stomach acid.
350 INR (~4.12 USD)
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
141 days ago
5

Hello Monish Don’t worry I am here to help you out. First I need to rule few things out to come across a conclusion

Test to be done. 1) Seum Gastrin 2) Stool antigen test for h pylori. 3) CBC 4) Glucose Breathe Test

For now RX, 1) Cap digestal 1 cap after meal

Thank you

Come back soon with these reports and take my individual paid consultation next time

Do give me rating and review

806 answered questions
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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
141 days ago
5

Hello dear Please be aware I request you to please share reports of serum sodium,chloride and rft for better diagnosis and best treatment I also suggest you to please consult endocrinologist also to rule out any systemic query Regards

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Given your symptoms and the fact that comprehensive testing hasn’t pinpointed a clear issue, your suspicion about hypochlorhydria—low stomach acid—could be worth considering further. When stomach acid is low, it can interfere with the digestion and absorption of nutrients, leading to the kind of indigestion and bloating you’re experiencing. Though it’s important to confirm this suspected diagnosis, here are some practical steps you could consider under professional guidance. First, talk to your healthcare provider about testing for hypochlorhydria, such as the Heidelberg test or a gastric pH test. They’re more specific in assessing stomach acidity. In the meantime, dietary changes might help stabilize stomach acid levels. Consuming smaller, more frequent meals rather than large meals can be beneficial, as well as avoiding potential triggers like caffeine, alcohol, and spicy foods. Adding an apple cider vinegar or lemon water solution before meals might help naturally boost stomach acid levels for some individuals, but this should be done cautiously and one should monitor how their symptoms respond. Some people find relief using betaine HCl supplements to increase stomach acidity, so discuss this with your doctor to ensure it’s appropriate for you, especially considering any medication interactions. Also, consider reviewing your stress management routine since stress can negatively impact digestion. Practices such as mindfulness or relaxation techniques might indirectly assist in managing symptoms. Regular physical activity, maintaining an adequate hydration level, and ensuring you’re getting sufficient sleep are critical elements that support digestion and overall health. It’s vital to keep your healthcare provider informed about these adjustments to ensure they align with your overall treatment plan and monitor for any adverse effects.

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