It appears your symptoms might point towards gastroesophageal reflux disease (GERD), where stomach acid or contents move back into the esophagus, causing discomfort like the sensation you’re describing of food coming up into your mouth. Given that your tests are normal, but you’re still experiencing these symptoms, it might be necessary to adjust your lifestyle and diet as a starting point for managing this issue. Avoid eating large meals or lying down straight after meals, and try to elevate the head of your bed to prevent nighttime symptoms. Identifying and avoiding triggers, such as spicy or high-fat foods, caffeine, and alcohol, can be helpful too. Eating smaller meals more frequently rather than three large ones might also mitigate the problem.
The hichki or hiccup-like sensation coupled with recurrent reflux of saliva suggests that there might be irritation or sensitivity in the esophageal area. Over-the-counter antacids or H2 blockers like famotidine may provide some temporary relief, but they should not be relied on in the long term without consulting your doctor. Also, since you’re experiencing difficulties with bowel movements, ensuring adequate fiber intake and hydration might assist with gastrointestinal motility. Relaxing activities like mild exercise or walking can be beneficial too.
If these lifestyle changes don’t bring improvement, or if symptoms worsen, further evaluation might be necessary. Also, consider consultation with a gastroenterologist if you haven’t already, as they can provide precise testing like an esophageal pH test or manometry, and guide you on appropriate medication or interventions. Timely medical advice is crucial, especially if you notice additional alarming symptoms such as weight loss, persistent vomiting, or severe pain.
