Q. Why do I get heartburn when I drink water in the morning? I haven't even ate anything yet. I've been H. pylori negative for a while.

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Heartburn, also known as acid reflux or GERD (gastroesophageal reflux disease), occurs when stomach acids travel up into your esophagus, causing a burning sensation in the chest. It can be uncomfortable and painful – but it is important to remember that it is not typically a medical issue or cause for concern.

There are several reasons why you may be experiencing heartburn when drinking water in the morning. One possibility is that you have an empty stomach which allows for more acidic compounds to build up and travel upward into the esophagus. This can also happen if you have recently consumed something very acidic such as coffee or citrus fruits which can aggravate existing issues with GERD. Another reason could be gastroesophageal sphincter dysfunction (GORD), a condition where your lower esophageal sphincter becomes weak, allowing stronger gastric acids to pass through more easily than they normally would.

Finally, another possible explanation of your symptoms could be H pylori infection—an infectious bacteria commonly found in our digestive systems. While having this bacteria isn't uncommon – and even though tests might show it being negative - if untreated ,H pylori infection will often lead to various chronic diseases including GERD-like symptoms like heartburn after drinking water .  If left undiagnosed and untreated ,it may compromise your body's ability to digest food properly leading eventually to serious health conditions including gastric ulceration and cancer so we strongly advise that anyone suffering from any type of unexplained recurring symptoms should go see his doctor for further investigation .

In conclusion, there are many potential causes for getting heartburn when drinking water in the morning and diagnosis requires seeing a doctor; however some common factors include an empty stomach with high acidity levels , gastroesophageal sphincter dysfunction,or possibly even H pylori infection .

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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