Your normal sinus CT and normal blood counts are excellent news, as they rule out serious infections or structural issues. Your ongoing symptoms may be due to non-allergic rhinitis, environmental sensitivities, or post-viral airway hyperresponsiveness, where your airways remain temporarily sensitive after an initial illness. These issues often resolve gradually over a few more weeks. I highly recommend discussing a referral to an allergist or an ear, nose, and throat specialist.

Since Rablet 20 mg is not providing relief, the pain might not be purely acid-related. Singing, humming, and slouching all put pressure on your diaphragm and abdominal muscles, which can cause muscle strain or cartilage irritation near your lower ribs. Improving your posture, practicing gentle diaphragmatic breathing, and avoiding singing immediately after eating can help. Since your current medication is not helping, please consult your doctor to evaluate for musculoskeletal strain or other underlying causes.

Yes, it is very common for constipation from IBS to cause these urinary symptoms. When stool builds up in your bowel, it can press directly against your bladder, leading to a frequent urge to pee and waking up at night. Since you are already taking Rablet D and Lactifiber, please continue them, but avoid starting new medications without advice, as some bladder medicines can worsen constipation. I gently recommend speaking with your doctor. They can safely evaluate your symptoms and suggest appropriate, bladder-relaxing options that won't interfere with your current regimen.

It is very understandable to feel concerned about chest pain, but please be reassured that your symptoms?especially being triggered by spicy foods or fasting and relieved by antacids?strongly point toward a gastrointestinal origin, such as acid reflux or gastritis, rather than a heart issue. At 26, serious heart conditions are also less common. To be safe, I recommend keeping a food diary and scheduling a visit with a healthcare provider. They may suggest a physical exam, routine blood tests, or a trial of acid-reducing medication to confirm. Please seek immediate care if you experience shortness of breath, sweating, or pain radiating to your jaw or arm. We are here to support you!

Experiencing severe heartburn, long-lasting headaches, and vomiting while managing diabetes is incredibly exhausting. Since your current medication, Rablet D (rabeprazole/domperidone), is not providing relief, and your blood sugar is slightly elevated, these symptoms require a doctor's evaluation. Sometimes, diabetes can cause delayed stomach emptying, leading to severe nausea, vomiting, and acid reflux. Please do not force yourself to throw up, as this can harm your esophagus. I highly recommend consulting your doctor or a gastroenterologist promptly to safely adjust your treatment, check your blood sugar patterns, and find relief for your headaches and heartburn.

While a normal endoscopy is very reassuring, your ongoing symptoms like pale yellow stools and gas can sometimes suggest mild nutrient malabsorption or changes in digestion speed and bile flow. This is quite common and highly manageable. I recommend discussing these symptoms with your doctor. They may suggest simple next steps, such as basic stool tests or an ultrasound of your gallbladder, to see how your body is digesting fats. Please be reassured; you are on the right track, and a few simple tests can help bring you complete relief.