Ramesh had dinner at his favorite Chinese restaurant. His menu included salad, large plate of paneer tikka masala, tandoori roti and red wine.

Monjur Alahi

Ramesh had dinner at his favorite Chinese restaurant. His menu included salad, large plate of paneer tikka masala, tandoori roti and red wine. For dessert, he consumed dark chocolate ice-cream and a glass of milkshake. He returned home and while lying on his couch watching TV he experienced chest pain and vomiting. Ramesh was taken to hospital and he was advised to watch his diet. What was the reason for Ramesh’s illness?


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Salim Ahmed Kawsar

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Ramesh experienced reverse spasmodic peristalsis. The contents of the stomach backed up (refluxed) into Ramesh’s oesophagus. The HCL from the stomach irritated the walls of the oesophagus that resulted in burning sensation which is commonly known as heartburn. Ramesh’s heavy meal worsened the problem. Additionally, lying down immediately after meal intensified the problem.

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