Sometimes I am getting substernal pain exactly below the sternum while sleeping and mostly occurs at night. And sometimes at morning when I woke up only little amount of blood is seen in the mucus. What might be the reasons for this and when I eat masala food then I am getting burning sensation at night time while sleep.

Dr. Nash KamdinGeneral Physician27yrs exp

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Dear Lybrateuser, - Your problem could be due to hyperacidity/GERD - follow some dietary precautions: - avoid spicy, fried, sour & junk food, also restrict intake of tea, coffee to 1-2 cups per day, avoid alcohol & smoke if you do - chew your food well, do not skip meals, have meals on time, have 4-5 small meals rather than three large meals, do not lye down for about one hour after meals, have dinner 2-3 hrs before bedtime - have 7-8 glasses of water for proper hydration - take tablet Pan 40, 1 tab daily half an hour before breakfast - do regular exercise like walking, jogging, swimming, also do yoga, deep breathing for 10-15 min daily morning.  

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