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Dr. Bob
Dr. Bob, Medical Doctor
Category: Medical
Satisfied Customers: 5401
Experience:  20 Years in Internal Medicine, Neurology and Sports Medicine
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MY husband had an extended stay in the hospital about 2 1/2

Customer Question

MY husband had an extended stay in the hospital about 2 1/2 months since the every thing he puts in his mouth taste sour it's hard for him to eat, when I inquired at the hospital I got no answers been home 8 weeks now it's still the same.
JA: OK. The Doctor will need to help you with this. Is there anything else the Doctor should be aware of?
Customer: He had to have his right foot amputated blood clot went down his leg he has a-fib crones disease also had a bad staff infection when he was in the hospital.
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Doctor about your situation and then connect you two.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Bob replied 1 year ago.

Is he on coumadin?

Customer: replied 1 year ago.
not anymore only when they did tpa while trying to save his foot
Customer: replied 1 year ago.
no I don' t want a live phone call and my card better not be charged I already gave $5 dollars for this and still no answer for what to do.
Expert:  Dr. Bob replied 1 year ago.

Usually when there is a blood clot, or a person has afib, we put him on coumadin (warfarin). Is he on another blood thinner?

Expert:  Dr. Bob replied 1 year ago.

The reason this is important is that coumadin can result in an altered sense of taste.

Expert:  Dr. Bob replied 1 year ago.

If this is the cause, there are alternative options available.

Expert:  Dr. Bob replied 1 year ago.

Hi. Were you able to confirm if he is on a blood thinner?

Customer: replied 1 year ago.
He is on Amiodarone
Customer: replied 1 year ago.
sorry it took so long to respond had to check on my husband.
Customer: replied 1 year ago.
Expert:  Dr. Bob replied 1 year ago.

Thanks. Would you say the altered taste is sour like stomach acid? Or is it more of a mettalic taste? Also, how is his sense of smell? Has that changed at all?

Customer: replied 1 year ago.
Expert:  Dr. Bob replied 1 year ago.

There are several considerations for you to discuss with his doctors. One is his medications. Sometimes a new medication, or an interaction, can alter one's sense of taste. Another consideration is acid reflux, which is very common after an illness or prolonged hospitalization. He may need to get on an acid blocker such as protonix or nexium.

Less likely is that he suffered a small stroke that has affected his taste centers.

Customer: replied 1 year ago.
He also takes omeprazole 20 mg he has not had a stroke.
Expert:  Dr. Bob replied 1 year ago.

A small stroke in the gustatory cortex can cause one to lose taste or experience abnormal taste. This can sometimes be seen on MRI but may be so small that it goes otherwise undetected. As for heartburn, it can occur at night while we sleep and alter our taste throughout the day. In addition to taking prilosec, he should be on GERD precautions.

Expert:  Dr. Bob replied 1 year ago.

GERD precautions:


Avoid foods that may incite more acid production or have a higher acid content such as:

citrus, tomato, vinegar, high fat foods (fried, etc.), olives and olive oil,
nuts, dairy products, coffee, gum or hard candy

Avoid foods/items that relax the Lower Esophageal Sphincter such as:

alcohol, caffeine, peppermint


Effectiveness of reflux medications are related to the timing of when the medicine is ingested, so be sure to take it as directed by your physician (PPIs generally 30-60 minutes before a meal).

Elevate the head of the bed 6-8 inches. It needs to be a gradual angle rather than a bending at the waist, so wedges should begin at least at the hips and extend the length of the body up to the head or lift should be on the bed frame or box springs rather than the mattress. This uses gravity to assist in keeping any refluxed material from remaining on the larynx as we sleep as there is no swallow reflex during sleep.

Avoid eating 3-4 hours prior to laying down or sleeping. There will be a greater chance for a reflux episode when a person lays down if the stomach still has increased acid levels used during digestion.

Eat smaller meals/do not overeat.

Avoid bending over at the waist, especially after eating.

Avoid wearing abdominally restrictive clothing such as tight pants, girdles, etc.

Exercise on an empty stomach.

Expert:  Dr. Bob replied 1 year ago.

Does this make sense? Do you have any follow up questions?

Expert:  Dr. Bob replied 1 year ago.

Hi there. How's your husband doing today? Let me know if there is anything else I can do for you.