Brief Answer:
Add Tab.Gas-X (Simethicone) twice daily

Detailed Answer:
Hi,
Welcome to health care magic,

I have read your query and understand the concern about gas formation.

From the facts you have shared here,I would like to say that symptoms of stomach heaviness and gas formation are likely because of acute gastritis with indigestion.

You can continue with happi-L,comfygo powder and unienzyme but I would like to know about the ingredients of this panzene tablet.

Since you are having gas formation, I would also want to add some more medications with STRICT dietary precautions to get some relief.

1) Continue to take Happi-L (Tab.Rabiprazole 20mg),

But you will also need Tab.Gas-X (Simethicone) twice daily to get relief from the symptoms of gas trouble or bloating and heaviness.

2) Also take syrup Digene 2 TSF three times a day, will also be helpful.

3) Avoid hot,oily and spicy foods and prefer HOME food. Take soft diet preferably.

4) Avoid eating full stomach one at a time rather, take small meals frequently.

5) Avoid complex carbohydrates like beans, potato and carbonated beverages and milk based products which are hard to digest.

6) Drink plenty of water and fruit juices if they are not contraindicated.

7) Continue with digestive enzymes (like Unienzyme which you are already taking) will also be helpful in the digestion of carbohydrates and minimize the gas production.

8) Avoid talking which eating, as doing so may also cause further gas formation inside stomach.

9) Reduce salads in your diet (like carrot,cucumber etc) because they will delay stomach emptying time (means food will stay in stomach for longer period) and by this you will feel heaviness in stomach even after 2 to 3 hours of meal.

With above symptomatic treatment and dietary precautions,we would expect to see some improvement.

Hope this detailed explanation will be helpful and let me know about the ingredients of panzene tablets and for which I will give my opinion after that.

Regards,

Dr.Sandip Kabra

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Brief Answer:
Continue with this

Detailed Answer:
Hello,
Thanks for the follow-up,

Panzynorm is pancreatic digestive enzyme and you should continue with it.

Happi-L tablet or capsule contains two ingredients from which L is stand for Levosulpiride (75 mg) and it works on gastro-esophageal sphincter (a kind of valve) and by this it prevents reflux from stomach contents entering into throat.

You should continue with it along with tab.gas-x as I mentioned earlier.

With all these medications and dietary precaution,you will gradually see improvement. Also go for regular follow-up at your treating gastro-physcian as told.

Regards,

Dr.Sandip Kabra

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