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Feelings similar to gastroesophageal reflux, hyper-acidity after taking Mefenamic acid for tooth ache. Remedy?

good morning Doc. im from the philippine. II suffered hyperacidity and esophageal reflux last Jan. 9 then i came to my ENT Dr. and got endoscopy my throat and she find out i have gastroesophageal reflux and my General Dr. find also ive been suffering hyperacidity. My ENT Dr. gave me Pariet for 2 weeks to take and my general Dr. gave me Domilium to help gas out on my tummy. My condition is got ok since Jan. 25. Then my tooth got hurt because of cavity then i got to my Dentist and fix my tooth then she said if the i feel a pain just take mefenamic acid then last night i cant control the pain so i decided to take Dolfenal(Mefenamic Acid) then thats the time i felt again what i felt when i have gastroesophageal reflux and hyperacidty til now. What do i do?
Asked On : Tue, 29 Jan 2013
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Emergency Medicine Specialist 's  Response
Hi Cranberries,
Thanks for writing your query.

Your symptoms are due to increase in acidity in stomach. Any trigger of acidity will increase your problem. Pain killers are prone to increase the discomfort of Gastro Esophageal Reflux Disease.
Hence pain killers are always to be taken along with an anatacid to decrease the harmful effects of pain killers on the stomach mucosa.

You should take Rabeprazole (Pariet that you have already taken) along with Domperidone 10 mg (Domillium) for relief of your symptoms. Antacid in gel or liquid form is also beneficial in curing symptoms of hyperacidity as it forms a protective layer over the damaged mucosa.

You should also follow some precautions like :-
1. Avoid eating spicy/oily foods.
2. Donot miss a meal.
3. Avoid mental/emotional stress.
4. Avoid self medication especially pain killers and steroids.
5. Avoid cigarette/alcohol.
6. Drink lots of pure water.
7. Yoghurt or curd will help you in some relief of your symptoms.

Also get yourself investigated for H.pylori infection.

I hope this is helpful to you.
Answered: Tue, 29 Jan 2013
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