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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Heart Burn And Gas. Had H Pylori Treated, Had Gallbladder Removed. Tried Metamucil. Help?

I have completed H Pylori treatment about 8 days ago. Amoxycilline 1000 mg twice daily, Clarithomycin 500 mg twice daily, Esomeprazole 40 mg twice daily. Still have hearburn, continuous burping and pressure in behind chest bone. Not taking any medicing now (following the completion of the treatment after a break of two days, took esomeprazole for two days and then stopped again). Have been taking ginger and chew most of the time to get relief from burping and heart burn. Tried metamucil and chamomyl tea also. Trying to take small meals - sometimes helpful and sometimes not. Had fasted for 10 hours for two days after the treatment (last week) and during that time it was all ok. Have been suffering from burp and heartburn since last six months- on and off. Had gallbladder removed in August 2012. Blood test (done last week on Liver, pancreas , routine blood parameters, lipid profile - all came normal). Found low Vit D in blood. Can you please help - Do I have GERD. Is my problem relates of over Hcl acid or low Hcl acid in the stomach? I am afraid of being dependant of PPIs (doctor told me to continue with esomeprazole 40 mg twide daily for the next one month). Sincere thanks and regards, Daniul Daniul: YYYY@YYYY
Mon, 25 Mar 2013
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Gastrointestinal Surgeon 's  Response
Hi

Thanks for writing in

Usually you need to continue PPi for four to six weeks as maintenance therapy

Your symptoms do point to increased acid output with GERD

Avoid spicy, fried and fermented meals

Hope this helps
Do write back in case of concern
Wishing you a healthy life ahead
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Have Heart Burn And Gas. Had H Pylori Treated, Had Gallbladder Removed. Tried Metamucil. Help?

Hi Thanks for writing in Usually you need to continue PPi for four to six weeks as maintenance therapy Your symptoms do point to increased acid output with GERD Avoid spicy, fried and fermented meals Hope this helps Do write back in case of concern Wishing you a healthy life ahead