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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Best Possible Medication For GERD Symptoms

Dear Doctor, it is nice to read how you are helping the peoples in trouble. I would like to take your advice as well. About 6 months ago, with complaint of GERD symptoms, my GI did endo and diagnosed Small sliding hernia. I started taking Nexium 40 mg per day. Later I developed sumptoms like severe gas in stomach, difficulty breathing and palpitation, was tested for H. Pylori found positive. In November I took 10 days triple therapy antibiotics and symptoms improved a bit, but i was unable to continue evening walk due to pain in joints, diagnosed as Asteoartheritis. I am married male age 39 with weight 102 kg work as IT project manager wants to have kids. lastly on 29 december GI asked for TSH, T3, T4 due to my palpitation complaint. TSH was .03', T4 on upper limit and T3 a little above the upper limit. GI prescribed Neomercazole 10 mg, inderal 10 mg both twice a day, a week ago. Now I am taking both with Vit B, Calcium, Vit D, Selenium ACE, Centrum and Siliver for fatyy liver, Nexium 40 mg, exercise 30 min bicycling, no fatty food. I have trouble sleeping, weak joints and muscles, palpitation and difficulty breathing especially when laying down. Please suggest how can I return to a normal life and recover lost health completely.
Mon, 20 Jan 2014
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General Surgeon 's  Response
HI. These were called '' executive disorders'' in past days. Alas, The first thing to note is your weight. 102 kg in spite of have thyrotoxicosis. Obesity is the mother of all your problems. Continue the medicines you already are on. A simple way may be an added dose of Metoclopropamide( Reglan) or Domperidone tablet 10 mg taken at exactly 8 hourly interval. The first one exactly the moment you get up. Weight reduction will be the mainstay of your management. ""NO STRESS'' is another key to success. Physiothrapist may help you to adjust for muscle weakness, and a dietician for weight loss.
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Suggest Best Possible Medication For GERD Symptoms

HI. These were called executive disorders in past days. Alas, The first thing to note is your weight. 102 kg in spite of have thyrotoxicosis. Obesity is the mother of all your problems. Continue the medicines you already are on. A simple way may be an added dose of Metoclopropamide( Reglan) or Domperidone tablet 10 mg taken at exactly 8 hourly interval. The first one exactly the moment you get up. Weight reduction will be the mainstay of your management. NO STRESS is another key to success. Physiothrapist may help you to adjust for muscle weakness, and a dietician for weight loss.