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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hyper Acidity And Gastric Reflux

How to relieve my Hyper acidity and gastro reflux? I have sufferring with my hyper acidity and gastro reflux from June 23, 2014 and until now, it s almost 5 weeks, I have taking Domperidone Domilium and Esomeprazole Peprazom until now, that stopped some symptomps such as vomitting and diarrhea, but i feels all the time the discomfort of my throat especially after meal, after meal i had stayed upright (2 hours) before bed time. then i have avoid foods like spicy and oil, onioin , garlic, milk and etc. according to my phycisian, i have eating only boiled, such as boiled egg , boiled fish, boiled chicken and sometimes roasted chicken that i had always remove the skin or fat. but until now i feels discomfort in my throat. Please help me. thank you
Mon, 16 May 2016
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General & Family Physician 's  Response
Hi thanks for contacting HCM...

Noted you have gastroesophageal reflux disease....

For that first life style modification has to be done....
Take pentoprazole for few days.
Avoid recumbent position at least 3 hour after taking meal at night....
Head elevation at sleeping time....
High fatty food avoided as they relax lower esophageal sphincter...

Smoking and alcohol avoided as they affect esophageal mucosal function...

Excess coffe, chocolate avoided...
Avoid posture that precipitate reflux like bending forward....

X ray and manometry helpful in rule out hiatus hernia like condition....
If needed endoscopy done.....

Still reflux not improved fundoplication like surgical management might needed.

Take care.

Dr.Parth
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Suggest Treatment For Hyper Acidity And Gastric Reflux

Hi thanks for contacting HCM... Noted you have gastroesophageal reflux disease.... For that first life style modification has to be done.... Take pentoprazole for few days. Avoid recumbent position at least 3 hour after taking meal at night.... Head elevation at sleeping time.... High fatty food avoided as they relax lower esophageal sphincter... Smoking and alcohol avoided as they affect esophageal mucosal function... Excess coffe, chocolate avoided... Avoid posture that precipitate reflux like bending forward.... X ray and manometry helpful in rule out hiatus hernia like condition.... If needed endoscopy done..... Still reflux not improved fundoplication like surgical management might needed. Take care. Dr.Parth