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I wake up at night always within two hours of

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Posted on Thu, 4 Apr 2019
Question: I wake up at night always within two hours of going to sleep bringing up much saliva and remnants of my last meal. I do not eat within 2 to 3 hours of going to sleep, elevate the bed and put extra pillows under my head. This happens to do three nights per week. I take Nexium regularly with thanks. XXXXXXX Rosenfeld DDS
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Answered by Dr. Prasad (42 minutes later)
Brief Answer:
Add prokinetic agent...

Detailed Answer:
Hi,

The symptoms suggest gastroesophageal reflux disease (GERD). I can see you are trying many means to prevent reflux. I would add a prokinetic agent like domperidone or levosulpride along with nexium. The combination of the two is more effective in treating / preventing GERD.

In addition, it would also be worthwhile to consider an endoscopy if it hasn't been done in the past.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3567 Questions

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I wake up at night always within two hours of

Brief Answer: Add prokinetic agent... Detailed Answer: Hi, The symptoms suggest gastroesophageal reflux disease (GERD). I can see you are trying many means to prevent reflux. I would add a prokinetic agent like domperidone or levosulpride along with nexium. The combination of the two is more effective in treating / preventing GERD. In addition, it would also be worthwhile to consider an endoscopy if it hasn't been done in the past. Hope this helps. Let me know if you need clarifications. Regards