Brief Answer:
Mayo clinic is a good center in USA.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query,

As per your query.
Firstly I would suggest you to Start taking PPI's like Nexium(Esomeprzole 40mg) twice daily.
Other then that ask your gastroenterologist to add Prokinetic drug like Levosulpride, it is a sulpride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent studies have shown that combining it with Rabeprazole has shown good effect in patients suffering from reflux esophagitis.

Domperidone-Very effective in treating reflux esophagitis when combined with Rabiprazole.

Acotiamide-Trials showed that 30 mg doses taken for 3 month thrice daily were highly effective in treatment of of functional dyspepsia.The positive effect of acotiamide on both gastric emptying and gastric accommodation,Gastric accommodation and gastric emptying in acotiamide group were significantly enhanced in people taking it.

Baclofen- Normally used for cerebral palsy patients and patients with other neuromuscular diseases.It has been successfully used in patients with reflux. It may decrease the frequency of relaxations of the lower esophageal sphincter and therefore decrease's reflux.

Please discuss all these options with your gastroenterologist.

Apart from that drastic life style modification and dietary changes are required-
-Firstly stop taking soda or any aerated beverage.
-Food and beverages like chocolates, fatty food, coffee, alcohol and peppermint should be avoided in order to reduce the weakening of the lower esophageal sphincter. Several food items irritate the damaged esophageal lining and should also be avoided. They include citrus fruits, tomato and pepper.
-Smoking cigarettes results in weakening of the lower esophageal sphincter and should be stopped to reduce reflux.
-Take about 30 grams of fiber daily in your diet.Eat one cup of fresh fruits(except banana) and half bowl of green salad daily; this will meet your extra total fiber requirement. Avoid citrus fruits as they can increase symptoms.
- Avoiding alcohol.
-Exercise daily for 20 minutes at least.
-Avoid oily and spicy food.
-Drink COLD milk.
-Yogurt is a very good natural source of probiotic take it daily.

Adhering to both medicines and Strict life style changes will help you in long term.
Last but not the least, Keep yourself fully motivated.

As per your query Mayo clinic is good hospital in US.
I hope I was helpful. I am happy to help if you have follow-up questions.

Regards.

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Brief Answer:
Follow up answer.

Detailed Answer:
Hi again,

As per our query Peppermint should be avoided in gastritis and reflux esophagitis.
Yes citrus fruits contains citric acid which increases acidity,Hence should be avoided.
Banana is good but some patient feel increase in cramping and abdominal pain,So in general can be avoided.
Fruits good are-
Watermelon,Muskmelon,Guava,Plums,Kiwi,Apple(red),Pears.

Regards

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Brief Answer:
Follow up answer.

Detailed Answer:
Hello again,
As per your query.
No, symptoms of esophagitis are not related to biopsy or nuclear tests.Increased esophagitis after biopsy can just be a co incidence.However mild inflammation of the site of biopsy can be caused due to radioactive XXXXXXX But it usually settles down on its own.However Mild anti inflammatory like paracetamol can be taken for few days to subside increased inflammation of biopsy site.Its rare but some times rare thing happens in medical science.

Advice
Follow all instruction given by me.
Take paracetamol for 2 days.

Follow up after a week.
In case you have any other query,I would feel glad to answer.
Regards.

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Brief Answer:
Follow up answer.

Detailed Answer:
Hello dear,
Cyrafate and Mylanta contain sucrafate and antacid.So yes you can take anti inflammatory paracetamol with it
Medical services in thailand are not at par with developed nations.So i don't think you can expect a miracle in thailand.
I have a request.
Please follow whatever i suggested for 14 days and report to me how are you feeling.

Regard

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