Should I Up The Dose To Twice A Day For A Short Period For Hernia?

Posted on Mon, 3 Feb 2025

Question: Feels like food or something is stuck in the back of my throat even though I'm sure there isn't. I also have been burping alot. I had a scope two or three years ago and dr found hatial hernia and reflux. Is this just my reflux acting up. I take 20mg of omezerapole daily. Should I up the dose to twice a day for a short period?

Answered by Dr. Ramesh Kumar (3 hours later)

Brief Answer:
Domperidon should be added to 20 mg Omeprazole.

Detailed Answer:
Hello,
Have seen your details and I appreciate your concerns,
Very likely the reflux of acid back into the esophagus has eroded the soft mucosal layer causing you to feel as if something is sticking inside.
Omeprazole is a PPI and control the formation of acid but it does not prevent reflux of acid back into esophagus.
Domperidon 10 mg should be taken three times a day ideally along with Omeprazole to prevent reflux of acid back into esophagus for complete relief.
Domperidon is not over the counter so if it's not available taking Omeprazole 20 twice would help(by suppressing acid formation) but if you can manage add Domperidon to 20 mg Omeprazole.
Thank you!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ramesh Kumar (48 hours later)

Thanks for response also been experiencing a strange on and off again pain in the center upper abdomen the pain is sharp almost gnawi g type pain Is this also related to reflux

Answered by Dr. Ramesh Kumar (15 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hello again sir,
Yes these are all classical sign of GERD/Gastritis.
You should try the medications I suggested.
Take bland food for few days.
Regards!

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Above answer was peer-reviewed by : Dr. Nagamani Ng