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Suffering from acidity, haven't taken any medication. Suggest?

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General Surgeon
Practicing since : 1979
Answered : 2457 Questions
Hello Dr am suffering from acidity. I haven't taken any medication from past 7 years.
pls advice..
Posted Wed, 2 Oct 2013 in GERD
Answered by Dr. M Y Shareef 1 hour later
Brief Answer:
Life style modification along with medicines.

Detailed Answer:
Hi XXXXXXX ! Good evening. I am Dr Shareef, a general surgeon answering your query.

It is perplexing to learn that inspite of suffering from acidity, you have not had any medication from past 7 years. Does it mean that you were on some medications before 7 years ? Is it so that because of the low intensity of the symptoms, you did not consider for any treatment ?

Whatever may be the reason, if I would have been your treating doctor, I would advise a few life style management points to reduce your symptoms like:
1) Avoid eating from outside
2) Avoid hot,spicy,oily and fried food as these are known to increase the symptoms of acidity. Also avoid aerated drinks. A must to avoid is smoking or alcohol if you consume, as both these are proved to increase acid secretion, and impair proper functioning of the gastro-esophageal sphincter resulting in regurgitation of acid and food causing acidity.
3) Add a lot of roughage and enough liquids in your diet.
4) Instead of eating a heavy meal, you can divide your meals into several parts and consume it at regular intervals (for example, you can divide your three meals into six parts, and have it at regular intervals). This will not make you feel heavy, or bloated, and also reduce the regurgitation of food or acid because of no pressure from a full and bloated stomach.
5) Please do not lie down immediately after meals. Instead you can read or watch television in an upright posture for some time before going for bed.
6) Make the head end of the bed elevated with the help of wooden blocks/bricks so that while lying also your esophagus and stomach are in a position of gravity, and the food particles and acid will not regurgitate so easily in this posture.
7) Go for a regular exercise programme, like a morning walk or jog depending on your capability and medical condition if any.

All of the above will help you go a long way in controlling your symptoms to a great extent.

Following the above measures, I would have then prescribed you some medications like a proton pump inhibitor, a prokinetic agent, and a probiotic to control your remaining symptoms and give you a long term relief. I would also regulate the dosages of these medications depending on your response to these. You would also be advised to continue these medicines for a prolonged period because of the chronicity of your problem.

I would also advise you for some basic routine test like CBC, Blood Sugar, ESR, urine and stool test for ova and cyst and an ultrasound of abdomen.

Amebiasis is known to be a common infection of the intestines in developing countries specially for those who eat from outside in an unhygienically maintained hotels/restaurants, where public health precautions are not observed very strictly either due to ignorance or due to negligence. Chronic amebiasis also gives rise to acidity like in your case, and a course of antiamebic drug may cure the condition well, but it will recur if the dietary precautions as mentioned are not observed. Ultrasound abdomen would exclude any other associated intra abdominal pathology like gall stone disease.

If none of the above helps you, then I would have thought of referring you to a gastro enterologist for some special investigation like an endoscopy to see if there is non healing gastric/doudenal ulcer, or any other esophageal spinchter problem due to a unsuspected possible hiatal hernia. Accordingly the management will be different.

I do not know if any such investigations have been done for you till date or not.
If done, it will be helpful if you can just let me know the results of those.

I hope I have answered your query. However if you have got any further questions, you are free to ask again.

Thank you for choosing the XXXXXXX forum for your health query. All the best.

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