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Suggest Treatment For GERD Along With Hiatus Hernia

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Posted on Wed, 24 Dec 2014
Question: Since one year I have been suffering from GERD as per the UPPER GI ENDOSCOPY REPORT(SLIDING HIATUS HERNIA WITH EROSIVE ANTRAL GASTRITIS) for which I have been prescribed ilapro 20mg am&pm apart from taking H2 blockers like zinatac300mg at night. I avoided spicy bitter, sour citrusfruits, pungent &fatty foods apart from Strictly follow diet Like Large Quantity Of Curd , Apple And NONFATTYFOODS. (But there is no relief what can I do .Pl. suggest XXXXXXX k
doctor
Answered by Dr. Dr Samir Patil (10 hours later)
Brief Answer:
add levosulpuride

Detailed Answer:
Hello,
I Have gone through the description you have provided.

The hernai is contributing to your GERD symptoms.
Also the diabetes might be worsening the symptoms as reduced gastric motility can be seen even in well controlled diabetes .

You are on an optimal dose of ilaprazole.
Ibwould suggest adding apro kinetic like levosulpuride which would help you with your symptoms.Consult your doctor for a prescription.

In addition to the dietary restrictions, I would advise to avoid lying down 3 hours after meals and raise the head end of your bed by 4 inches
Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr Samir Patil (3 days later)
especially midnight or in the morning after units and sometimes they also i very much worried about
doctor
Answered by Dr. Dr Samir Patil (7 hours later)
Brief Answer:
Antacids can be used for relief on an as required basis... Anxiety can worsen issue

Detailed Answer:
Hello,
You can also take an antacid like Gelusil which is available over the counter on an as required basis to help you with your symptoms.

Also, remember Anxiety will worsen these symptoms. So relax yourself and practice calming and mediation techniques, they can actually help quite a bit.

Regards
Dr Samir Patil
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Dr Samir Patil

Gastroenterologist

Practicing since :1997

Answered : 551 Questions

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Suggest Treatment For GERD Along With Hiatus Hernia

Brief Answer: add levosulpuride Detailed Answer: Hello, I Have gone through the description you have provided. The hernai is contributing to your GERD symptoms. Also the diabetes might be worsening the symptoms as reduced gastric motility can be seen even in well controlled diabetes . You are on an optimal dose of ilaprazole. Ibwould suggest adding apro kinetic like levosulpuride which would help you with your symptoms.Consult your doctor for a prescription. In addition to the dietary restrictions, I would advise to avoid lying down 3 hours after meals and raise the head end of your bed by 4 inches Hope this helps Do get back in case you have further queries Regards Dr Samir Patil