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    Suggest treatment for severe gastritis and acid reflux

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Posted on Mon, 24 Jul 2017 in Digestion and Bowels
Question: My mom aged 60 years has acidity problem, burning sensation in upper stomach region from mouth to stomach since 9 month.

My mom is psychiatrist patient since last 10 years.
She is currently taking following medication on consultation of psychiatrist since 2 year :-

ZAXPAM 10,
DOXIN 75,
DEPRAN 10,
TRIJEE -H,
REJUVATE OD,
CIPCAL 500.

All tablets dosage is one daily.
As per her mental condition she is alright but she has problem of constipation since she started the medication of depression, i.e. almost 9 years.

For constipation she is taking:-
BISACODYL 5mg ocassionally.

For soothing burning sensation or acidity, she was taking RABEPRAZOLE SODIUM 20mg, since a month but after stopping this medication burning sensation again started.


Kindly suggest medication that can be taken regular or any alternate method or life style.
doctor
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Gastritis and acid reflux.

Detailed Answer:
Hi,
Thanks for query.

You mother is suffering from severe gastritis and acid disorder.

As the name suggests ACID REFLUX should be treated in two phases-
1)Control production of acid-For which she isxhaving Rabeprazole.
2)To prevent the acid formed inside stomach to reflux back into esophagus-(This part of treatment is not covered by your doctor)-I would suggest you to add Levosulpiride. It is a prokinetic drug and is very effective in controlling reflux of acid back into esophagus.A better way is to take it with Rabeprazole trials have shown that its very effective when combined with Rabeprazole.

3)Sucralfate is used to treat and prevent ulcers.Sucralfate works by forming a coating' over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach 1 hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers.
General precautions for her-
Follow a bland diet (low acid levels, low in fat, not spicy)
Eat frequent, small meals.
Lose weight.
Avoid the use of alcohol, tobacco, and caffeine.
Do not eat food less than 2 hours before bedtime.
Raise the head of the bed before sleeping.
Avoid clearing of the throat.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar 19 minutes later
Thank you sir, Mom has no problem of ulcer.

kindly suggest brand name of medicine available in market for S.No 1 & 2 as suggested by you.

Its daily dosage and how long it can be taken without any major side effect.
doctor
Answered by Dr. Ramesh Kumar 59 minutes later
Brief Answer:
Follow up.

Detailed Answer:
Hi again,
Capsule Rablet L once daily.It can be taken for 21 days.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2436 Questions

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