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Suggest treatment for symptoms of GERD

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Posted on Fri, 3 Feb 2017
Question: I am have hot sensation burning in my stomach, pain, chest pain, stomach growling and constipation, feeling burning in my throat.. The GI upper endoscopy spy I did november 10 2016 . The report was Mild antral gastritis, I was told to avoid alcohol, Smoking, hot and spicy food, coffee, and cola drink which I have followed the advice till date. I still have the same burning, pain, and weight lost . Please doctor what must I do for further investigation?
doctor
Answered by Dr. Ramesh Kumar (39 minutes later)
Brief Answer:
GERD with gastritis and esophagitis!NO further investigation initially!

Detailed Answer:
Hi,

Most likely your symptoms are because of Gatro esophageal reflux disease (GERD),It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe . The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat.Both acid reflux and heart burn are a part of GERD.The presence of gastritis has proved additive to your symptoms.
Advice
Ask your gastroenterologist to increase the dose of pantroprazole or esomeprazole,Pantoprazole can be used in dosage as high as 40 mg twice daily ,Ash him to add Domepridome 30mg slow release once daily,This will slow down the reflux of acid back and would provide symptomatic relief.An antacid containing local anaesthetic could be added to drug regimen.Acotiamide is a new drug and is very effective in controlling symptoms of GERD and esophagitis.In trials- Acotiamide,a gastrointestinal motility modulator,at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.
All these drugs can be considered by your gastroentrologist to provide you with symptomatic relief.

Apart from medicines few other life style changes are adviced-
- Increase XXXXXXX warm water intake
- Do not drink water during and after meals
- Eat small meals (rich in fiber),Avoid spicy,oily and heavy meals.
- Eat plentiful "fresh oranges" and "pear "
- Drink COLD milk and and AVOID junk food.
- avoid beverages / alcohol/ soft drinks
- do some exercise early in the morning
- avoid carbonated drinks

No further investigations are adviced at present;Ask your gastroenterologist to take the suggestions and follow them for 21 days;If not relieved a upper G.I endoscopy can be repeated.

Thank you!

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (19 hours later)
Thanks Doctor for your response,

I went yesterday for for H Phylori test the doctor told me on phone that the result shows positive, Here are my question now.
1) Is gastritis manageable with treatment.
2)Is it curable with the prescribe medication.
)Is there any further test to be done for accurate result and treatment.
doctor
Answered by Dr. Ramesh Kumar (17 hours later)
Brief Answer:
Yes fully treatable and curable!

Detailed Answer:
Hi
Yes gastritis caused by H.pylori is fully managebale and treatable ;Take the medicines prescibed by your gastroentrologist for 3 months.
At present as it is H.pylori diagnosed gastritis no further tests are recommended.
Just take the medicines for 3 months.

Advice
follow up after 3 months!

Thanks


Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2643 Questions

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Suggest treatment for symptoms of GERD

Brief Answer: GERD with gastritis and esophagitis!NO further investigation initially! Detailed Answer: Hi, Most likely your symptoms are because of Gatro esophageal reflux disease (GERD),It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe . The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation in throat.Both acid reflux and heart burn are a part of GERD.The presence of gastritis has proved additive to your symptoms. Advice Ask your gastroenterologist to increase the dose of pantroprazole or esomeprazole,Pantoprazole can be used in dosage as high as 40 mg twice daily ,Ash him to add Domepridome 30mg slow release once daily,This will slow down the reflux of acid back and would provide symptomatic relief.An antacid containing local anaesthetic could be added to drug regimen.Acotiamide is a new drug and is very effective in controlling symptoms of GERD and esophagitis.In trials- Acotiamide,a gastrointestinal motility modulator,at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults. All these drugs can be considered by your gastroentrologist to provide you with symptomatic relief. Apart from medicines few other life style changes are adviced- - Increase XXXXXXX warm water intake - Do not drink water during and after meals - Eat small meals (rich in fiber),Avoid spicy,oily and heavy meals. - Eat plentiful "fresh oranges" and "pear " - Drink COLD milk and and AVOID junk food. - avoid beverages / alcohol/ soft drinks - do some exercise early in the morning - avoid carbonated drinks No further investigations are adviced at present;Ask your gastroenterologist to take the suggestions and follow them for 21 days;If not relieved a upper G.I endoscopy can be repeated. Thank you!