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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Reflux, Coughing, Burning Throat. Prescribed Nexium. Have Anxiety And Depression

I have very bad reflux and recently make me coughing and my throat is burning all the time my Gp put me on the 40 mg nextium for two months i am nearly finishing my tablet, but my reflux has not settle yet still I have the symptoms I would like to know if I need to have a surgery? as I am on the strong anti acid medication and is not working much. I am suffering from anxiety and depression and I am not taking any anti depressent and not willing to do so. Many thanks for answering my qyery Best Regards, Azar Vickers
Wed, 27 Feb 2013
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General & Family Physician 's  Response
Hello Azar...
The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Nexium (esomeprazole),etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage.
4. Surgical treatment- includes Fundoplication, done when medical measures fail.

If symptoms still persist, it will be better to consult a Gastroenterologist.
There is no need to worry...you will be fine.
Wish you a good health & speedy recovery.
Thanks & Take care.
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Have Reflux, Coughing, Burning Throat. Prescribed Nexium. Have Anxiety And Depression

Hello Azar... The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Nexium (esomeprazole),etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage. 4. Surgical treatment- includes Fundoplication, done when medical measures fail. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care.