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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can GERD Be Treated?

Sir, I have been diagnosed with GERD, H.Pylori gastritis with intestinal metaplasia. My Gastroentrologist prescribe me with Pantocid -HP tablets which contain Carythromycin-500mg, amoxicillin-750 mg and potassium clavulalate-125 mg, pantropazole-40mg.These tablets are being taken twice-in the morning and in the evening in empty stomach.Please, tell me the line of treatment for my illnesses from your side.
Mon, 28 Jul 2014
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General Surgeon 's  Response
Hi ! Good morning. I am Dr Shareef answering your query.

Regarding the GERD aspect the following might prove to be helpful:

1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.
2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food
3) Regular routine exercises like morning walk depending on your medical fitness.
4) Prescription for a prokinetic agent and a proton pump inhibitor (Pantocid, which you are already on) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.
5) A routine blood sugar test both fasting and post prandial.
6) The present treatment with all the drugs mentioned would clear you of H Pylori infection as might have been explained to you by your treating doctor.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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How Can GERD Be Treated?

Hi ! Good morning. I am Dr Shareef answering your query. Regarding the GERD aspect the following might prove to be helpful: 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor (Pantocid, which you are already on) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. 5) A routine blood sugar test both fasting and post prandial. 6) The present treatment with all the drugs mentioned would clear you of H Pylori infection as might have been explained to you by your treating doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.