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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Acid Reflex, Worse After Eating. Took Mini Pill Cerazette. What Is The Cure?

I suffer with acid reflux and the past week it's getting so bad it wakes me up in my sleep,I bolt up thinking I may be sick.
I have a fear of being sick.
I'm frightened to eat as the symptoms get worse after eating. But I've had acid reflux for years and it's not settling.was due to have endoscopy but so frightened of being sick I couldn't go through with it.i know I need to.
Have recently started the mini pill cerazette.
Hope you can advise!
Many thanks,Laura
Wed, 27 Nov 2013
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Psychiatrist 's  Response
Welcome to HCM!

I have gone through your question carefully and from that I feel that you have severe gastritis and acid reflux disease.
Most important thing to know is that it is one of the commonest problem seen in medical practice and it is well manageable condition. So, please do not worry so much, it is not required here. on worrying will only increase the acid secretion making the condition more bad.

You are on mini pill progesterone, which you should continue. Now for acid reflux, as it is getting bad and you were advice endiscopy, I think you should get it done, once for all. I'm almost use from my clinical experince that nothing major is going to turn out in that, ok.

You can however start with antacid: like, Esmoperazole , twice a. day before meals, this will reduce acid secretion.

Had I been treating you, I would like you to follow certain dietary instruction to get well soon. I think it will help you to eat small & frequent meals.
- increase salad in your diet
- take few sips of milk ( cold milk ) every half an hour
-3 -4 serving of fruits a day
- stop all kind of oily food ( including cakes, junk food, pastries, sweets) for some time, they increase indigestion
- stop smoking / and alcohol, if you consume them
Please start going for walks, this boosts your digestive system
I think you should get an ultra sound abdomen and lipid profile, liver function test done, to check if there is anything which is tretable.

Staying hungry will not help at all, it may increase acid production.

So, get the endoscopy, USG, and start medicine. Follow diet advice & you will get rid of acid reflux!

Hope the reply is useful
Feel free to ask more queries
Dr. Manisha Gopal.

I find this answer helpful
Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi thanks for your question.
GERD that is gastro esophageal reflux disorder is known symptom of acid peptic disease (APD) and Hiatus hernia. In both these conditions the lower esophageal sphincter is loose and allows reflux of gastric content which are usually acidic into esophagus resulting into symptoms of reflux disorder which are quiet troblesome. Endoscopy is the best way to diagnose cause for APD and hiatus hernia. There is no need to be afraid of endoscopy. Now days it is performed through, a very small flexible fibro optic endoscope. It takes hardly 5 minutes to complete the procedure. Procedure is not painful, only mild feeling of distension and discomfort is felt that too for 5 minutes only. If your still afraid of upper G I endoscopy the alternative is capsule endoscopy if you can afford (relatively costly) ,in which you have to swallow a capsule only, which scans all your gut. Mini pill is steroid and steroids increase acid put .Increase acid output aggravates the reflux disorder. Discuss with your physician some other way of contraception. Avoid spicy food. Cigarette smoking and alcohol are other aggregating factors. Try to avoid these if you’re using any one of them. Try to relax as tension is one of common cause of APD. Go for endoscopic procedure of your choice to diagnose cause of your reflux, so that your physician can manage the reflux disorder depending upon cause. Mean while you can take proton pump blocker like pantaperazole morning evening for relief of symptoms.
Hope this answers your question.
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Suffering From Acid Reflex, Worse After Eating. Took Mini Pill Cerazette. What Is The Cure?

Welcome to HCM! I have gone through your question carefully and from that I feel that you have severe gastritis and acid reflux disease. Most important thing to know is that it is one of the commonest problem seen in medical practice and it is well manageable condition. So, please do not worry so much, it is not required here. on worrying will only increase the acid secretion making the condition more bad. You are on mini pill progesterone, which you should continue. Now for acid reflux, as it is getting bad and you were advice endiscopy, I think you should get it done, once for all. I m almost use from my clinical experince that nothing major is going to turn out in that, ok. You can however start with antacid: like, Esmoperazole , twice a. day before meals, this will reduce acid secretion. Had I been treating you, I would like you to follow certain dietary instruction to get well soon. I think it will help you to eat small & frequent meals. - increase salad in your diet - take few sips of milk ( cold milk ) every half an hour -3 -4 serving of fruits a day - stop all kind of oily food ( including cakes, junk food, pastries, sweets) for some time, they increase indigestion - stop smoking / and alcohol, if you consume them Please start going for walks, this boosts your digestive system I think you should get an ultra sound abdomen and lipid profile, liver function test done, to check if there is anything which is tretable. Staying hungry will not help at all, it may increase acid production. So, get the endoscopy, USG, and start medicine. Follow diet advice & you will get rid of acid reflux! Hope the reply is useful Feel free to ask more queries Dr. Manisha Gopal.