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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Gastroeosopageal Reflux For 4 Years. Taking Medication, No Improvement. Suggestions?

I have gastresopageal Reflux For the Last 4 yr and I have try about 3 difference kind of medicine but know I am on dexilant and i have lost weight about 4week ago so she gave me some medicine call megestrol acet I been taken that for 3 week but it is mess with my acide flux I can' t keep food my down I was think about having surgery for my acide reflux
Tue, 16 Jul 2013
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Allergist and Immunologist 's  Response
Thanks for your query. Besides your medicines you need to improve your dietary habits. I advised you the following
•     Capsule Lansoprazole 30 mg (1+1) half hour before meal
•     Tablet Demperiodone 10 mg (1+1) fifteen minutes before meal
In addition to this you also
•     Take 2-3 sips of milk after every hour
•     Avoid spicy and chilly foods
•     Avoid coffee and alcoholic drinks
•     Avoid citrus fruits
•     Banana , melon and watermelon are very good for you to neutralize the acidity
•     Walk is necessary for you particularly at night after meal
•     Never go to bed immediately after food
•     Avoid constipation by taking some fibrous food. For this watermelon is suitable for you.
I would also advise you to take some mild tranquilizers like Alprazolam 0.25 mg at bed time
If you don’t get relief,plz let me know on pakheim@gmail.com pakheim@yahoo.com
Hoping that you will get benefit from my advice.
My prayers are with you.
Thanks and best regards.
Dr. IjazNasir
Chest Specialist and Head of Chest Department
Gulab Devi Chest Hospital Lahore



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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
In my opinion still there is no need of surgery as conservative treatment can cure this condition.
Endoscopy ( fresh report) will adjudge the exact nature of erosion if any in the effected parts.
In my opinion consult one more Gastro-enterologist and get his opinion ( 2nd one).
Sometimes change of medicine may cure you.
Good luck.
Dr. HET
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Suffering From Gastroeosopageal Reflux For 4 Years. Taking Medication, No Improvement. Suggestions?

Thanks for your query. Besides your medicines you need to improve your dietary habits. I advised you the following • Capsule Lansoprazole 30 mg (1+1) half hour before meal • Tablet Demperiodone 10 mg (1+1) fifteen minutes before meal In addition to this you also • Take 2-3 sips of milk after every hour • Avoid spicy and chilly foods • Avoid coffee and alcoholic drinks • Avoid citrus fruits • Banana , melon and watermelon are very good for you to neutralize the acidity • Walk is necessary for you particularly at night after meal • Never go to bed immediately after food • Avoid constipation by taking some fibrous food. For this watermelon is suitable for you. I would also advise you to take some mild tranquilizers like Alprazolam 0.25 mg at bed time If you don’t get relief,plz let me know on pakheim@gmail.com pakheim@yahoo.com Hoping that you will get benefit from my advice. My prayers are with you. Thanks and best regards. Dr. IjazNasir Chest Specialist and Head of Chest Department Gulab Devi Chest Hospital Lahore