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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acid Reflux

I ve been taking PPIs for years and stopped a few days ago. The acid reflux is bad. I am trying antacids to combat the problem. They work for a short period and the reflux returns. My blood tests are normal. Should I restart the PPIs or continue antacids? I plan on seeing my Doctor soon for this issue. What do you recommend?
Mon, 16 Nov 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

Your acid reflux problem could be due to gastro-esophageal reflux disease.(GERD) which in turn could be because of improper functioning of upper gastro-esophageal sphincter.

You will need drugs with some precautions and this combined effect will helpful to you.

In my advise,you continue to take proton pump inhibitors (pantoprazole or lansoprazole) with prokinetic drugs (levosulpride) and antacids (digene gel or ranitidine 150 mg) which actually increases stomach emptying time along with effect on gasteoesophageal sphincter.

Apart from medication you need to follow certain listed things,

1) Avoid oily,spicy and high fiber diet and avoid eating with full stomach rather you eat small frequent meals.

2) Avoid taking rest for 2 hours after meal or you can walk slowly up to first 2 hrs of meal but don't walk fast.

3) You made regular eating pattern.Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty.

4) Do yoga and exercises regularly.

All this cumulative effect will be beneficial to you while treating for the GERD.

If your symptoms do not change even after 1 week of treatment then you should see gastro-enterologist for further advise.

Thanks and regards,
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Suggest Treatment For Acid Reflux

Hi, Welcome to health care magic, Your acid reflux problem could be due to gastro-esophageal reflux disease.(GERD) which in turn could be because of improper functioning of upper gastro-esophageal sphincter. You will need drugs with some precautions and this combined effect will helpful to you. In my advise,you continue to take proton pump inhibitors (pantoprazole or lansoprazole) with prokinetic drugs (levosulpride) and antacids (digene gel or ranitidine 150 mg) which actually increases stomach emptying time along with effect on gasteoesophageal sphincter. Apart from medication you need to follow certain listed things, 1) Avoid oily,spicy and high fiber diet and avoid eating with full stomach rather you eat small frequent meals. 2) Avoid taking rest for 2 hours after meal or you can walk slowly up to first 2 hrs of meal but don t walk fast. 3) You made regular eating pattern.Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty. 4) Do yoga and exercises regularly. All this cumulative effect will be beneficial to you while treating for the GERD. If your symptoms do not change even after 1 week of treatment then you should see gastro-enterologist for further advise. Thanks and regards,