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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Symptoms Of GERD

I have difficulty swallowing in that my food gets stuck in esophogus and doesnt pass on into stomach. It causes me to suddenly have my food come back up and I feel like I'm going to choke. this is happening more and more frequently. I have appointment with gastroenterologist but it is a month or more away
Sat, 10 Sep 2016
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General & Family Physician,  's  Response
You have gastroesophageal reflux disease (GERD). In GERD, the contents of the stomach come back into the esophagus.There are several causes of GERD. One possible reason has to do with the muscle at the bottom of the esophagus. Normally, this muscle closes to keep food and stomach acid from coming back up the esophagus. In some people with GERD, this muscle does not always work right. GERD often causes heartburn, a burning feeling in the chest and throat. Heartburn may happen many times a week, especially after eating or at night.
Advice
1.     Omeprazole 20 mg per oral empty stomach in the morning for 10 days
2.     Domperidone 10 mg per oral when you feel nausea
3.     Avoid alcohol, smoking, spicy food, and non-steroidal pain killer, coffee, fatty foods, mint, chocolate, tomato-based foods
4.     Avoid eating 3 hours before lying down
5.     Raise the head of your bed
6.     Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day
7.     Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits
If you do not get relief after above measures then contact your doctor.
Thanks
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Suggest Treatment For Symptoms Of GERD

You have gastroesophageal reflux disease (GERD). In GERD, the contents of the stomach come back into the esophagus.There are several causes of GERD. One possible reason has to do with the muscle at the bottom of the esophagus. Normally, this muscle closes to keep food and stomach acid from coming back up the esophagus. In some people with GERD, this muscle does not always work right. GERD often causes heartburn, a burning feeling in the chest and throat. Heartburn may happen many times a week, especially after eating or at night. Advice 1. Omeprazole 20 mg per oral empty stomach in the morning for 10 days 2. Domperidone 10 mg per oral when you feel nausea 3. Avoid alcohol, smoking, spicy food, and non-steroidal pain killer, coffee, fatty foods, mint, chocolate, tomato-based foods 4. Avoid eating 3 hours before lying down 5. Raise the head of your bed 6. Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day 7. Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits If you do not get relief after above measures then contact your doctor. Thanks