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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes acid reflux and post nasal discharge?

Hi, It s a long time I have been suffering from heart burn. I was on PPIs for about 6 years. Previously I discontinued therapy after 2 years and I was symptom free for about 6 months. But now even on omeprazol 20 daily , I have heart burn, regurgitation, heavy post nasal discharge, and halitosis. When I become upset or anxious bad breath smell bothers me. I care about my life style but i think there are more modifications I should do. Please guide me about changing the drug or diet or maybe something else Thanks
Mon, 21 Aug 2017
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General & Family Physician 's  Response
Hello Dear. Nasal discharge may be due to upper respiratory infection. You need to take a course of antibiotics. With respect to acid reflux you need to follow strict lifestyle tips

1. Do not eat spicy food
2. Take medications without fail as prescribed by your doctor
3. Take little food at frequent intervals. Breakfast around 8am, small snack at 11am, lunch at 1pm, small snack at 4pm and dinner at 8pm
4. Drink plenty of water
5. Do not smoke, take alcohol or tobacco and even excess of coffee and tea
6. Do not take much of stress. Stress aggravates gastritis
7. Do regular exercise. Atleast half an hour per day
8. Learn meditation techniques
9. Follow this regularly for 21 days. It is said that anything you practice regularly for 21 days becomes a habit

with regards- Dr Sanjay Kini
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