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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes acid reflux?

hi i weigh 130kg im 191cm tall and 35 years of age i suffer what we believe to re reflux.
But the tricky thing is its feels that its coming from the heart as i feel like a crazy beat from the heart for a couple of sec but ive been to see the heart specialist and he done some test and seems to think my heart is fine and prescribed nexium 40 mg what do you think?
Wed, 27 Aug 2014
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Hello dear,

Acid reflux or GERD is caused due to excess acid formation in stomach & relaxation of the sphincter at the lower part of esophagus.
Medical management consists of intake of Proton pump inhibitors like Esomeprazole (Nexium) which prevent acid formation in stomach.
So, kindly continue the medication as advised.

Additional management involves:
1. Intake of Domperidone preparations which strengthens the sphincter & prevents reflux.
2. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
3. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.

If symptoms still persist, it will be better to consult your treating Doctor/ Gastroenterologist.
Investigation like Ultrasound scan of abdomen & Upper GI endoscopy will be helpful in clinching the diagnosis.

Wish you a good health.
Take care.
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