
Doctor, I Am 39 Year Old Male. I Am Writing

Acute flare up of gastritis.
Detailed Answer:
Hello and thanks for choosing Ask a Doctor service for your query dear,
Have seen your details,
Firstly Nexium 20mg twice daily is a suboptimal dose for an adult.Minimum recommended dose is 40 mg twice daily.
Secondly antibiotics increases acidity by many folds therefore when ever a patient is on antibiotics optimal doses of antacids are recommended.
As off now you seems to be in acute phase of severe gastritis.
Recommendations are-
Nexium can be used in the dosage as high as 80 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. Also, request your doctor to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back from stomach into esophagus.Prokineic should be added in your regimen.
An antacid containing local anesthetic (Mucaine gel ) should be taken 2tsf thrice daily.
Acotiamide is another wonderful new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.
All these drugs should be given by your gastroenterologist to provide you with relief in your problem.
Once relieved follow a normal diet with optimal doses of medicine.
Its not necessary to eat bland food however foods like junk food over spicy and oily foods should be avoided.
Avoid carbonated beverages alcohol and smoking.
Eat home cooked food.
Things would be in control.
Hope i was helpful,
Follow ups are welcome,
Thank you!

Follow up.
Detailed Answer:
Hi again,
Rabeprazole would prevent formation of excessive acid in stomach while Domperidon would prevent reflux of acid back into esophagus.Both have separate actions and work with each other.
Unless proper medications would be taken along with life style modification there would be flare up of gastritis.
Its not curable but fully controllable so need not to worry too much.
You just need proper medications in optimal doses.
Thank you!



Follow up answer.
Detailed Answer:
Hello again my dear,
Yes indigestion could be a result of reflux of acid.
Digestion is a complex process which starts from mouth and ends up at anal pore.
Reflux of acid back changes the Ph of mouth hence many enzymes get deactivated.In the same way excessive acid may enter duodenum causing deactivation of enzymes.
So yes proper medication is necessary for proper digestion.
Hope i was helpful,
Thank you.

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