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Suffering From Acid Reflux Or Acidity Issues Since 15-20 Years

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Posted on Fri, 28 Jun 2024
Question: I have acid reflux
Or acidity issues since 15-20 years.
Some years are better some are worse
I am 42 years

When I lie after food
The food comes in my throat and I feel spices in my throat

And I start cough

Now I have headache also

I just took nexus 40mg.

What medication combination I need to take

doctor
Answered by Dr. Ramesh Kumar (34 hours later)
Brief Answer:
Please go through detailed answer.

Detailed Answer:
Hello,
You are suffering from GERD.
The problem is there because of incomplete management.
GERD management consists of two step-
1)Control acid production-Just taking nexus in 40 mg doses wont help.Minimal dose is 40 mg twice a day cab be increased to 80 mg twice a day.

2)Prevent reflux of acid formed back to esophagus-This part is completely overlooked by your Gastro.
Ask him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back.Prokineic should be added in your regimen.

An antacid containing local anesthetic (Mucaine gel ) should be taken 2tsf thrice daily.
I think this would control your problem.
I case you have any query feel free to follow up.
Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Suffering From Acid Reflux Or Acidity Issues Since 15-20 Years

Brief Answer: Please go through detailed answer. Detailed Answer: Hello, You are suffering from GERD. The problem is there because of incomplete management. GERD management consists of two step- 1)Control acid production-Just taking nexus in 40 mg doses wont help.Minimal dose is 40 mg twice a day cab be increased to 80 mg twice a day. 2)Prevent reflux of acid formed back to esophagus-This part is completely overlooked by your Gastro. Ask him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic)slow release once daily. This will slow down the reflux of acid back.Prokineic should be added in your regimen. An antacid containing local anesthetic (Mucaine gel ) should be taken 2tsf thrice daily. I think this would control your problem. I case you have any query feel free to follow up. Regards.