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Suggest Treatment For GERD While On Pantodac And Domstal

Posted on Wed, 30 Aug 2017

Question: I am taking pantodac 40 mg and domstal 10 mg every day on empty stomach. If i discontinue this for 1 day then acidity returns. I was under treatment for GERD about a year back. I have started taking 1 capsule of pre/pro biotic every day , 1 capsule of spirulina every 3 days and 1 capsule of multi vitamin every 3 days. While my overall digestive health has improved - acidity problem remains. Are there any alternatives? If i continue the above medicines is there any side effects. Kindly advise.

Answered by Dr. Prof. Kunal Saha (3 hours later)

Brief Answer:
Lifestyle modification and stress reduction are important

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully that should help.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (4 days later)

Thanks Doctor. I am a vegetarian. No drinks, No smoking. Have lots of vegetables. And of course curd/buttermilk etc. Very less fried food. Still if i discontinue the medicine for 1 day i get acidity. Is there a way can avoid acidity without taking medicine or do any alternatives exist. thanksAlso last year in my medical check up in ultrasound they noted grade 2 fatty liver - i further reduced my fat intake but i started taking liv 52 DS...i did not want to take any medicine rather let my diet and habits reduce it.. i am looking for advise on how to avoid digestive problems without / with v less medicine

Answered by Dr. Prof. Kunal Saha (7 hours later)

Brief Answer:
Unless you have diabetes you need not worry

Detailed Answer:
Thanks for writing back. I would insist you to get your blood HbA1c level checked. It indicates a 3 monthly average level of blood glucose levels. Unless it is raised you need not do anything for the fatty liver. If the HbA1c level is raised, treatment for diabetes is all that would be needed in order to control the fatty liver. In either case it would be meaningless to take Liv 52.

Regarding the acidity problem, I would insist you to take Prodep (fluoxetine) as directed in the previous communication. Taking it for a couple of months should help in resolution of your problem.

Regards

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Above answer was peer-reviewed by : Dr. Kampana