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Suggest Treatment For GERD

Posted on Mon, 18 Apr 2016

Question: Dr XXXXXXX

Attached are pictures of prescription for all the medication I took for bloating.

Answered by Dr. Dr. Muhammad Sareer Khalil (7 hours later)

Brief Answer:
Prescription writing not understood

Detailed Answer:
Hello again.

Hope you have been better.

The description written is not comprehensible. I could not understand the writing of the individual that wrote this.

An alternative would be to upload the images of the medication that you used.

Wishing you best of health

Thanks

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (42 hours later)

Hello,

I have attached pictures of the medication.

Thank you

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again. I have answered your question in the previous query. I will re paste it here in case that was not posted to you.

Karbofin contains plant extracts and charcoal. It is used in mild to moderate dyspepsia. Duspatalin retard is mebeverine which is an anti spasmodic. Both Karbofin and Duspatalin retard are used in the management of irritable bowel syndrome.

As suspected the treatment for GERD (Gastro esophageal reflux disease) is inadequate and needs to be revisited. Karbofin and Duspatalin retard will not adequately suppress the acid produced in your stomach. You need to be on PPIs along with the adjuvant treatment that I explained in the previous answer.

Wishing you best of health

Thanks

Let me know if you have any query

Dr. M.S. Khalil

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (4 days later)

Hello,

I researched GERD and it seems like the number one symptom is heartburn and acid reflux but I don't suffer from that.

Could it be another disease?

Thank you

Answered by Dr. Dr. Muhammad Sareer Khalil (32 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Sorry for the late reply. Was stuck in a 14 hour ER shift duty.

The bloating can signify delayed gastric emptying. Barium studies can be advised. The hashimotos and hormone therapy also has a role that can affect this outcome. There is a possibility of an alternate cause. You should ideally consult a gastroenterologist regarding this.

Wishing you best of health

Thanks

Let me know if you have any query

Dr. M.S. Khalil

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