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Suggest Treatment For GERD

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Posted on Tue, 17 Oct 2017
Question: My 68 year old sister recently told me she was suffering from Gerds. It has become so bad that she is on an inhaler. However when she was referred to the Gastro doc he told her there was nothing wrong with her intestine. She will go back to her GP next week. She trys to control her systems by following a diet for gerds patients. But that is hit or miss. She does not take any supplemental fiber or probiotic. When symptoms present themselves it is mostly on her left side and the only way to get through it is to lay down and rest. Would a supplemental fiber or a probiotic help her symptoms?
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Yes definitely they would.

Detailed Answer:

Hello,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.

As per your query most likely your symptoms are due to severe dyspepsia with Gastritis overlapped with acid reflux.

Role of probiotic-
the bacteria in our gut (mostly in the large intestine) in considered beneficial, helping us digest all kinds of food. The team of scientists, the bacteria inside our gut influences our maturation, immune system development, metabolism, and production of essential biocompounds. Moreover, it has been proven that a number of diseases are associated with changes in our gut bacteria, the gastrointestinal tract is a complex system that allows the body to digest and absorb food while moving wastes for excretion. For the intestinal tract to function properly, normal flora must be present. Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body, but also gain benefits from their hosts. For example, these microbes reside in the intestinal tract, where they receive nutrients for growth. Intestinal flora are found in both the large and small intestines.ntestinal flora might aid in food digestion to form other components. For example, Lactobacillus acidophilus creates lactic acid and hydrogen peroxide in the intestine during the digestive process as it breaks down food. The resulting products might serve other purposes as well, such as for immunity. Additionally, some intestinal flora might help with digestion by breaking down proteins or helping the body digest dairy products.


Secondly as the name suggests ACID REFLUX should be treated in two phases-
1)Control production of acid-For which he should take rabeprazole.
2)To prevent the acid formed inside stomach to reflux back into esophagus-I would suggest him to add Levosulpiride. Itis a prokinetic drug and is very effective in controlling reflux of acid back into esophagus.A better way is to take it with Rabeprazole trials have shown that its very effective when combined with Rabeprazole.So you can switch over to Rabeprazole from Delixant.
3)Sucralfate is used to treat and prevent l ulcers.Sucralfate works by forming a coating' over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach 1 hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers.
General precautions are-
Follow a bland diet (low acid levels, low in fat, not spicy)
Eat frequent, small meals.
Lose weight.
Avoid the use of alcohol, tobacco, and caffeine.
Do not eat food less than 2 hours before bedtime.
Raise the head of the bed before sleeping.
Avoid clearing of the throat.


Hope my answer was helpful.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Suggest Treatment For GERD

Brief Answer: Yes definitely they would. Detailed Answer: Hello, Thanks for choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concerns. As per your query most likely your symptoms are due to severe dyspepsia with Gastritis overlapped with acid reflux. Role of probiotic- the bacteria in our gut (mostly in the large intestine) in considered beneficial, helping us digest all kinds of food. The team of scientists, the bacteria inside our gut influences our maturation, immune system development, metabolism, and production of essential biocompounds. Moreover, it has been proven that a number of diseases are associated with changes in our gut bacteria, the gastrointestinal tract is a complex system that allows the body to digest and absorb food while moving wastes for excretion. For the intestinal tract to function properly, normal flora must be present. Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body, but also gain benefits from their hosts. For example, these microbes reside in the intestinal tract, where they receive nutrients for growth. Intestinal flora are found in both the large and small intestines.ntestinal flora might aid in food digestion to form other components. For example, Lactobacillus acidophilus creates lactic acid and hydrogen peroxide in the intestine during the digestive process as it breaks down food. The resulting products might serve other purposes as well, such as for immunity. Additionally, some intestinal flora might help with digestion by breaking down proteins or helping the body digest dairy products. Secondly as the name suggests ACID REFLUX should be treated in two phases- 1)Control production of acid-For which he should take rabeprazole. 2)To prevent the acid formed inside stomach to reflux back into esophagus-I would suggest him to add Levosulpiride. Itis a prokinetic drug and is very effective in controlling reflux of acid back into esophagus.A better way is to take it with Rabeprazole trials have shown that its very effective when combined with Rabeprazole.So you can switch over to Rabeprazole from Delixant. 3)Sucralfate is used to treat and prevent l ulcers.Sucralfate works by forming a coating' over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach 1 hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers. General precautions are- Follow a bland diet (low acid levels, low in fat, not spicy) Eat frequent, small meals. Lose weight. Avoid the use of alcohol, tobacco, and caffeine. Do not eat food less than 2 hours before bedtime. Raise the head of the bed before sleeping. Avoid clearing of the throat. Hope my answer was helpful.