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Suggest Treatment For GERD
Question: GERD
Friday morning about 2:00 a.m. stomach acid suddenly came to my mouth while wearing an ASV mask in bed. I rushed to the bathroom and spit into the toilet. After this I rinsed my mouth repeatedly and took liquid anti-acid, and brushed my teeth and tongue to improve the taste.
This (Friday) evening we ate out and (Like a fool!) I ate two rings of raw white onion with a hamburger plus several onion rings. About five hours later GERD in the form of heartburn started bothering me. I took liquid anti-acid and about an hour later also took Nexium.
I have Type 2 diabetes, 40% kidney usage, hypertension, weigh 232 pounds, 6' 2" tall, I am not as active as I should be.
What do you recommend, if anything tonight? What is the normal maximum dosage for Nexium?
Thank you,
xxxx xxxx
PH: 000.000.0000
E-mail: YYYY@YYYY
Friday morning about 2:00 a.m. stomach acid suddenly came to my mouth while wearing an ASV mask in bed. I rushed to the bathroom and spit into the toilet. After this I rinsed my mouth repeatedly and took liquid anti-acid, and brushed my teeth and tongue to improve the taste.
This (Friday) evening we ate out and (Like a fool!) I ate two rings of raw white onion with a hamburger plus several onion rings. About five hours later GERD in the form of heartburn started bothering me. I took liquid anti-acid and about an hour later also took Nexium.
I have Type 2 diabetes, 40% kidney usage, hypertension, weigh 232 pounds, 6' 2" tall, I am not as active as I should be.
What do you recommend, if anything tonight? What is the normal maximum dosage for Nexium?
Thank you,
xxxx xxxx
PH: 000.000.0000
E-mail: YYYY@YYYY
Brief Answer:
Life style changes with medicine in optimal doses.
Detailed Answer:
Hello,
Thanks choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.
Proper life style changes and medications should be taken.
Esomeprazole can be used in the dosage as high as 80-160 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. However i would suggest you to take 80 mg twice daily doses.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.This would act like a game changer in your case as it would prevent acid regurgitation back into esophagus.
However if still not relieved take Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily for 21 days.
Avoid-
Dairy products, which contain sugar lactose that causes gas.
Vegetables, including onions, radishes, cabbage, celery, carrots, brussel sprouts, broccoli, cauliflower and legumes.
Fruit sugar, which is especially high in prunes, raisins, bananas, apples, apricots and fruit juices from prunes, grapes and apples
Fiber.
Fatty foods and carbonated drinks.
Try Eating more fermented foods. These are rich in both good bacteria and enzymes you can try raw natto kefir or cultured veggies. This is probably one of the most important first steps.
Take a high-quality probiotic.
Take external enzyme supplements.
Exercising, to help keep food moving through your system.
Using spices that may help to prevent flatulence. These include turmeric, coriander, peppermint, fennel, sage, chamomile and ginger.
Hope i answered your query in details and hope you understood my explaination.
In case you have more doubts feel free to ask.
Life style changes with medicine in optimal doses.
Detailed Answer:
Hello,
Thanks choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.
Proper life style changes and medications should be taken.
Esomeprazole can be used in the dosage as high as 80-160 mg twice daily.Trials have shown that esomeprazole is superior to other PPI's in controlling reflux symptoms. However i would suggest you to take 80 mg twice daily doses.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.This would act like a game changer in your case as it would prevent acid regurgitation back into esophagus.
However if still not relieved take Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily for 21 days.
Avoid-
Dairy products, which contain sugar lactose that causes gas.
Vegetables, including onions, radishes, cabbage, celery, carrots, brussel sprouts, broccoli, cauliflower and legumes.
Fruit sugar, which is especially high in prunes, raisins, bananas, apples, apricots and fruit juices from prunes, grapes and apples
Fiber.
Fatty foods and carbonated drinks.
Try Eating more fermented foods. These are rich in both good bacteria and enzymes you can try raw natto kefir or cultured veggies. This is probably one of the most important first steps.
Take a high-quality probiotic.
Take external enzyme supplements.
Exercising, to help keep food moving through your system.
Using spices that may help to prevent flatulence. These include turmeric, coriander, peppermint, fennel, sage, chamomile and ginger.
Hope i answered your query in details and hope you understood my explaination.
In case you have more doubts feel free to ask.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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