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Suggest Treatment For GERD
Question: Dear Sir
Hope you are doing well. I am having GERD and am taking medication prescribed by you since 3rd July 2017 i.e. 3.5 months.
Below is list of your prescribed medicines
1. Rablet L - Once mormning empty stomach
2. Acogut 100 mg - Thrice before meal
3. Econorm - Thrice before meal
4. Pankreoflat - Thrice before meal
5. Mucaine Gel - Thrice before meal
My overall improvement is 9 out of 10 now. Please advise if I need to taper the medicines now
Hope you are doing well. I am having GERD and am taking medication prescribed by you since 3rd July 2017 i.e. 3.5 months.
Below is list of your prescribed medicines
1. Rablet L - Once mormning empty stomach
2. Acogut 100 mg - Thrice before meal
3. Econorm - Thrice before meal
4. Pankreoflat - Thrice before meal
5. Mucaine Gel - Thrice before meal
My overall improvement is 9 out of 10 now. Please advise if I need to taper the medicines now
Brief Answer:
follow up.
Detailed Answer:
Hi Good to hear that you are feeling much better now,
I would suggest the following medication for next two weeks-
Cap Rablet l once daily
Cap Econorm twice a day
Cap Pankreoflat twice daily.
Tab Acogut 100 mg twice daily.
Mucaine gel twice daily.
Follow up after a week if situation remains in control we would continue the same regimen for next 4 weeks.
Thanks!
follow up.
Detailed Answer:
Hi Good to hear that you are feeling much better now,
I would suggest the following medication for next two weeks-
Cap Rablet l once daily
Cap Econorm twice a day
Cap Pankreoflat twice daily.
Tab Acogut 100 mg twice daily.
Mucaine gel twice daily.
Follow up after a week if situation remains in control we would continue the same regimen for next 4 weeks.
Thanks!
Above answer was peer-reviewed by :
Dr. Prasad
Thanks for the reply. Have 2 more questions
1. Is it natural to lose weight during GERD as I have lost nearly 6 kilos during last 5 months i.e. from 91kg to 85kg
2. I get bloating sensation and movement in stomach during certain instances which happen all of a sudden ...like a mild shock or when i am little anxious or surprised. for e.g. when I apply sudden brakes while driving and feel anxious because of it etc. Is it natural?
3. I feel little breathlessness when I exert too much lile running etc while having a bloated stomach.
1. Is it natural to lose weight during GERD as I have lost nearly 6 kilos during last 5 months i.e. from 91kg to 85kg
2. I get bloating sensation and movement in stomach during certain instances which happen all of a sudden ...like a mild shock or when i am little anxious or surprised. for e.g. when I apply sudden brakes while driving and feel anxious because of it etc. Is it natural?
3. I feel little breathlessness when I exert too much lile running etc while having a bloated stomach.
Brief Answer:
follow up.
Detailed Answer:
Hello again dear,
See GERD is a problem related with your gut.
Main function of gut is to digest and absorb food properly.
1)
Due to GERdD(Severe in your case) all three including digestion absorption and appetite is affected so drop in weight is something normally seen in patients.
2)
Most likely due to overthinking and anxiety you are having such sensations.
Try to avoid thinking too much about it.
If despite of trying you can't overlook these thoughts then you can consult a Pyschiatrist for the same.He would start you on low doses of SSRI's which would help you to reduce obsession and anxiety.
You need to get a prescription for SSRI paroxetine 12.5 mg once daily.
This will make your mind calm and slowly your anxiety levels would return back to normal.
3)
If breathlessness is there while running then i would suggest you to go for-
2d echo- to rule out cardiac involvement.
Pulmonary function test-To rule out respiratory involvement.
If both are normal then you need not to do anything.It will settle down by itself with medications you are already on.
Regards!
follow up.
Detailed Answer:
Hello again dear,
See GERD is a problem related with your gut.
Main function of gut is to digest and absorb food properly.
1)
Due to GERdD(Severe in your case) all three including digestion absorption and appetite is affected so drop in weight is something normally seen in patients.
2)
Most likely due to overthinking and anxiety you are having such sensations.
Try to avoid thinking too much about it.
If despite of trying you can't overlook these thoughts then you can consult a Pyschiatrist for the same.He would start you on low doses of SSRI's which would help you to reduce obsession and anxiety.
You need to get a prescription for SSRI paroxetine 12.5 mg once daily.
This will make your mind calm and slowly your anxiety levels would return back to normal.
3)
If breathlessness is there while running then i would suggest you to go for-
2d echo- to rule out cardiac involvement.
Pulmonary function test-To rule out respiratory involvement.
If both are normal then you need not to do anything.It will settle down by itself with medications you are already on.
Regards!
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Kampana
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