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Suggest Treatment For Acid Reflux And Heartburn
Question: I have acid reflux (Gerd) I am experiencing heartburn constantly especially after eating. I am taking some products that were given to me by a naturopathic practitioner (Digest Select, Gastro Select, Pro Fiber Select, and a Bitter Compound). Sometimes it seems to help but for the past couple of weeks I am still experiencing indigestion, acid bubbling up in my throat, and heartburn. I don't know what else to do. Can you help?
Brief Answer:
Take antacid with proton pump inhibitor in combination with Domperidone.
Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
Have gone through your details and I appreciate your concern.
Your symptoms are because of Gastroesophageal reflux disease (GERD). It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe. The backwash irritates the lining of your esophagus and causes, heart burn, chest pain and intense burning sensation in the throat. Both acid reflux and heart burn are a part of GERD.
Advice
Please request your gastroenterologist to start you on PPI-antacids like Pantroprazole or Esomeprazole. Pantoprazole can be used in the dosage as high as 40 mg twice daily. Also, request him/her to add Domperidone 30mg slow release once daily. This will slow down the reflux of acid back and would provide symptomatic relief.
An antacid containing local anesthetic (Mucaine gel or peptobismol) could be added to the drug regimen.
Acotiamide is another new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.
All these drugs can be considered by your gastroenterologist to provide you with symptomatic relief.
Start taking a probiotic twice daily for proper digestion of food.
Apart from medicines few other lifestyle changes are advised-
- Increase XXXXXXX warm water intake
- Do not drink water during and after meals
- Eat small meals (rich in fiber), avoid spicy, oily and heavy meals.
- Avoid juices of citrus fruits like oranges.
- Drink COLD milk and AVOID junk food.
- avoid beverages/alcohol/soft drinks
- do some exercise early in the morning
- avoid carbonated drinks
As natural medicines are not helping you start initially with these medicines and as you start feeling better taper them off. You can continue taking your natural medicines with our therapy. Just separate the medicines by 15 minutes.
Follow the medication with lifestyle modification and you would feel much better in a day or two.
Hope I answered your query. In case you need any other clarification feel free to ask.
Thanks.
Take antacid with proton pump inhibitor in combination with Domperidone.
Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
Have gone through your details and I appreciate your concern.
Your symptoms are because of Gastroesophageal reflux disease (GERD). It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe. The backwash irritates the lining of your esophagus and causes, heart burn, chest pain and intense burning sensation in the throat. Both acid reflux and heart burn are a part of GERD.
Advice
Please request your gastroenterologist to start you on PPI-antacids like Pantroprazole or Esomeprazole. Pantoprazole can be used in the dosage as high as 40 mg twice daily. Also, request him/her to add Domperidone 30mg slow release once daily. This will slow down the reflux of acid back and would provide symptomatic relief.
An antacid containing local anesthetic (Mucaine gel or peptobismol) could be added to the drug regimen.
Acotiamide is another new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide, a gastrointestinal motility modulator, at a standard dose of 100mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.
All these drugs can be considered by your gastroenterologist to provide you with symptomatic relief.
Start taking a probiotic twice daily for proper digestion of food.
Apart from medicines few other lifestyle changes are advised-
- Increase XXXXXXX warm water intake
- Do not drink water during and after meals
- Eat small meals (rich in fiber), avoid spicy, oily and heavy meals.
- Avoid juices of citrus fruits like oranges.
- Drink COLD milk and AVOID junk food.
- avoid beverages/alcohol/soft drinks
- do some exercise early in the morning
- avoid carbonated drinks
As natural medicines are not helping you start initially with these medicines and as you start feeling better taper them off. You can continue taking your natural medicines with our therapy. Just separate the medicines by 15 minutes.
Follow the medication with lifestyle modification and you would feel much better in a day or two.
Hope I answered your query. In case you need any other clarification feel free to ask.
Thanks.
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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