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Suggest Treatment For Breathing And Swallowing Difficulty When Diagnosed Severe Reflux Esophagitis

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Posted on Mon, 3 Aug 2015
Question: Dear concerned specialist,

I was diagnosed with Severe Reflux Esophagitis as of my endoscopy.

my worst symptom is breathing difficulty, feel food and liquid coming back up.

My doctor gave me Omeprazole 20 mg to take. I have taken it for 3 weeks so far.

how long does it take this medication effect?

what can I do to swallow food easier without coming back in meantime?

is there any diet recommended?

Best Regards,

XXXX
doctor
Answered by Dr. Dr. Klerida Shehu (2 hours later)
Brief Answer:
Following answer to your query.

Detailed Answer:
Hi and thank you for asking!
I read carefully all your concerns and I am sorry for the situation you are in.

You are reporting to suffer from sever acid reflux (GERD) and to this point I would like to say that:
1. It usually needs 2 weeks of treatment with omeprazole before seeing any improvement. You have started it three weeks ago and the improvement would have been present now.
2. If you were my patient I would suggest increasing the omeprazoel dosage up to 40 mg in the morning and 40 mg in the evening (half hour before breakfast and dinner) for 8 weeks.

Moreover I would like to suggest you changing your lifestyle. The most recommended lifestyle changes are:
- To eat often and small portions of meal
- Try to eat 3-4 hours before lying down to bed
- Use antacids 1.5 hours after meal
- Use two pillows when you are sleeping
- Avoid coffee, chocolate, tea and carbonated drinks
- Avoid spicy, fatty and chilly foods
- Increase your physical activity
- Avoid unnecessary stress

Hope this was of help!
Wish you health!
Dr. klerida
p.s: If you have more questions, please don’t hesitate to ask me again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Klerida Shehu (22 hours later)
Hi again,

Thanks for your informative answer.

Do you suggest me to increase my omeprazole dosage to 80 (40 in morning and 40 at night)? if so, for how long from now I should do that?

What anti-acid you suggest me? what you mean by taking anti-acid 1.5 hours after meal?

I am also having breathing difficulties. can be due to reflux disease? how should I treat it then?

Do you think drinking water right after meal can reduce symptoms of reflux?

Best Regards,

XXXX



doctor
Answered by Dr. Dr. Klerida Shehu (18 hours later)
Brief Answer:
Following advice...

Detailed Answer:
Hi back,

If you were my patient I would like to suggest treatment with omeprazole 80 mg per day (40mg in the morning and 40 mg in the evening) for 5 weeks from now. After that time you need clinical / endoscopic evaluation to decide the following treatment.

With regard to antacid treatment I would like to suggest taking 1 tablet of MALOX 90 min after each meal.

You are reporting to have breathing difficulties; it can be due to acid reflux. It will improve together with other symptoms after a couple of weeks on omeprazole.

I don’t think that drinking water right after meal can reduce symptoms of reflux. You should avoid heavy meals and large amount of liquids after meals. And drinking water right after meal will aggravate your symptoms (acid reflux).

Wishing you all the best
Dr.Klerida
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest Treatment For Breathing And Swallowing Difficulty When Diagnosed Severe Reflux Esophagitis

Brief Answer: Following answer to your query. Detailed Answer: Hi and thank you for asking! I read carefully all your concerns and I am sorry for the situation you are in. You are reporting to suffer from sever acid reflux (GERD) and to this point I would like to say that: 1. It usually needs 2 weeks of treatment with omeprazole before seeing any improvement. You have started it three weeks ago and the improvement would have been present now. 2. If you were my patient I would suggest increasing the omeprazoel dosage up to 40 mg in the morning and 40 mg in the evening (half hour before breakfast and dinner) for 8 weeks. Moreover I would like to suggest you changing your lifestyle. The most recommended lifestyle changes are: - To eat often and small portions of meal - Try to eat 3-4 hours before lying down to bed - Use antacids 1.5 hours after meal - Use two pillows when you are sleeping - Avoid coffee, chocolate, tea and carbonated drinks - Avoid spicy, fatty and chilly foods - Increase your physical activity - Avoid unnecessary stress Hope this was of help! Wish you health! Dr. klerida p.s: If you have more questions, please don’t hesitate to ask me again.