
Suggest Treatment For Recurrent Heartburn

Gastro esophageal reflux disease with gastritis.
Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query,
Most likely your symptoms are because of reflux disorder. In which the acid contents of stomach regurgitates back into esophagus causing Heart-burn and bad taste in mouth.
So suggestions are:
- Firstly I would suggest you to take Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80mg twice a day.
If still not relieved add,
Option 1. -Levosulpiride- It is a sulpiride isomer and exerts its prokinetic effect by blocking D2 receptors. Recent trials have shown that combining it with PPI's have excellent effect in patients suffering from acid reflux.
Option 2. Domperidone- Very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.
Strict adherence to the diet suggested below is required along with medications-
-Take a low fat easily digestible food.
-Eat a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc.
.-Take a lot's of yogurt in food
.-Avoid spicy or fast food(No pizza or Burger).-If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.Avoid orange or pineapple juice.-Eat 1 cups of fruit like banana daily.
If not relieved in 5 days then an upper G.I endoscopy should be planned.
Regards.

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