Suggest Treatment For Severe Acid Reflux

Posted on Mon, 2 Jun 2014

Question: i have had severe acid reflux for few months , have a hiatal hernia , was on nexium 80 for two weeks as i had burning in throat , it eased so I'm down 2 20 , but after few days slight burning has returne again at night

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Brief Answer:
You need to continue the medication

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

You need to continue nexium for control of symptoms.
You have hiatal hernia which is a risk factor for acid reflux.
You have night time symptoms also.

So for complete control of symptoms, the following should be done -

1. Take nexium 40 mg in the morning before breakfast for 4 weeks
2. Take Zantac 150 mg in the night
3. Lifestyle changes

Lifestyle changes include -
1. Weight reduction if obese
2. Avoiding alcohol and smoking
3. Avoiding coffee, citrus, fatty food, tomatoes, citrus
4. Avoid eat heavy meal and eating smaller frequent meal
5. Going to bed at least 2-3 hours after food.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.P.Ratnakar Kini (2 hours later)

I have been taking 80 mg next im 4 over two weeks , I'm worried that this is a very high dose & that when I reduced 2 40 it has not resolved , is 80 mg usual for these symptoms I also have a slight irritating cough despite the medication , I have been on Nexium since DecemberTonight as 40 did not work b4 bed , I took another 40 2 hrs later , still slight raw burning sensation , should I continue on 80 as I'm worried it's such a high dose

Answered by Dr. Dr.P.Ratnakar Kini (7 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
80 mg is slightly higher dose. But not an overdose.
As mentioned in my previous post, medication alone is not enough for complete control of symptoms. Lifestyle changes are also very important for complete relief.

So you need to follow the changes I have advised in my previous post.
You can take 40 mg of Nexium in the morning and 150 mg of zantac in the night for relief.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj