Brief Answer:
Antacids+diet & lifestyle measures

Detailed Answer:
Dear XXXXXXX

Thanks for your query.

A. Given the scenario of your duty timings & not taking stomach full of meals, the heart burn can be attributed to excess production of acid in stomach.
Symptomatic relief can be obtained by intake of antacids like Pantoprazole (to be taken half an hour before food).

B. In your post, you have mentioned about history of Diabetes.
Kindly let us know what kind of medication you are taking- tablets or insulin injection?
The symptoms of sleepiness,fatigue & laziness can be due to fluctuation in the blood glucose level after meals.
Kindly get a fresh estimation of your blood glucose status done.

C. Multivitamins like Revital (regular/senior) are only dietary supplements.
They should not be used as a replacement for healthy, nutritious & balanced diet, which you are not consuming (as stated in your post).

Based on the above observation, it is needed that you take certain precautions regarding your diet & lifestyle, such as:

1. Take full meals comprising of soft, plain, non-spicy foods.
2. Drink lots of water to maintain adequate hydration.
3. Avoid fast foods & gas producing food products like cabbage, etc.
4. Avoid smoking & alcohol.
5. Keep away stress, think positive.
6. Exercise regularly & practice meditation.
7. If possible, try working during day shift, till your symptoms subside.

If symptoms still persist, it will be better to consult a Gastroenterologist & get a proper physical examination done to find out the exact cause.
Investigations like Endoscopy of upper gastrointestinal tract & Ultrasound scan of abdomen will be helpful in detecting any pathological cause for the symptoms.

There is no need to worry, you will be fine.
Please let me know if I can clarify further.
Wishing a good health.
Take care.

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Brief Answer:
Kindly view the details

Detailed Answer:
Dear XXXXXXX

Thanks for your follow up query.

1. You can try Pantop 20 mg twice a day, half an hour before meal.

2. Coffee contains caffeine, which stimulates gastric acid production & is a major cause for heart burns.
You need to reduce it to 2 cups per day.

3. Back pain can be attributable to stress, incorrect sitting/standing posture or nerve involvement secondary to Diabetes (if your Glycemic status is within normal limits, this can be ruled out).
Intake of pain killers for back pain is also a known cause for heart burn as it damages the stomach mucosa.

4. Kindly follow the diet plan as mentioned by your Dietician.
You can request him to add certain snacks in between meals depending on your age, body weight & calorie requirement.

5. Since you are taking tablets for Diabetes, it is essential that you take your food on time.
Otherwise it will lead to fluctuations in blood glucose levels.

Wishing a good health.
Take care.

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Brief Answer:
Kindly view the details

Detailed Answer:
Dear XXXXXXX

Thanks for your follow up query.

Kindly follow the following measures:

1. Continue using Revital regular.
2. Reduce intake of coffee.
3. Get good sleep during daytime, once your shift gets over.
4. Consult your Dietician & add snacks in between your meals. Maintenance of glucose levels in between meals will prevent weakness & fatigue.
5. Medications like Modafinil are given to maintain alertness in night shift workers.
It does not interfere with sleep patterns & has minimal side effects.
But this is a prescription drug & you need to get a prescription your physician for this.
6. Avoid boredom in your workplace. Take small breaks in between work to energize yourself.

Wishing a good health.
Take care.

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