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What Can I Do Against Reflux Osephagitis? I Took Esomeprazole
Question: What can i do against reflux osephagitis? I took esomeprazole 40 mg for 6 days but i had to stop because i became extremely fatigue and had serious anxiety attacks!!
Brief Answer:
Proper medications required.
Detailed Answer:
Hello and thanks for choosing 'Ask A Doctor' service for your query,
I have read your details.
Proper management is missing.
Management consists of two-step-
1) Control acid production- Just taking Esomeprazole 40 mg won't help. It only suppresses acid formation and has no effect on reflux.
2) Prevent reflux of acid formed back to the esophagus -
Please request your gastroenterologist to modify the dosage of PPI-antacids like Rabeprazole or Esomeprazole 40mg twice daily. Also, request him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic) slow-release once daily. This will slow down the reflux of acid back. Prokinetic should be added to the regimen.
An antacid containing a local anesthetic (Mucaine gel) should be taken 2tsf thrice daily.
Acotiamide is another wonderful 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 should be given by your gastroenterologist to provide you with relief in your problem.
Ask your gastroenterologist to follow an aggressive treatment pattern initially. As your symptoms will improve drugs can be tapered off gradually.
Hope I was helpful, feel free to ask further.
Thank you
Proper medications required.
Detailed Answer:
Hello and thanks for choosing 'Ask A Doctor' service for your query,
I have read your details.
Proper management is missing.
Management consists of two-step-
1) Control acid production- Just taking Esomeprazole 40 mg won't help. It only suppresses acid formation and has no effect on reflux.
2) Prevent reflux of acid formed back to the esophagus -
Please request your gastroenterologist to modify the dosage of PPI-antacids like Rabeprazole or Esomeprazole 40mg twice daily. Also, request him/her to add Domperidone 30mg or Levosulpiride(both are prokinetic) slow-release once daily. This will slow down the reflux of acid back. Prokinetic should be added to the regimen.
An antacid containing a local anesthetic (Mucaine gel) should be taken 2tsf thrice daily.
Acotiamide is another wonderful 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 should be given by your gastroenterologist to provide you with relief in your problem.
Ask your gastroenterologist to follow an aggressive treatment pattern initially. As your symptoms will improve drugs can be tapered off gradually.
Hope I was helpful, feel free to ask further.
Thank you
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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